The Affordable Care Act

The ACA created a new health insurance exchange or "marketplace" to facilitate the purchase of affordable health coverage for qualified families.

Children who are not income eligible for Medicaid or CHIP and are in families with incomes below 400 percent of poverty (up to about $88,000 for a family of four) that do not have an offer of affordable coverage from an employer are eligible for tax credits to help them purchase health coverage through the states' marketplace.  Children in families above 400 percent of poverty without access to employer-sponsored coverage may also gain coverage through the marketplace, but will not be eligible for a subsidy.  Child-only plans are also available through the marketplace to help cover children who may be eligible for coverage, but have a parent who is not (e.g. citizen children who have an undocumented parent).