A specified individual is an expansion adult above the poverty line
What the document says“the term `specified individual' means an individual who has a family income (as determined in accordance with section 1902(e)(14)) that exceeds the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved and--”
The section defines a specified individual as someone whose family income exceeds the poverty line for a family of that size and who is enrolled under the expansion group in section 1902(a)(10)(A)(i)(VIII) or is described there and enrolled under a waiver giving coverage equivalent to minimum essential coverage. State means one of the 50 States or the District of Columbia.
What the document actually says“the term `specified individual' means an individual who has a family income (as determined in accordance with section 1902(e)(14)) that exceeds the poverty line (as defined in section 2110(c)(5)) applicable to a family of the size involved and--”
The person's family income must top the poverty line. That line is set for a family of that size. The tests that follow narrow it further.
The person must be in the Medicaid expansion group. A waiver with like cover also counts. Only the 50 states and the capital are covered.
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