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Page | 6 Income Chart Name: Pregnant Women 143% Federal Poverty Level (FPL) Income Limits – All Localities Effective Date: January 13, 2026 NOTE: A pregnant woman’s household is at least two individuals when evaluated in the Pregnant Women covered group. Household Size 143% FPL Yearly Amount 143% FPL Monthly Amount 148% FPL (143% FPL + 5% FPL Disregard) 2 $30,946 $2,579 $2,669 3 $39,068 $3,256 $3,370 4 $47,190 $3,933 $4,070 5 $55,313 $4,610 $4,771 6 $63,435 $5,287 $5,472 7 $71,558 $5,964 $6,172 8 $79,680 $6,640 $6,873 Each additional, add $8,123 $677 $701

Income Chart Name: Child Under Age 19 – 143% Federal Poverty Level (FPL) Income Limits – All Localities Effective Date: January 13, 2026 # of Persons in Household 109% FPL for Determining Aid Category: Monthly Limit 143% FPL: Annual Limit 143% FPL: Monthly Limit 148% FPL (143% FPL + 5% FPL Disregard): Monthly Limit 1 $1,450 $22,823 $1,902 $1,969 2 $1,966 $30,946 $2,579 $2,669 3 $2,482 $39,068 $3,256 $3,370 4 $2,998 $47,190 $3,933 $4,070 5 $3,514 $55,313 $4,610 $4,771 6 $4,030 $63,435 $5,287 $5,472 7 $4,546 $71,558 $5,964 $6,172 8 $5,062 $79,680 $6,640 $6,873 Each additional, add $516 $8,123 $677 $701