TY - JOUR
T1 - Higher Education and Medicaid Spending
T2 - Analysis of State Budgetary Trade-offs and the Affordable Care Act
AU - Singer, Phillip M.
AU - McNaughtan, Jon
AU - Eicke, Dustin
N1 - Funding Information:
Data for this study were drawn from a number of public sources. First, we collected state higher education funding data from the State Higher Education Executive Officers Association (SHEEO). This dataset is created for the purpose of examining current and historical trends in higher education funding (SHEEO, 2018). Medicaid data came from the National Association of State Budget Officers (NASBO), which produces annual State Expenditure Reports cataloging state and federal funding for a variety of different spending categories (NASBO, 2018). Third, we collected data on the political party of the executive and legislative branches using data from the National Conference of State Legislatures (NCSL) on their partisan composition and the National Governors Association (NGA) on their governor’s database. Finally, we used data collected by the Census Bureau for population and personal income information (United States Census Bureau, 2018).
Publisher Copyright:
© 2019, International Association of Universities.
PY - 2019
Y1 - 2019
N2 - 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.
AB - 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.
KW - difference-in-difference modeling
KW - health care
KW - state appropriations
KW - systems theory
KW - tuition policy
UR - http://www.scopus.com/inward/record.url?scp=85074047710&partnerID=8YFLogxK
U2 - 10.1057/s41307-019-00164-y
DO - 10.1057/s41307-019-00164-y
M3 - Article
AN - SCOPUS:85074047710
JO - Higher Education Policy
JF - Higher Education Policy
SN - 0952-8733
ER -