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Effect of medicaid expansion on workforce participation for people with disabilities

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  • Hall, J.P.
  • Shartzer, A.
  • Kurth, N.K.
  • Thomas, K.C.

Abstract

Objectives. To use data from the Health Reform Monitoring Survey (HRMS) to examine differences in employment among community-living, working-age adults (aged 18-64 years) with disabilities who live in Medicaid expansion states and nonexpansion states. Methods. Analyses used difference-in-differences to compare trends in pooled, cross-sectional estimates of employment by state expansion status for 2740 HRMS respondents reporting a disability, adjusting for individual and state characteristics. Results. After the Affordable Care Act (ACA), respondents in expansion states were significantly more likely to be employed compared with those in nonexpansion states (38.0% vs 31.9%; P = .011). Conclusions. Prior to the ACA, many people with disabilities were required to live in poverty to maintain their Medicaid eligibility. With Medicaid expansion, they can now enter the workforce, increase earnings, and maintain coverage. Public Health Implications. Medicaid expansion may improve employment for people with disabilities.

Suggested Citation

  • Hall, J.P. & Shartzer, A. & Kurth, N.K. & Thomas, K.C., 2017. "Effect of medicaid expansion on workforce participation for people with disabilities," American Journal of Public Health, American Public Health Association, vol. 107(2), pages 262-264.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2016.303543_8
    DOI: 10.2105/AJPH.2016.303543
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    Cited by:

    1. Anand Priyanka & Hyde Jody Schimmel & Colby Maggie & O’Leary Paul, 2018. "The Impact of Affordable Care Act Medicaid Expansions on Applications to Federal Disability Programs," Forum for Health Economics & Policy, De Gruyter, vol. 21(2), pages 1-20, December.
    2. Becky Staiger & Madeline Helfer & Jessica Van Parys, 2024. "The effect of Medicaid expansion on the take‐up of disability benefits by race and ethnicity," Health Economics, John Wiley & Sons, Ltd., vol. 33(3), pages 526-540, March.
    3. Vera L. Buijs & Bertus F. Jeronimus & Gerine M. A. Lodder & Nardi Steverink & Peter Jonge, 2021. "Social Needs and Happiness: A Life Course Perspective," Journal of Happiness Studies, Springer, vol. 22(4), pages 1953-1978, April.
    4. Jiyoon (June) Kim & Matthew P Rabbitt & Charlotte Tuttle, 2020. "Changes in Low‐Income Households’ Spending and Time Use Patterns in Response to the 2013 Sunset of the ARRA‐SNAP Benefit," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 42(4), pages 777-795, December.
    5. David E. Frisvold & Younsoo Jung, 2018. "The impact of expanding Medicaid on health insurance coverage and labor market outcomes," International Journal of Health Economics and Management, Springer, vol. 18(2), pages 99-121, June.

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