Children were the main beneficiaries of expansions in 2009, according to survey findings. Nineteen states improved access by broadening eligibility, simplifying procedures, or eliminating premiums. Currently, 47 states cover children in families with an annual income of 200% of the federal poverty level ($36,620 for a family of three in 2009), and in 24 states the upper limit is 250% of poverty ($45,775 for a family of three). Of the 34 states that charge premiums for children, most do not charge families with incomes below 150% of the poverty line. The median charge for two children in a family of three with income at 200% of poverty remains modest at $480 per year ($40 per month), or 1.3% of family income.