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Connecting Medicaid and child support: evidence from the TennCare disenrollment

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  • Lindsey Rose Bullinger

    (School of Public Policy)

  • Sebastian Tello-Trillo

    (University of Virginia)

Abstract

In 2005, Tennessee disenrolled about 170,000 adults from its Medicaid program. This health insurance reform has been shown to decrease access to care and worsen financial well-being. Those affected by the disenrollment greatly overlaps with the population responsible for paying child support. We examine whether the contraction of public health insurance eligibility in Tennessee affected child support receipt. We find that after TennCare disenrollment, parents with custody of children in Tennessee were 7.2 percentage points (16 percent) less likely to receive child support income. Child support income also decreased by $204 (20 percent). We document heterogenous effects, with the largest effect among custodial parents who are non-white, under age 40, and above the poverty line.

Suggested Citation

  • Lindsey Rose Bullinger & Sebastian Tello-Trillo, 2021. "Connecting Medicaid and child support: evidence from the TennCare disenrollment," Review of Economics of the Household, Springer, vol. 19(3), pages 785-812, September.
  • Handle: RePEc:kap:reveho:v:19:y:2021:i:3:d:10.1007_s11150-021-09547-w
    DOI: 10.1007/s11150-021-09547-w
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    1. Qiwei He & Scott Barkowski, 2020. "The effect of health insurance on crime: Evidence from the Affordable Care Act Medicaid expansion," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 261-277, March.
    2. Cancian, Maria & Costanzo, Molly A., 2019. "Comparing income-shares and percentage-of-income child support guidelines," Children and Youth Services Review, Elsevier, vol. 96(C), pages 451-462.
    3. 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.
    4. Bhashkar Mazumder & Sarah Miller, 2016. "The Effects of the Massachusetts Health Reform on Household Financial Distress," American Economic Journal: Economic Policy, American Economic Association, vol. 8(3), pages 284-313, August.
    5. Craig Garthwaite & Tal Gross & Matthew J. Notowidigdo, 2014. "Public Health Insurance, Labor Supply, and Employment Lock," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 129(2), pages 653-696.
    6. Sebastian Tello Trillo & Ausmita Ghosh & Kosali Simon & Johanna Catherine Maclean, 2015. "Losing Medicaid: What happens to hospitalizations?," NBER Working Papers 21580, National Bureau of Economic Research, Inc.
    7. Maclean, Johanna Catherine & Tello-Trillo, Sebastian & Webber, Douglas, 2023. "Losing insurance and psychiatric hospitalizations," Journal of Economic Behavior & Organization, Elsevier, vol. 205(C), pages 508-527.
    8. Amy Finkelstein & Sarah Taubman & Bill Wright & Mira Bernstein & Jonathan Gruber & Joseph P. Newhouse & Heidi Allen & Katherine Baicker, 2012. "The Oregon Health Insurance Experiment: Evidence from the First Year," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 127(3), pages 1057-1106.
    9. Sarah Miller & Norman Johnson & Laura R Wherry, 2021. "Medicaid and Mortality: New Evidence From Linked Survey and Administrative Data," The Quarterly Journal of Economics, President and Fellows of Harvard College, vol. 136(3), pages 1783-1829.
    10. Maclean, J. Catherine & Tello-Trillo, Sebastian & Webber, Douglas A., 2019. "Losing Insurance and Behavioral Health Hospitalizations: Evidence from a Large-Scale Medicaid Disenrollment," IZA Discussion Papers 12463, Institute of Labor Economics (IZA).
    11. Maria Cancian & Daniel Meyer & Steven Cook, 2011. "The Evolution of Family Complexity from the Perspective of Nonmarital Children," Demography, Springer;Population Association of America (PAA), vol. 48(3), pages 957-982, August.
    12. J. Bart Stykes & Wendy Manning & Susan L. Brown, 2013. "Nonresident Fathers and Formal Child Support: Evidence from the CPS, NSFG, and SIPP," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 29(46), pages 1299-1330.
    13. Maria Cancian & Carolyn J. Heinrich & Yiyoon Chung, 2013. "Discouraging Disadvantaged Fathers’ Employment: An Unintended Consequence of Policies Designed to Support Families," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 32(4), pages 758-784, September.
    14. Jacob Goldin & Ithai Z. Lurie & Janet McCubbin, 2019. "Health Insurance and Mortality: Experimental Evidence from Taxpayer Outreach," NBER Working Papers 26533, National Bureau of Economic Research, Inc.
    15. Cuesta, Laura & Meyer, Daniel R., 2018. "Child poverty and child support policy: A comparative analysis of Colombia and the United States," Children and Youth Services Review, Elsevier, vol. 93(C), pages 143-153.
    16. Jacob Goldin & Ithai Z Lurie & Janet McCubbin, 0. "Health Insurance and Mortality: Experimental Evidence from Taxpayer Outreach," The Quarterly Journal of Economics, Oxford University Press, vol. 136(1), pages 1-49.
    17. Maureen A. Pirog & Kathleen M. Ziol-Guest, 2006. "Child support enforcement: Programs and policies, impacts and questions," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 25(4), pages 943-990.
    18. Hu, Luojia & Kaestner, Robert & Mazumder, Bhashkar & Miller, Sarah & Wong, Ashley, 2018. "The effect of the affordable care act Medicaid expansions on financial wellbeing," Journal of Public Economics, Elsevier, vol. 163(C), pages 99-112.
    19. Borgschulte, Mark & Vogler, Jacob, 2020. "Did the ACA Medicaid expansion save lives?," Journal of Health Economics, Elsevier, vol. 72(C).
    20. Virginia W. Knox, 1996. "The Effects of Child Support Payments on Developmental Outcomes for Elementary School-Age Children," Journal of Human Resources, University of Wisconsin Press, vol. 31(4), pages 816-840.
    21. 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.
    22. Laura Argys & H. Peters & Jeanne Brooks-Gunn & Judith Smith, 1998. "The impact of child support on cognitive outcomes of young children," Demography, Springer;Population Association of America (PAA), vol. 35(2), pages 159-173, May.
    23. Carolyn J. Heinrich & Brett C. Burkhardt & Hilary M. Shager, 2011. "Reducing child support debt and its consequences: Can forgiveness benefit all?," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 30(4), pages 755-774, September.
    24. Hakovirta, Mia & Meyer, Daniel R. & Skinner, Christine, 2019. "Does paying child support impoverish fathers in the United States, Finland, and the United Kingdom?," Children and Youth Services Review, Elsevier, vol. 106(C).
    25. Elizabeth Thomson & Trude Lappegård & Marcia Carlson & Ann Evans & Edith Gray, 2014. "Childbearing Across Partnerships in Australia, the United States, Norway, and Sweden," Demography, Springer;Population Association of America (PAA), vol. 51(2), pages 485-508, April.
    26. Gross, Tal & Notowidigdo, Matthew J., 2011. "Health insurance and the consumer bankruptcy decision: Evidence from expansions of Medicaid," Journal of Public Economics, Elsevier, vol. 95(7-8), pages 767-778, August.
    27. Thomas DeLeire, 2019. "The Effect of Disenrollment from Medicaid on Employment, Insurance Coverage, and Health and Health Care Utilization☆," Research in Labor Economics, in: Health and Labor Markets, volume 47, pages 155-194, Emerald Group Publishing Limited.
    28. 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.
    29. J. Bartfeld & D. Meyer, "undated". "Are there really deadbeat dads? The relationship between ability to pay, enforcement, and compliance in nonmarital child support cases," Institute for Research on Poverty Discussion Papers 994-93, University of Wisconsin Institute for Research on Poverty.
    30. 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.
    31. Gunnar Andersson & Elizabeth Thomson & Aija Duntava, 2017. "Life-table representations of family dynamics in the 21st century," Demographic Research, Max Planck Institute for Demographic Research, Rostock, Germany, vol. 37(35), pages 1081-1230.
    32. Argys, Laura M. & Friedson, Andrew I. & Pitts, M. Melinda & Tello-Trillo, D. Sebastian, 2020. "Losing public health insurance: TennCare reform and personal financial distress," Journal of Public Economics, Elsevier, vol. 187(C).
    33. Daniel Sebastian Tello‐Trillo, 2021. "Effects of losing public health insurance on preventative care, health, and emergency department use: Evidence from the TennCare disenrollment," Southern Economic Journal, John Wiley & Sons, vol. 88(1), pages 322-366, July.
    34. 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.
    35. Wen, Hefei & Hockenberry, Jason M. & Cummings, Janet R., 2017. "The effect of Medicaid expansion on crime reduction: Evidence from HIFA-waiver expansions," Journal of Public Economics, Elsevier, vol. 154(C), pages 67-94.
    36. Laura Argys & Andrew Friedson & M. Melinda Pitts & D. Sebastian Tello-Trillo, 2017. "Losing Public Health Insurance: TennCare Disenrollment and Personal Financial Distress," FRB Atlanta Working Paper 2017-6, Federal Reserve Bank of Atlanta.
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