Hundreds of thousands of uninsured Alabamians would qualify for Medicaid if Alabama expanded eligibility to adults with incomes up to 133 percent of the federal poverty level. (That’s about $15,000 a year for individuals and $31,000 a year for a family of four.) Many hard-working Alabamians have no health coverage because they earn too much to qualify for Medicaid and too little to afford private health insurance. This fact sheet examines what’s at stake for Alabama in deciding whether to expand Medicaid under the Affordable Care Act.