Insurance coverage and employment after Medicaid expansion with work requirements: quasi-experimental difference-in-differences study.

ABSTRACT:

Objective

To understand how health insurance coverage and employment changed among working age adults with low incomes in Georgia, the first state to implement Medicaid expansion with work requirements under the Pathways to Coverage program.

Design

Quasi-experimental difference-in-differences study.

Setting

Georgia, which expanded Medicaid with work requirements on 1 July 2023; Alabama, Florida, Mississippi, South Carolina, and Tennessee, which neighbor Georgia and did not expand Medicaid; and South Dakota, which simultaneously expanded Medicaid without work requirements.

Participants

Adults aged 19-64 years with low incomes defined as ≤100% of the federal poverty level who completed the US Census Bureau's household pulse survey between 2021 and 2024.

Main o

SUBMITTER: Johnson DY 

PROVIDER: S-EPMC12477780 | biostudies-literature | 2025 Sep

REPOSITORIES: biostudies-literature