The issue focused primarily on subsidies provided under Obamacare's subsidies for employers who offer coverage across state lines and Medicaid recipients who qualify under Medicaid expansion. Both exchanges offered subsidies based on household income or employer contribution amounts and excluded employers whose workforce exceeded 400 employees and Medicaid enrollees whose incomes exceeded 133 percent of poverty levels. Under Obamacare's subsidies, subsidies paid directly to enrollees increased significantly during 2010–2011 as premiums soared as insurers competed for enrollees who opted out of subsidies or opted into exchanges without premiums rising significantly. Obamacare subsidies