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Welfare Reform and the Health Insurance Coverage of Women and Children

Author

Listed:
  • Cawley John H

    () (Cornell University and NBER)

  • Schroeder Mathis

    () (Cornell University)

  • Simon Kosali Ilayperu

    () (Cornell University and NBER)

Abstract

There is tremendous interest in understanding the effects of welfare reform enacted by the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Our interest lies in one possible consequence of welfare reform: the loss of health insurance.This paper advances the literature by utilizing the 1992-1996 panels of the Survey of Income and Program Participation, matching type of insurance coverage to the presence of waivers from AFDC or TANF implementation in each state in specific months. We utilize a difference in differences method. Specifically, we estimate the difference before and after welfare reform in the insurance coverage of women and children who were likely to be eligible for welfare compared to those who were likely to be ineligible for welfare.We find that AFDC waivers prior to 1996 and the implementation of TANF after 1996 raised the probability that welfare-eligible women lack health insurance coverage. Specifically, TANF implementation is associated with a 7.8 percent increase in the probability that a welfare-eligible woman was uninsured. Welfare reform had less of an impact on the health insurance coverage of children. We find no evidence that AFDC waivers increased the probability that welfare-eligible children were uninsured. However, TANF implementation was associated with a 2.8 percent increase in the probability that a welfare-eligible child lacked health insurance.

Suggested Citation

  • Cawley John H & Schroeder Mathis & Simon Kosali Ilayperu, 2005. "Welfare Reform and the Health Insurance Coverage of Women and Children," Forum for Health Economics & Policy, De Gruyter, vol. 8(1), pages 1-32, January.
  • Handle: RePEc:bpj:fhecpo:v:8:y:2005:n:5
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    Cited by:

    1. Hope Corman & Dhaval M. Dave & Dhiman Das & Nancy E. Reichman, 2013. "Effects Of Welfare Reform On Illicit Drug Use Of Adult Women," Economic Inquiry, Western Economic Association International, vol. 51(1), pages 653-674, January.
    2. Hélène Périvier, 2008. "Les femmes sur le marché du travail aux États-Unis," Documents de Travail de l'OFCE 2008-12, Observatoire Francais des Conjonctures Economiques (OFCE).
    3. repec:pri:crcwel:wp06-04-ff is not listed on IDEAS
    4. repec:spo:wpecon:info:hdl:2441/6142 is not listed on IDEAS
    5. Buchmueller Thomas C & Lo Sasso Anthony T & Wong Kathleen N, 2008. "How Did SCHIP Affect the Insurance Coverage of Immigrant Children?," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 8(2), pages 1-25, January.
    6. James P. Ziliak, 2015. "Temporary Assistance for Needy Families," NBER Chapters,in: Economics of Means-Tested Transfer Programs in the United States, volume 1, pages 303-393 National Bureau of Economic Research, Inc.
    7. Hélène Périvier, 2009. "Les femmes sur le marché du travail aux États-Unis. Évolutions mises en perspective avec celles de la France et de la Suède," Revue de l'OFCE, Presses de Sciences-Po, vol. 0(1), pages 49-84.
    8. Amuedo-Dorantes, Catalina & Averett, Susan L. & Bansak, Cynthia, 2014. "Welfare Reform and Immigrant Fertility," IZA Discussion Papers 8153, Institute for the Study of Labor (IZA).

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