The FPL numbers are higher in Alaska and Hawaii than they are in the rest of the United States. Both Alaska and Hawaii have expanded Medicaid eligibility under the ACA, so Medicaid is available to adults under the age of 65 if their household income doesn't exceed 138% of FPL. Premium subsidy eligibility in both states starts above 138% of FPL, which is a different dollar amount in Alaska and Hawaii, since they have different federal poverty levels. The 2023 federal poverty level for a single person in Hawaii is $16,770, with an increase of $5,910 for each additional member of the household. For a single person in Alaska, the 2023 federal poverty level is $18,210, with an increase of $6,430 for each additional person in the household. These numbers are used to determine subsidy eligibility for private plans with 2024 effective dates. The 2024 FPL for a single person is $17,310 in Hawaii and $18,810 in Alaska. These numbers are used to determine Medicaid/CHIP eligibility in 2024 (until the states transition to the new 2025 numbers in early 2025). You can see the 2023 and 2024 federal poverty levels at the top of this page, with amounts based on family size and location. The 2023 poverty level numbers are still used to determine subsidy eligibility for people enrolling in 2024 coverage due to a qualifying life event such as losing other coverage, getting married, or having a baby. The 2024 numbers are already in use for Medicaid/CHIP eligibility determinations, and will be used for marketplace subsidy eligibility starting November 1, 2024, during open enrollment for 2025 coverage.