What is Medicaid Expansion? It is a federal health care plan within the Affordable Care Act, for working adults whose income is 133 percent of the poverty level. In dollars, that is an individual who earns about $20,780 per year (that’s about $10 an hour); $35,630 for a family of three. (Information from Alliance for a Healthy Kansas) Here’s the problem, over 100,000 working Kansans make too much money to qualify for Kansas’ Medicaid program but too little for private insurance. That is the health care gap.