Enhanced Citizenship Verification and Children's Medicaid Coverage

14 Pages Posted: 10 May 2016

See all articles by James Marton

James Marton

Georgia State University - Andrew Young School - Department of Economics

Angela Snyder

Georgia State University

Mei Zhou

Georgia State University - Georgia Health Policy Center

Multiple version iconThere are 2 versions of this paper

Date Written: July 1, 2016

Abstract

This article examines a potential unintended consequence of the mandated Medicaid citizenship verification requirements of the 2005 Deficit Reduction Act (DRA). We investigate whether or not these new rules led to an increase in the Medicaid exit rate among enrollees using state administrative data from Georgia. We do this by comparing the exit rate for children enrolled in Medicaid whose first coverage recertification occurs just after implementation of the DRA (which we refer to as a “high impact” first recertification) with those whose first recertification occurs just prior (which we refer to as a “low impact” first recertification). Our analysis suggests that children in the high‐impact first recertification group were about 2 percentage points more likely to exit Medicaid than those in the low‐impact group. Furthermore, these additional exits occurred in racial and ethnic groups more likely to be citizens than noncitizens and prereform estimates suggest that there were very few (roughly 0.10%) noncitizen Medicaid enrollees to begin with. Taken together, our results suggest that the DRA‐enhanced citizenship verification rules led to an increase in Medicaid disenrollment, and thus a reduction in coverage, among citizens.

JEL Classification: I18, I38, J13

Suggested Citation

Marton, James and Snyder, Angela and Zhou, Mei, Enhanced Citizenship Verification and Children's Medicaid Coverage (July 1, 2016). Economic Inquiry, Vol. 54, Issue 3, pp. 1670-1683, 2016. Available at SSRN: https://ssrn.com/abstract=2777777 or http://dx.doi.org/10.1111/ecin.12316

James Marton (Contact Author)

Georgia State University - Andrew Young School - Department of Economics ( email )

P.O. Box 3992
Atlanta, GA 30302-3992
United States

Angela Snyder

Georgia State University ( email )

35 Broad Street
Atlanta, GA 30303-3083
United States

Mei Zhou

Georgia State University - Georgia Health Policy Center ( email )

Atlanta, GA 30302
United States

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