Medicaid is a joint federal and state program that helps with medical costs for some people with limited income and resources. Medicaid also offers benefits not normally covered by Medicare, like nursing home care and personal care services.

The Affordable Care Act, signed  into law by President Barack Obama on March 23, 2010, provides for the expansion of Medicaid to all Americans under 65 years of age, with income at or below the federal poverty level ($29,700 for a family of four in 2011).