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Changing patterns of SNAP take‐up and participation and the role of out‐of‐pocket medical expenses among older adults

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  • Colleen Heflin
  • Jun Li
  • Dongmei Zuo

Abstract

We use longitudinal data from the nationally representative Health and Retirement Study from 2002 to 2016 to document how Supplemental Nutrition Assistance Program (SNAP) participation and estimated take‐up changed over time for older adults and the role that out‐of‐pocket medical expenses has played in these changing patterns. We rely upon the state adoption of Medicaid expansion of the Affordable Care Act as a source of identifying variation and do not find evidence that Medicaid expansion changed estimated SNAP take‐up or participation. These findings suggest that out‐of‐pocket medical expenses are unlikely to be a major driver of SNAP take‐up decisions for the nondisabled population under age 65.

Suggested Citation

  • Colleen Heflin & Jun Li & Dongmei Zuo, 2023. "Changing patterns of SNAP take‐up and participation and the role of out‐of‐pocket medical expenses among older adults," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 45(1), pages 336-349, March.
    • Handle: RePEc:wly:apecpp:v:45:y:2023:i:1:p:336-349
    DOI: 10.1002/aepp.13272
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    References listed on IDEAS

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    1. Jones, Jordan W., 2019. "Food Retailer Response to the Supplemental Nutrition Assistance Program," 2019 Annual Meeting, July 21-23, Atlanta, Georgia 290904, Agricultural and Applied Economics Association.
    2. Burney, Shaheer & Boehm, Rebecca L. & Lopez, Rigoberto A., 2018. "Impact of the 2014 Medicaid Expansion on SNAP Participation," 2018 Annual Meeting, August 5-7, Washington, D.C. 273847, Agricultural and Applied Economics Association.
    3. Melissa McInerney & Jennifer M. Mellor & Lindsay M. Sabik, 2021. "Welcome Mats and On‐Ramps for Older Adults: The Impact of the Affordable Care Act's Medicaid Expansions on Dual Enrollment in Medicare and Medicaid," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(1), pages 12-41, January.
    4. Rebekka DePew & Gilbert Gonzales, 2020. "Differences in Health Outcomes Between Millennials and Generation X in the USA: Evidence from the National Health Interview Survey," Population Research and Policy Review, Springer;Southern Demographic Association (SDA), vol. 39(3), pages 605-616, June.
    5. Peter Ganong & Jeffrey B. Liebman, 2018. "The Decline, Rebound, and Further Rise in SNAP Enrollment: Disentangling Business Cycle Fluctuations and Policy Changes," American Economic Journal: Economic Policy, American Economic Association, vol. 10(4), pages 153-176, November.
    6. Sun, Liyang & Abraham, Sarah, 2021. "Estimating dynamic treatment effects in event studies with heterogeneous treatment effects," Journal of Econometrics, Elsevier, vol. 225(2), pages 175-199.
    7. Lucie Schmidt & Lara Shore-Sheppard & Tara Watson, 2019. "The Impact of Expanding Public Health Insurance on Safety Net Program Participation: Evidence from the ACA Medicaid Expansion," NBER Working Papers 26504, National Bureau of Economic Research, Inc.
    8. Leveille, S.G. & Wee, C.C. & Iezzoni, L.I., 2005. "Trends in obesity and arthritis among baby boomers and their predecessors, 1971-2002," American Journal of Public Health, American Public Health Association, vol. 95(9), pages 1607-1613.
    9. Melissa McInerney & Jennifer M. Mellor & Lindsay M. Sabik, 2017. "The Effects of State Medicaid Expansions for Working-Age Adults on Senior Medicare Beneficiaries," American Economic Journal: Economic Policy, American Economic Association, vol. 9(3), pages 408-438, August.
    10. Callaway, Brantly & Sant’Anna, Pedro H.C., 2021. "Difference-in-Differences with multiple time periods," Journal of Econometrics, Elsevier, vol. 225(2), pages 200-230.
    11. Katherine Baicker & Amy Finkelstein & Jae Song & Sarah Taubman, 2014. "The Impact of Medicaid on Labor Market Activity and Program Participation: Evidence from the Oregon Health Insurance Experiment," American Economic Review, American Economic Association, vol. 104(5), pages 322-328, May.
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