Medicaid is a federal-state health care program for low-income and disabled people, including nursing home residents. A key component of the federal health care reform passed in 2010 was an expansion of existing Medicaid to include all non-disabled adults under the age of 65 with incomes at or below 138 percent of the federal poverty level, which is currently $16,243 for an individual. Matt Salo, executive director of the National Association of Medicaid Directors, calls the projections "an imperfect science," adding: "If you are going to do a big expansion, you should probably expect that more people will show up than you thought, and the people who show up will be perhaps ...