IDEAS home Printed from https://ideas.repec.org/a/wly/apecpp/v42y2020i2p168-186.html
   My bibliography  Save this article

Healthcare and Hunger: Effects of the ACA Medicaid Expansions on Food Insecurity in America

Author

Listed:
  • Nicholas Moellman

Abstract

I analyze the impact of the ACA Medicaid expansions on food hardship in US households. Utilizing cross‐state, over time variation in Medicaid expansion, I find the ACA expansions reduced the probability a low‐income household is low food secure by between 2.3 and 3.9 percentage points, is very low food secure by between 2.7 and 4.6 percentage points, and is food insecure by 6.5 percentage points. The results are robust to a variety of definitions of food hardship, model specifications, and definitions of Medicaid expansion.

Suggested Citation

  • Nicholas Moellman, 2020. "Healthcare and Hunger: Effects of the ACA Medicaid Expansions on Food Insecurity in America," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 42(2), pages 168-186, June.
  • Handle: RePEc:wly:apecpp:v:42:y:2020:i:2:p:168-186
    DOI: 10.1093/aepp/ppz018
    as

    Download full text from publisher

    File URL: https://doi.org/10.1093/aepp/ppz018
    Download Restriction: no

    File URL: https://libkey.io/10.1093/aepp/ppz018?utm_source=ideas
    LibKey link: if access is restricted and if your library uses this service, LibKey will redirect you to where you can use your library subscription to access this item
    ---><---

    References listed on IDEAS

    as
    1. Chad Cotti & Erik Nesson & Nathan Tefft, 2019. "Impacts of the ACA Medicaid expansion on health behaviors: Evidence from household panel data," Health Economics, John Wiley & Sons, Ltd., vol. 28(2), pages 219-244, February.
    2. Gundersen, Craig & Kreider, Brent, 2009. "Bounding the effects of food insecurity on children's health outcomes," Journal of Health Economics, Elsevier, vol. 28(5), pages 971-983, September.
    3. Luojia Hu & Robert Kaestner & Bhashkar Mazumder & Sarah Miller & Ashley Wong, 2016. "The Effect of the Patient Protection and Affordable Care Act Medicaid Expansions on Financial Wellbeing," NBER Working Papers 22170, National Bureau of Economic Research, Inc.
    4. Lorenzo Almada & Ian McCarthy & Rusty Tchernis, 2016. "What Can We Learn about the Effects of Food Stamps on Obesity in the Presence of Misreporting?," American Journal of Agricultural Economics, Agricultural and Applied Economics Association, vol. 98(4), pages 997-1017.
    5. Foster, James & Greer, Joel & Thorbecke, Erik, 1984. "A Class of Decomposable Poverty Measures," Econometrica, Econometric Society, vol. 52(3), pages 761-766, May.
    6. Barbaresco, Silvia & Courtemanche, Charles J. & Qi, Yanling, 2015. "Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults," Journal of Health Economics, Elsevier, vol. 40(C), pages 54-68.
    7. Borjas, George J., 2004. "Food insecurity and public assistance," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1421-1443, July.
    8. Craig Gundersen & Brent Kreider & John Pepper, 2011. "The Economics of Food Insecurity in the United States," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 33(3), pages 281-303.
    9. Coleman-Jensen, Alisha & Rabbitt, Matthew P. & Gregory, Christian A. & Singh, Anita, 2017. "Household Food Security in the United States in 2016," Economic Research Report 291968, United States Department of Agriculture, Economic Research Service.
    10. repec:wly:soecon:v:82:4:y:2016:p:1147-1166 is not listed on IDEAS
    11. Craig Gundersen & David Ribar, 2011. "Food Insecurity And Insufficiency At Low Levels Of Food Expenditures," Review of Income and Wealth, International Association for Research in Income and Wealth, vol. 57(4), pages 704-726, December.
    12. Kosali Simon & Aparna Soni & John Cawley, 2017. "The Impact of Health Insurance on Preventive Care and Health Behaviors: Evidence from the First Two Years of the ACA Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(2), pages 390-417, March.
    13. Craig Gundersen & James P Ziliak, 2018. "Food Insecurity Research in the United States: Where We Have Been and Where We Need to Go," Applied Economic Perspectives and Policy, Agricultural and Applied Economics Association, vol. 40(1), pages 119-135.
    14. Gallagher, Emily A. & Gopalan, Radhakrishnan & Grinstein-Weiss, Michal, 2019. "The effect of health insurance on home payment delinquency: Evidence from ACA Marketplace subsidies," Journal of Public Economics, Elsevier, vol. 172(C), pages 67-83.
    15. Bhattacharya, Jayanta & Currie, Janet & Haider, Steven, 2004. "Poverty, food insecurity, and nutritional outcomes in children and adults," Journal of Health Economics, Elsevier, vol. 23(4), pages 839-862, July.
    16. Judi Bartfeld & Rachel Dunifon, 2006. "State-level predictors of food insecurity among households with children," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 25(4), pages 921-942.
    17. Abadie, Alberto & Diamond, Alexis & Hainmueller, Jens, 2010. "Synthetic Control Methods for Comparative Case Studies: Estimating the Effect of California’s Tobacco Control Program," Journal of the American Statistical Association, American Statistical Association, vol. 105(490), pages 493-505.
    18. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2017. "Early Impacts of the Affordable Care Act on Health Insurance Coverage in Medicaid Expansion and Non‐Expansion States," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 36(1), pages 178-210, January.
    Full references (including those not matched with items on IDEAS)

    Citations

    Citations are extracted by the CitEc Project, subscribe to its RSS feed for this item.
    as


    Cited by:

    1. Otto Lenhart, 2021. "The effects of paid family leave on food insecurity—evidence from California," Review of Economics of the Household, Springer, vol. 19(3), pages 615-639, September.
    2. Das, Debasmita, 2019. "SNAP Work Requirement and Food Insecurity," MPRA Paper 109964, University Library of Munich, Germany, revised 01 Oct 2021.
    3. Bidisha Mandal, 2022. "Rural–Urban Differences in Health Care Access and Utilization under the Medicaid Expansion," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 44(2), pages 702-721, June.

    Most related items

    These are the items that most often cite the same works as this one and are cited by the same works as this one.
    1. Dharmasena, Senarath & Bessler, David A. & Capps, Oral, 2016. "Food environment in the United States as a complex economic system," Food Policy, Elsevier, vol. 61(C), pages 163-175.
    2. Kelly Noonan & Hope Corman & Nancy E. Reichman, 2014. "Effects of Maternal Depression on Family Food Insecurity," NBER Working Papers 20113, National Bureau of Economic Research, Inc.
    3. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2018. "Early Effects of the Affordable Care Act on Health Care Access, Risky Health Behaviors, and Self‐Assessed Health," Southern Economic Journal, John Wiley & Sons, vol. 84(3), pages 660-691, January.
    4. Samuel Dodini, 2023. "Insurance Subsidies, the Affordable Care Act, and Financial Stability," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 42(1), pages 97-136, January.
    5. Lindsey Rose Bullinger, 2021. "Child Support and the Affordable Care Act's Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 40(1), pages 42-77, January.
    6. McInerney, Melissa & Meiselbach, Mark K., 2020. "Distributional Effects of Recent Health Insurance Expansions on Weight-Related Outcomes," Economics & Human Biology, Elsevier, vol. 38(C).
    7. Jacob Vogler, 2020. "Access to Healthcare and Criminal Behavior: Evidence from the ACA Medicaid Expansions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(4), pages 1166-1213, September.
    8. Daniel Millimet & Manan Roy, 2015. "Partial identification of the long-run causal effect of food security on child health," Empirical Economics, Springer, vol. 48(1), pages 83-141, February.
    9. Howard, Larry L., 2011. "Does food insecurity at home affect non-cognitive performance at school? A longitudinal analysis of elementary student classroom behavior," Economics of Education Review, Elsevier, vol. 30(1), pages 157-176, February.
    10. Sunjin Ahn & Travis A. Smith & F. Bailey Norwood, 2020. "Can Internet Surveys Mimic Food Insecurity Rates Published by the US Government?," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 42(2), pages 187-204, June.
    11. Craig Gundersen & Brent Kreider, 2008. "Food Stamps and Food Insecurity: What Can Be Learned in the Presence of Nonclassical Measurement Error?," Journal of Human Resources, University of Wisconsin Press, vol. 43(2), pages 352-382.
    12. Yunhee Chang & Swarn Chatterjee & Jinhee Kim, 2014. "Household Finance and Food Insecurity," Journal of Family and Economic Issues, Springer, vol. 35(4), pages 499-515, December.
    13. Burney, Shaheer & Boehm, Rebecca & Lopez, Rigoberto, 2021. "The impact of the ACA Medicaid expansion on SNAP participation," Food Policy, Elsevier, vol. 101(C).
    14. Lingxiao Wang & Yuqing Zheng & Steven C. Buck, 2021. "How does the affordable care act Medicaid expansion affect cigarette consumption?—The mechanism and heterogeneity," Journal of Consumer Affairs, Wiley Blackwell, vol. 55(3), pages 763-791, September.
    15. Black, Bernard & Hollingsworth, Alex & Nunes, Letícia & Simon, Kosali, 2022. "Simulated power analyses for observational studies: An application to the Affordable Care Act Medicaid expansion," Journal of Public Economics, Elsevier, vol. 213(C).
    16. Johanna Catherine Maclean & Brendan Saloner, 2019. "The Effect of Public Insurance Expansions on Substance Use Disorder Treatment: Evidence from the Affordable Care Act," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 38(2), pages 366-393, March.
    17. Charles Courtemanche & James Marton & Benjamin Ukert & Aaron Yelowitz & Daniela Zapata, 2019. "Effects of the Affordable Care Act on Health Behaviors After 3 Years," Eastern Economic Journal, Palgrave Macmillan;Eastern Economic Association, vol. 45(1), pages 7-33, January.
    18. Courtemanche, Charles & Marton, James & Ukert, Benjamin & Yelowitz, Aaron & Zapata, Daniela, 2018. "Effects of the Affordable Care Act on Health Behaviors after Three Years," IZA Discussion Papers 11468, Institute of Labor Economics (IZA).
    19. Helen H. Jensen & Brent Kreider & Oleksandr Zhylyevskyy, 2019. "Investigating Treatment Effects of Participating Jointly in SNAP and WIC when the Treatment Is Validated Only for SNAP," Southern Economic Journal, John Wiley & Sons, vol. 86(1), pages 124-155, July.
    20. Aparna Soni, 2020. "The effects of public health insurance on health behaviors: Evidence from the fifth year of Medicaid expansion," Health Economics, John Wiley & Sons, Ltd., vol. 29(12), pages 1586-1605, December.

    More about this item

    Statistics

    Access and download statistics

    Corrections

    All material on this site has been provided by the respective publishers and authors. You can help correct errors and omissions. When requesting a correction, please mention this item's handle: RePEc:wly:apecpp:v:42:y:2020:i:2:p:168-186. See general information about how to correct material in RePEc.

    If you have authored this item and are not yet registered with RePEc, we encourage you to do it here. This allows to link your profile to this item. It also allows you to accept potential citations to this item that we are uncertain about.

    If CitEc recognized a bibliographic reference but did not link an item in RePEc to it, you can help with this form .

    If you know of missing items citing this one, you can help us creating those links by adding the relevant references in the same way as above, for each refering item. If you are a registered author of this item, you may also want to check the "citations" tab in your RePEc Author Service profile, as there may be some citations waiting for confirmation.

    For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: Wiley Content Delivery (email available below). General contact details of provider: https://doi.org/10.1002/(ISSN)2040-5804 .

    Please note that corrections may take a couple of weeks to filter through the various RePEc services.

    IDEAS is a RePEc service. RePEc uses bibliographic data supplied by the respective publishers.