Medicaid provides public health insurance to seniors, people with disabilities and children with low incomes. Under the Affordable Care Act (ACA), since 2014, states can receive generous federal funding to expand Medicaid coverage to uninsured adults with incomes up to 138 percent of the federal poverty level ($27,724 for a family of three). Currently, 30 states and the District of Columbia have opted for Medicaid expansion, while several other states are exploring ways to expand their programs. States should be encouraged to expand their Medicaid programs, which would benefit low-income adults, hospitals, and local economies. An expanded Medicaid program.