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Medicaid expansion and participation in the Supplemental Nutrition Assistance Program: The role of Integrated Eligibility Systems

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  • Bidisha Mandal

Abstract

Evidence suggests the Affordable Care Act's Medicaid expansion may increase participation in other public programs, such as the Supplemental Nutrition Assistance Program. This study examines a potential mechanism behind these effects. Before the expansion, most states operated Integrated Eligibility Systems that managed enrollment processes for various public programs. In 2014, many states decoupled Medicaid from these platforms following Medicaid's new eligibility criteria. This research examines the impact of Medicaid expansion on integrated systems and SNAP participation, finding higher SNAP participation rates in states with uninterrupted Integrated Eligibility Systems compared to those that delinked their systems or never had such systems.

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  • Bidisha Mandal, 2025. "Medicaid expansion and participation in the Supplemental Nutrition Assistance Program: The role of Integrated Eligibility Systems," Applied Economic Perspectives and Policy, John Wiley & Sons, vol. 47(1), pages 154-175, March.
    • Handle: RePEc:wly:apecpp:v:47:y:2025:i:1:p:154-175
    DOI: 10.1002/aepp.13466
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    1. 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.
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    3. Frean, Molly & Gruber, Jonathan & Sommers, Benjamin D., 2017. "Premium subsidies, the mandate, and Medicaid expansion: Coverage effects of the Affordable Care Act," Journal of Health Economics, Elsevier, vol. 53(C), pages 72-86.
    4. Katherine Baicker & Amy Finkelstein & Jae Song & Sarah Taubman, 2014. "The Impact of Medicaid on Labor Market Activity and Program Participation: Evidence from the Oregon Health Insurance Experiment," American Economic Review, American Economic Association, vol. 104(5), pages 322-328, May.
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