Early Effects of the 2010 Affordable Care Act Medicaid Expansions on Federal Disability Program Participation

49 Pages Posted: 22 Aug 2016 Last revised: 25 Jul 2024

See all articles by Pinka Chatterji

Pinka Chatterji

National Bureau of Economic Research (NBER); State University of New York (SUNY) - Department of Economics

Yue Li

SUNY University at Albany

Date Written: August 2016

Abstract

We test whether early Affordable Care Act (ACA) Medicaid expansions in Connecticut (CT), Minnesota (MN), California (CA), and the District of Columbia (DC) affected SSI applications, SSI and DI awards, and the number of SSI and DI beneficiaries. We use a difference-in-difference (DD) approach, comparing SSI/DI outcomes pre and post each early Medicaid expansion (“Early Expanders”) to SSI/DI outcomes in states that expanded Medicaid in January 2014 (“Later Expanders”). We also use a synthetic control approach, in which we examine SSI/DI outcomes before and after the Medicaid expansion in each Early Expander state, utilizing a weighted combination of Later Expanders as a comparison group. In CT, the Medicaid expansion is associated a statistically significant, 7 percent reduction in SSI beneficiaries; this finding is consistent across the DD and synthetic control methods. For DC, MN and CA, we do not find consistent evidence that the Medicaid expansions affected disability-related outcomes.

Suggested Citation

Chatterji, Pinka and Li, Yue, Early Effects of the 2010 Affordable Care Act Medicaid Expansions on Federal Disability Program Participation (August 2016). NBER Working Paper No. w22531, Available at SSRN: https://ssrn.com/abstract=2827449

Pinka Chatterji (Contact Author)

National Bureau of Economic Research (NBER) ( email )

1050 Massachusetts Avenue
Cambridge, MA 02138
United States

State University of New York (SUNY) - Department of Economics ( email )

Yue Li

SUNY University at Albany ( email )

1400 Washington Avenue
Hudson 241
Albany, NY 12222
United States

HOME PAGE: http://https://sites.google.com/site/yueliecon/home

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