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 - Publisher Copyright:
© 2019, International Association of Universities.
Copyright:
Copyright 2019 Elsevier B.V., All rights reserved.
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 -