Subsidized Contraception, Fertility, and Sexual Behavior
We examine the impact of recent state-level Medicaid policy changes that expanded eligibility for family planning services to higher-income women and to Medicaid clients whose benefits would expire otherwise. We show that the income-based policy change reduced overall births to non-teens by about 2% and to teens by over 4%; estimates suggest a decline of 9% among newly eligible women. The reduction in fertility appears to have been accomplished via greater use of contraception. Our calculations indicate that allowing higher-income women to receive federally funded family planning cost on the order of $6,800 for each averted birth. Copyright by the President and Fellows of Harvard College and the Massachusetts Institute of Technology.
Volume (Year): 91 (2009)
Issue (Month): 1 (February)
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References listed on IDEAS
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- Phillip B. Levine, 2001.
"The Sexual Activity and Birth-Control Use of American Teenagers,"
NBER Chapters,in: Risky Behavior among Youths: An Economic Analysis, pages 167-218
National Bureau of Economic Research, Inc.
- Phillip B. Levine, 2000. "The Sexual Activity and Birth Control Use of American Teenagers," NBER Working Papers 7601, National Bureau of Economic Research, Inc.
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- Jennifer M. Mellor, 1997. "The Effect of Family Planning Programs on the Fertility of Welfare Recipients: Evidence from Medicaid Claims," JCPR Working Papers 9, Northwestern University/University of Chicago Joint Center for Poverty Research.
- Besley, Timothy & Case, Anne, 2000. "Unnatural Experiments? Estimating the Incidence of Endogenous Policies," Economic Journal, Royal Economic Society, vol. 110(467), pages 672-694, November.
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- Martha J. Bailey, 2006. "More Power to the Pill: The Impact of Contraceptive Freedom on Women's Life Cycle Labor Supply," The Quarterly Journal of Economics, Oxford University Press, vol. 121(1), pages 289-320.
- Phillip B. Levine, 2002. "The Impact of Social Policy and Economic Activity Throughout the Fertility Decision Tree," NBER Working Papers 9021, National Bureau of Economic Research, Inc. Full references (including those not matched with items on IDEAS)
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