1. Minimum Essential Coverage Individuals must maintain “Minimum Essential Coverage” or face a tax penalty An individual eligible for “Minimum Essential Coverage” is not eligible for tax credits Most, but not all, Medicaid programs provide “Minimum Essential Coverage”

2. Pregnant Women For pregnant women, new coverage opportunities intersect with existing Medicaid coverage during pregnancy All states cover pregnant women under Medicaid ▫Some go beyond 133% FPL ▫Up to 300% FPL in some states Some states cover all services in the State Plan; others cover only services related to pregnancy

3. Pregnant Women: The Bottom Line (1) Medicaid for pregnancy related services is not Minimum Essential Coverage No penalty if enrolled in Medicaid for pregnancy related services in 2014 Not eligible for benchmark plans through Medicaid expansion if pregnant at enrollment

4. Pregnant Women: The Bottom Line (2) If pregnant at enrollment, eligible for Medicaid for pregnancy related services Should be able to enroll in both Medicaid for pregnancy related services and a QHP with an advance payment premium tax credit, but… Marketplaces were built before the final rule and structures are unknown…

5. Additional Medicaid Programs Not Minimum Essential Coverage Additional Medicaid programs that do not provide Minimum Essential Coverage ▫Family Planning Services §1396a(a)(10)(A)(ii)(XXI) ▫Tuberculosis-Related Services §1396a(a)(10)(A)(ii)(XII) ▫Emergency Medical Conditions Only §1396b(v)