Analysis of State Medicaid Expansion and Access to Timely Prenatal Care Among Women Who Were Immigrant vs US Born.

ABSTRACT:

Importance

Disparities exist in access to timely prenatal care between immigrant women and US-born women. Exclusions from Medicaid eligibility based on immigration status may exacerbate disparities.

Objective

To examine changes in timely prenatal care by nativity after Medicaid expansion.

Design, setting, and participants

A cross-sectional difference-in-differences (DID) and triple-difference analysis of 22 042 624 singleton births from January 1, 2011, to December 31, 2019, in 31 states was conducted using US natality data. Data analysis was performed from February 1, 2021, to August 24, 2022.

Exposures

Within 16 states that expanded Medicaid in 2014, the rate of timely prenatal care by nativity in years after expansion was compared with the rate in the years

SUBMITTER: Janevic T 

PROVIDER: S-EPMC9617172 | biostudies-literature | 2022 Oct

REPOSITORIES: biostudies-literature