higher than 9.86% of income, making it potentially unaffordable. This issue is called the family glitch. Medicaid expense recovery States recover all long-term-care-related expenses from estates. In some states, all Medicaid payments for people 55 or over are subject to such recovery. Critics regard these practices as equivalent to collecting on a long-term loan rather than providing insurance. PPACA partially depended on such recoveries to help minimize its fiscal impact. Exchange subsidies were not made subject to recovery from estates. In apparent reaction to the issue, In February 2014 CMS issued a letter requesting states to recover only long-term-care-related expenses from approximately the Medicaid expansion population, stating “CMS intends to thoroughly explore options and to use any available authorities" to prevent such recovery. Some states that expanded Medicaid avoided, ended or limited recovery for ordinary medical insurance expenses. These states include New York, Connecticut, Washington, Oregon, Minnesota, Colorado, and Pennsylvania. Other states that expanded Medicaid do recover non-long-term-care-related medical expenses. Among these states are New Jersey, Massachusetts,, Iowa, Nevada, New Hampshire, North Dakota, Ohio, Rhode Island, Utah, Indiana, Maryland, and the District of Columbia. Coordination of Medicaid with exchange coverage PPACA did not address coordination between Medicaid agencies and exchanges for coverage eligibility. Medicaid eligibility is determined either by state Medicaid agencies or an exchange. Historically, Medicaid agencies tended to use monthly income and may update FPL cutpoints mid year. Exchange plan eligibility by an exchange. Exchange subsidy eligibility is based on annual estimated incomes and Federal Poverty Level cutpoints that are fixed for each calendar year. People with fluctuating income may cycle among the various programs, with different and changing eligibility requirements. Such cycling may mean that a patient may lose coverage for a scheduled procedure or access to a doctor or facility if their eligibility changes. In 2015 GAO reported problems in synching Medicaid eligibility with exchanges. Public opinion Public views became increasingly negative in reaction to specific plans discussed during the legislative debate over 2009 and 2010. Approval varied by party, race and age. Some elements were more widely favored (pre-existing conditions) or opposed (individual mandate). In a 2010 poll, 62% of respondents said they thought PPACA would "increase the amount of money they personally spend on health care", 56% said the bill "gives the government too much involvement in health care", and 19% said they thought they and their families would be better off with the legislation. Other polls found that people were concerned that the law would cost more than projected and would not do enough to control costs. In a 2012 poll 44% supported the law, with 56% against. By 75% of Democrats, 27% of Independents and 14% of Republicans favored the law. 82% favored banning insurance companies from denying coverage to people with pre-existing conditions, 61% favored allowing children to stay on their parents' insurance until age 26, 72% supported requiring companies with more than 50 employees to provide insurance for their employees, and 39% supported the individual mandate to own insurance or pay a penalty. By party affiliation, 19% of Republicans, 27% of Independents, and 59% of Democrats favored the mandate. Other polls showed additional provisions receiving majority support, including the exchanges, pooling small businesses and the uninsured with other consumers and providing subsidies. Some opponents believed that the reform did not go far enough: a 2012 poll indicated that 71% of Republican opponents rejected it overall, while 29% believed it did not go far enough; independent opponents were divided 67% to 33%; and among the much smaller group of Democratic opponents, 49% rejected it overall and 51% wanted more. In June