ArticleHealth services research2025
Examining the Impact of ACA Medicaid Expansion on Insurance Coverage, Access to Care and Health of Low-Income Parents.
Article in Health services research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
4 citing papers in PubMed.
- Effects of State Medicaid Expansions Affecting Parental Eligibility on Children's Healthcare Access and Health During the COVID-19 Pandemic.Maternal and child health journal · 2026Article
- Association of Medicaid expansion with children's insurance coverage and healthcare utilization.Health affairs scholar · 2026Article
- Examining the Impact of ACA Medicaid Expansion on Insurance Coverage, Access to Care and Health of Low-Income Parents.Health services research · 2025Article
- Medicaid Expansion and Frequent Mental Distress Among U.S. Adults: Staggered DiD Using BRFSS, 2011 to 2024.Inquiry : a journal of medical care organization, provision and financingArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo examine longer-term effects of Medicaid expansion on insurance coverage, access to care, and health, and investigate heterogeneous effects across demographic characteristics of low-income parents. STUDY SETTING AND
designWe estimated linear probability models for having healthcare coverage and access to care and reporting days of not good physical and mental health in the past 30 days. We adjusted for individual- and state-level factors, and state and year fixed effects. Our treatment group included low-income parents residing in Medicaid expansion states, and our control group included high-income parents residing in Medicaid expansion states and ineligible for any Affordable Care Act (ACA) subsidies. We used difference-in-differences and event-study designs. DATA SOURCES AND ANALYTIC SAMPLE: Nationally representative secondary data on self-reported insurance, access, and health status from the core component (2011-2019) of the Behavioral Risk Factor Surveillance System (BRFSS) among respondents aged 26-54 with at least one child living in the household. PRINCIPAL
findingsMedicaid expansion was associated with a 13.4 percentage point (pp) increase in the probability of reporting any health insurance (p < 0.001), an 11.3 pp decline in the probability of reporting a cost barrier (p < 0.001), and a 2.4 pp decrease in the probability of reporting days in poor mental health (p = 0.028) among low-income parents. Our results also suggest parents who were married and those identifying as non-Hispanic white (relative to Hispanic and non-Hispanic other/multiple race) experienced the largest increases in health insurance coverage.
conclusionsWhile Medicaid expansions improved insurance coverage, access to care, and health status among low-income parents, disparities persisted and, in some cases, widened. These findings have significant implications for policymakers as they consider policies aimed at increasing access to care.
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