Impacts of the Affordable Care Act's Medicaid Expansion on Women of Reproductive Age

Research Report

Impacts of the Affordable Care Act's Medicaid Expansion on Women of Reproductive Age

Differences by Parental Status and State Polices

Abstract

We estimate the effects of the ACA Medicaid expansions on insurance coverage and access to care for low-income women of reproductive age using 2012-2015 Behavioral Risk Factor Surveillance System data and difference-in-differences models. We further estimate effects by women's parental status, pre-ACA state Medicaid eligibility levels, and the presence of a state Medicaid family planning waiver. We find that ACA Medicaid expansions increased insurance coverage for low-income women of reproductive age, with the greatest effects for women without dependent children and women residing in states with relatively lower pre-ACA Medicaid eligibility levels or with no family planning waiver.

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