State RegulationsCA specific✓ Verified · outline & fact-checked · Sep 2026Difficulty 2/5
Under the PPACA/Medicaid expansion rules, an adult aged 19-64 in California qualifies for Medi-Cal based on income at or below what level?
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Answer & full 3-part explanation (select an option above, or peek)
Why A is correct
California's Medi-Cal expansion uses MAGI-based eligibility: adults aged 19-64 qualify at or below 138% of the federal poverty level. Children under 19 qualify at the higher threshold of 266% FPL. The 138% figure is a core PPACA number tested on the A&H exam.
Why the other options are wrong
- B) 266% FPL is the children's threshold (under 19), not the adult Medi-Cal standard.
- C) 400% FPL is the ceiling for premium tax credits (APTC) through Covered California, not the Medi-Cal income limit.
- D) 50% FPL matches no standard MAGI eligibility threshold in California.
Memory hook
138 = adult Medi-Cal, 266 = kids, 400 = tax credits. Three numbers, three programs — keep them on separate shelves.