California
What is the marketplace type for California?
For California, marketplace type is State-based marketplace; marketplace name is Covered California; marketplace website is https://www.coveredca.com/; medicaid expansion adopted is yes; where premium tax credit eligibility starts is 138% of the federal poverty line, recorded from its source on 2026-08-18.
The 2026 California Premium Subsidy preserves IRA-level premium subsidies for the lowest-income Covered California enrollees up to 150% FPL and lowers federally-required premiums for individuals between 150 and 165% FPL.
— hbex.coveredca.com, retrieved 2026-08-18
- State
- California verified
- Marketplace type
- State-based marketplace our reading
- Marketplace name
- Covered California our reading
- Marketplace website
- https://www.coveredca.com/ our reading
- Medicaid expansion adopted
- yes our reading
- Where premium tax credit eligibility starts
- 138% of the federal poverty line our reading
- Coverage gap below the poverty line
- no our reading
- State premium assistance programme
- California Premium Subsidy our reading
- Income range for state assistance
- at or below 165% of the federal poverty level
- State assistance above 400% of the poverty line
- no our reading
- What the state programme pays
- preserves IRA-level premium subsidies for enrollees up to 150% FPL and lowers federally-required premiums for individuals between 150 and 165% FPL; above 165% FPL there is no additional state premium help
- State cost-sharing programme
- enhanced cost-sharing reduction program (Enhanced Silver 73 with no deductibles, expanded in 2025 to incomes above 200% of the federal poverty level) our reading
- Basic Health Program
- none our reading
- State individual mandate
- yes our reading
- Mandate penalty
- at least $950 per adult and $450 per dependent child under 18 in the household; a family of four that goes uninsured for the whole year would face a penalty of at least $2,800
Values marked our reading are our classification of what the source says — the source does not print them in those words. The quote below is the evidence for each one; judge it yourself.
Sources
- hbex.coveredca.comhttps://hbex.coveredca.com/stakeholders/PDFs/2026-02_StatePremiumSub_PolicyExplainer-Final.pdf
- coveredca.comhttps://www.coveredca.com/newsroom/news-releases/2025/08/14/covered-california-rates-and-plans-for-2026-consumer-affordability-on-the-line-with-uncertainty-surrounding-federal-premium-tax-credit-extension/
- coveredca.comhttps://www.coveredca.com/learning-center/tax-penalty-details-and-exemptions/penalty/