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Full Citation

Title: The Impact of the Affordable Care Act Medicaid Expansions on the Sources of Health Insurance Coverage of Undergraduate Students in the United States

Citation Type: Journal Article

Publication Year: 2022

ISSN: 15526801

DOI: 10.1177/10775587211015816

PMID: 34009079

Abstract: This article examines how the Affordable Care Act Medicaid expansions affected the sources of health insurance coverage of undergraduate students in the United States. We show that the Affordable Care Act expansions increased the Medicaid coverage of undergraduate students by 5 to 7 percentage points more in expansion states than in nonexpansion states, resulting in 17% of undergraduate students in expansion states being covered by Medicaid postexpansion (up from 9% prior to the expansion). In contrast, the growth in employer and private direct coverage was 1 to 2 percentage points lower postexpansion for students in expansion states compared with nonexpansion states. Our findings demonstrate that policy efforts to expand Medicaid eligibility have been successful in increasing the Medicaid coverage rates for undergraduate students in the United States, but there is evidence of some crowd out after the expansions—that is, some students substituted their private and employer-sponsored coverage for Medicaid.

Url: https://journals.sagepub.com/doi/abs/10.1177/10775587211015816

User Submitted?: No

Authors: Anand, Priyanka; Gicheva, Dora

Periodical (Full): Medical Care Research and Review

Issue: 2

Volume: 79

Pages: 299-307

Data Collections: IPUMS USA

Topics: Health, Population Health and Health Systems, Poverty and Welfare

Countries:

IPUMS NHGIS NAPP IHIS ATUS Terrapop