Expanding Medicaid for Parents Improves Coverage and Health for Both Parents and Children
End Notes
[1] Martha Heberlein et al., “Getting in Gear for 2014: Findings From a 50-State Survey of Eligibility, Enrollment, Renewal, and Cost-Sharing Policies in Medicaid and CHIP, 2012–2013,” Kaiser Family Foundation, January 2013, https://www.kff.org/medicaid/report/getting-into-gear-for-2014-findings-from-a-50-state-survey-of-eligibility-enrollment-renewal-and-cost-sharing-policies-in-medicaid-and-chip-2012-2013/.
[2] Adam Sacarny et al., “Out of the Woodwork: Enrollment Spillovers in the Oregon Health Insurance Experiment,” National Bureau of Economic Research Working Paper 26871, March 2020, https://www.nber.org/papers/w26871.pdf.
[3] The study found that differences in children’s coverage between households that won or lost the lottery faded over time, but so did differences in adult coverage, as lottery losers gained eligibility through other avenues and some lottery winners became ineligible for Medicaid. One would expect the differences in children’s coverage rates to shrink as the differences in adult coverage lessened.
[4] Lisa Dubay and Genevieve Kenney, “Expanding Public Health Insurance to Parents: Effects on Children’s Coverage under Medicaid,” Health Services Research, October 7, 2003, https://onlinelibrary.wiley.com/doi/abs/10.1111/1475-6773.00177.
[5] Genevieve Kenney et al., “Children’s Coverage Climb Continues: Uninsurance and Medicaid/CHIP Eligibility and Participation Under the ACA,” Urban Institute, May 2016, http://www.urban.org/sites/default/files/publication/80536/2000787-Childrens-Coverage-Climb-Continues-Uninsurance-and-Medicaid-CHIP-Eligibility-and-Participation-Under-the-ACA.pdf.
[6] Julie Hudson and Asako Moriya, “Medicaid Expansion For Adults Had Measurable ‘Welcome Mat’ Effects on Their Children,” Health Affairs, September 2017, https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2017.0347?journalCode=hlthaff.
[7] Matt Broaddus and Aviva Aron-Dine, “Uninsured Rate Rose Again in 2019, Further Eroding Earlier Progress,” Center on Budget and Policy Priorities, September 15, 2020, https://www.cbpp.org/research/health/uninsured-rate-rose-again-in-2019-further-eroding-earlier-progress. Some of the decline in children’s coverage is likely due to changes in immigration policy by the Trump Administration that may deter parents from enrolling their eligible children into Medicaid.
[8] Madeline Guth et al., “The Effects of Medicaid Expansion under the ACA: Updated Findings from a Literature Review,” Kaiser Family Foundation, March 17, 2020, https://www.kff.org/medicaid/report/the-effects-of-medicaid-expansion-under-the-aca-updated-findings-from-a-literature-review/.
[9] Benjamin Sommers et al., “Three-Year Impacts of the Affordable Care Act: Improved Medical Care and Health Among Low-Income Adults,” Health Affairs, June 2017, https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2017.0293.
[10] Stacey McMorrow et al., “Medicaid Expansions from 1997 to 2009 Increased Coverage and Improved Access and Mental Health Outcomes for Low-Income Parents,” Health Services Research, January 14, 2016, https://onlinelibrary.wiley.com/doi/full/10.1111/1475-6773.12432.
[11] Georgetown Center for Children and Families, “Healthy Parents and Caregivers are Essential to Children’s Healthy Development,” December 2016, https://ccf.georgetown.edu/wp-content/uploads/2016/12/Parents-and-Caregivers-12-12.pdf.
[12] Joan Alker and Alisa Chester, “Medicaid Expansion Promotes Children’s Development and Family Success by Treating Maternal Depression,” Georgetown Center for Children and Families, July 21, 2016, https://ccf.georgetown.edu/2016/07/21/medicaid-expansion-promotes-childrens-development-and-family-success-by-treating-maternal-depression/.
[13] Maya Venkataramani et al., “Spillover Effects of Adult Medicaid Expansions on Children’s Use of Preventive Services,” Pediatrics, December 2017, https://pediatrics.aappublications.org/content/140/6/e20170953.
[14] Matt Broaddus, “Medicaid Improves Financial Well-Being, Research Finds,” Center on Budget and Policy Priorities, April 28, 2016, https://www.cbpp.org/blog/medicaid-improves-financial-well-being-research-finds; and Sommers et al., op. cit.
[15] American Academy of Pediatrics Council on Community Pediatrics, “Poverty and Child Health in the United States,” Pediatrics, April 2016, https://pediatrics.aappublications.org/content/pediatrics/early/2016/03/07/peds.2016-0339.full.pdf.
[16] Laura Wherry et al., “Childhood Medicaid Coverage and Later Life Health Care Utilization,” Review of Economics and Statistics, May 2018, https://www.mitpressjournals.org/doi/abs/10.1162/REST_a_00677.
[17] Sarah Cohodes et al., “The Effect of Child Health Insurance Access on Schooling: Evidence from Public Insurance Expansions,” Journal of Human Resources, 2016, https://ideas.repec.org/a/uwp/jhriss/v51y2016i3p727-759.html.
[18] David Brown et al., “Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood,” Review of Economic Studies, March 2020, https://academic.oup.com/restud/article/87/2/792/5538992.