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State-level changes in health insurance coverage and parental substance use-associated foster care entry

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  • Stritzel, Haley

Abstract

For many families whose children are placed in foster care, initial contact with the child welfare system occurs due to interactions with the healthcare system, particularly in the context of the opioid epidemic and increased attention to prenatal drug exposure. In the last decade, many previously uninsured families have gained Medicaid health coverage, which has implications for their access to healthcare services and visibility to mandatory reporters. Using administrative foster care case data from the Adoption and Foster Care Analysis and Reporting System Foster Care Files and health insurance data from the American Community Survey, this study analyzes the associations between state-level health insurance coverage and rates of foster care entry due to parental substance use between 2009 and 2019. State-level fixed effects models revealed that public, but not private, health insurance rates were positively associated with rates of foster care entry due to parental substance use. These results support the hypothesis that health insurance coverage may promote greater contact with mandatory reporters among low-income parents with substance use disorders. Furthermore, this study illustrates how healthcare policy may have unintended consequences for the child welfare system.

Suggested Citation

  • Stritzel, Haley, 2022. "State-level changes in health insurance coverage and parental substance use-associated foster care entry," Social Science & Medicine, Elsevier, vol. 305(C).
    • Handle: RePEc:eee:socmed:v:305:y:2022:i:c:s0277953622003483
    DOI: 10.1016/j.socscimed.2022.115042
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    References listed on IDEAS

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    1. Han, X. & Call, K.T. & Pintor, J.K. & Alarcon-Espinoza, G. & Simon, A.B., 2015. "Reports of insurance-based discrimination in health care and its association with access to care," American Journal of Public Health, American Public Health Association, vol. 105, pages 517-525.
    2. Lloyd, Margaret H. & Akin, Becci A. & Brook, Jody, 2017. "Parental drug use and permanency for young children in foster care: A competing risks analysis of reunification, guardianship, and adoption," Children and Youth Services Review, Elsevier, vol. 77(C), pages 177-187.
    3. repec:mpr:mprres:7392 is not listed on IDEAS
    4. Frank Edwards & Sara Wakefield & Kieran Healy & Christopher Wildeman, 2021. "Contact with Child Protective Services is pervasive but unequally distributed by race and ethnicity in large US counties," Proceedings of the National Academy of Sciences, Proceedings of the National Academy of Sciences, vol. 118(30), pages 2106272118-, July.
    5. Meinhofer, Angélica & Witman, Allison E., 2018. "The role of health insurance on treatment for opioid use disorders: Evidence from the Affordable Care Act Medicaid expansion," Journal of Health Economics, Elsevier, vol. 60(C), pages 177-197.
    6. Louis‐Philippe Beland & Jason Huh & Dongwoo Kim, 2021. "The effect of Affordable Care Act Medicaid expansions on foster care admissions," Health Economics, John Wiley & Sons, Ltd., vol. 30(11), pages 2943-2951, November.
    7. Sanmartin, Maria X. & Ali, Mir M. & Lynch, Sean, 2019. "Foster care admissions and state-level criminal justice-focused prenatal substance use policies," Children and Youth Services Review, Elsevier, vol. 102(C), pages 102-107.
    8. Atkins, Danielle N. & Durrance, Christine Piette, 2021. "The impact of state-level prenatal substance use policies on infant foster care entry in the United States," Children and Youth Services Review, Elsevier, vol. 130(C).
    9. Meinhofer, Angélica & Onuoha, Erica & Angleró-Díaz, Yohanis & Keyes, Katherine M., 2020. "Parental drug use and racial and ethnic disproportionality in the U.S. foster care system," Children and Youth Services Review, Elsevier, vol. 118(C).
    10. Louis-Philippe Beland & Jason Huh & Dongwoo Kim, 2021. "The Effect of ACA Medicaid Expansions on Foster Care Admissions," Carleton Economic Papers 21-07, Carleton University, Department of Economics.
    11. Jevay Grooms & Alberto Ortega, 2019. "Examining Medicaid Expansion and the Treatment of Substance Use Disorders," AEA Papers and Proceedings, American Economic Association, vol. 109, pages 187-192, May.
    12. Sommers, Benjamin D. & Oellerich, Donald, 2013. "The poverty-reducing effect of Medicaid," Journal of Health Economics, Elsevier, vol. 32(5), pages 816-832.
    13. Fong, Kelley, 2017. "Child welfare involvement and contexts of poverty: The role of parental adversities, social networks, and social services," Children and Youth Services Review, Elsevier, vol. 72(C), pages 5-13.
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