But that doesn’t describe the full picture for those newly eligible聽for Medicaid, the state-federal health insurance program for the poor.

Under the law, there is a fixed dollar amount that varies by family size that is disregarded each year, which in effect raises the threshold to 138 percent of the聽federal poverty level, or nearly $32,000.

Why didn’t Congress just make the eligibility level 138 percent?

The U.S. Senate passed the health overhaul bill in late 2009 with the 133 percent figure. That figure was already the minimum federal standard for pregnant women and children under 6.

The House, in its initial deliberations, favored an income limit of 150 percent of the poverty level, or nearly $35,000 for a聽family of four. During the process of melding the House and Senate bills, lawmakers were concerned about Senate rules that prevented them from changing 聽the eligibility level in legislation that had already passed in the Senate. So, , which passed both chambers, included the 5 percent disregard while maintaining the 133 percent figure.

The bottom line is this: All those聽newly eligible for Medicaid under the health law can have household聽incomes up to 138 percent of the poverty level. For an individual, that’s about $15,400 a year, compared to nearly $14,900 — 133 percent of poverty level.

Kaiser Health News has decided to begin using the 138 percent figure because it is the effective level under the law.

Of course, the new eligibility level聽applies聽only in states that expand Medicaid.聽 The Supreme Court, ,聽made the expansion optional for states.

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