What change did the Affordable Care Act make regarding Medicaid eligibility?

The Affordable Care Act (ACA) made a significant adjustment to Medicaid eligibility by broadening the income thresholds for adult participants. Specifically, the ACA established that Medicaid eligibility would increase to cover individuals with incomes up to 133 percent of the Federal Poverty Level (FPL). This change aimed to expand access to healthcare for low-income adults who were previously unable to qualify for Medicaid, thereby addressing gaps in coverage and improving overall health outcomes.

This expansion is particularly important as it not only allowed more individuals to gain health insurance coverage but also attempted to reduce the number of uninsured people in the United States. By raising the eligibility threshold, the ACA sought to provide a safety net for more individuals and families facing economic hardship, thereby promoting better health and financial security.

The other options reflect either a reduction in eligibility or no change at all, which do not align with the goals and provisions of the ACA. The law explicitly sought to enhance access rather than restrict it, making the increase to 133 percent of the FPL the correct and relevant answer in the context of Medicaid eligibility.