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

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  • 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.

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  • 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
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    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. 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.
    3. Foster, James & Greer, Joel & Thorbecke, Erik, 1984. "A Class of Decomposable Poverty Measures," Econometrica, Econometric Society, vol. 52(3), pages 761-766, May.
    4. 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.
    5. Borjas, George J., 2004. "Food insecurity and public assistance," Journal of Public Economics, Elsevier, vol. 88(7-8), pages 1421-1443, July.
    6. 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.
    7. repec:wly:soecon:v:82:4:y:2016:p:1147-1166 is not listed on IDEAS
    8. 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.
    9. 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.
    10. 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.
    11. 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.
    12. 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.
    13. 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.
    14. 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.
    15. 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.
    16. 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.
    17. 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.
    18. 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.
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    Cited by:

    1. Das, Debasmita, 2019. "SNAP Work Requirement and Food Insecurity," MPRA Paper 109964, University Library of Munich, Germany, revised 01 Oct 2021.
    2. 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.
    3. 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.

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