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Immigrant Children’s Access to Public Health Insurance after CHIPRA-2009

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  • Mahmud, Mir

Abstract

Although Immigrant children represent approximately 3 percent of total U.S. child population, they remain the most vulnerable group in terms of access to public health insurance since the enactment of the “five-year-ban” for legal immigrants in the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Children Health Insurance Reauthorization Act (CHIPRA) of 2009 provided states an option to receive federal funds to expand eligibility for immigrant children regardless of their length of residency. In this paper, we utilize the cross-state variation in policy environment before and after the adoption of CHIPRA to compare the differences in access to public health insurance among the low-income immigrant children. We find that adoption immigrant child option of CHIPRA has resulted 8 percentage points increase in health coverage for the target group, almost entirely contributed by equal increase in coverage through public health insurance. Our measure of estimated treatment effect is lower than what existing literature reports. We attribute the difference to the existing state-funded programs to support immigrant children among majority of the CHIPRA states. Increase in coverage entirely comes from the ranks of previously uninsured children; no evidence of crowding out from the private insurance was found. We also verify the lack of crowding out by estimating the labor market response among mothers of immigrant children.

Suggested Citation

  • Mahmud, Mir, 2016. "Immigrant Children’s Access to Public Health Insurance after CHIPRA-2009," MPRA Paper 80602, University Library of Munich, Germany.
  • Handle: RePEc:pra:mprapa:80602
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    References listed on IDEAS

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    1. Tara Watson, 2014. "Inside the Refrigerator: Immigration Enforcement and Chilling Effects in Medicaid Participation," American Economic Journal: Economic Policy, American Economic Association, vol. 6(3), pages 313-338, August.
    2. Joshua D. Angrist & Jörn-Steffen Pischke, 2009. "Mostly Harmless Econometrics: An Empiricist's Companion," Economics Books, Princeton University Press, edition 1, number 8769, April.
    3. Akinori Tomohara & Ho Lee, 2007. "Did State Children’s Health Insurance Program Affect Married Women’s Labor Supply?," Journal of Family and Economic Issues, Springer, vol. 28(4), pages 668-683, December.
    4. Borjas, George J., 2003. "Welfare reform, labor supply, and health insurance in the immigrant population," Journal of Health Economics, Elsevier, vol. 22(6), pages 933-958, November.
    5. Dhaval Dave & Sandra L. Decker & Robert Kaestner & Kosali I. Simon, 2015. "The Effect of Medicaid Expansions in the Late 1980s and Early 1990s on the Labor Supply of Pregnant Women," American Journal of Health Economics, University of Chicago Press, vol. 1(2), pages 165-193, Spring.
    6. Lurie, Ithai Zvi, 2008. "Welfare reform and the decline in the health-insurance coverage of children of non-permanent residents," Journal of Health Economics, Elsevier, vol. 27(3), pages 786-793, May.
    7. Anna Aizer, 2003. "Low Take-Up in Medicaid: Does Outreach Matter and for Whom?," American Economic Review, American Economic Association, vol. 93(2), pages 238-241, May.
    8. Bronchetti, Erin Todd, 2014. "Public insurance expansions and the health of immigrant and native children," Journal of Public Economics, Elsevier, vol. 120(C), pages 205-219.
    9. Barbara Wolfe & Scott Scrivner, 2005. "The devil may be in the details: How the characteristics of SCHIP programs affect take-up," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 24(3), pages 499-522.
    10. Borjas, George J., 2011. "Poverty and Program Participation among Immigrant Children," Scholarly Articles 8052147, Harvard Kennedy School of Government.
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    More about this item

    Keywords

    Key Words: Health Insurance; Medicaid; Immigrants;
    All these keywords.

    JEL classification:

    • I1 - Health, Education, and Welfare - - Health
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health

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