Higher Education and Medicaid Spending: Analysis of State Budgetary Trade-offs and the Affordable Care Act

Phillip M. Singer, Jon McNaughtan, Dustin Eicke

Research output: Contribution to journalArticlepeer-review

Abstract

The 2010 health reform bill, the Patient Protection and Affordable Care Act, included a provision that would expand eligibility of the public insurance program Medicaid. One concern raised about implementing the Medicaid expansion is that it would lead to reductions in state spending in other policy domains. In this study, we test whether adopting expansion is associated with changes in higher education appropriations. Using a difference-in-difference model, we find no significant changes in higher education appropriations between expansion and non-expansion states. Implications of these findings for universities and state policymakers are discussed.

Original languageEnglish
JournalHigher Education Policy
DOIs
StateAccepted/In press - 2019

Keywords

  • difference-in-difference modeling
  • health care
  • state appropriations
  • systems theory
  • tuition policy

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