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The Collaborative on Health Reform and Independent Living

  • Projects
    • Disability Stories Project
    • CHRIL/IL-NET COVID Survey
    • Social Determinants of Health
    • CIL Transitions and COVID
  • Research
  • Events
  • Fellowship
  • Training
  • Team

Medicaid Expansion as an Employment Incentive Program for People With Disabilities

August 16, 2018 Elizabeth Wood
Image: White paper house being covered or protected by a purple umbrella.

Image: White paper house being covered or protected by a purple umbrella.

Jean P. Hall, PhD, Adele Shantzer, PhD, Noelle K. Kurth, MS, and Kathleen C. Thomas, PhD

Background

Before the Patient Protection and Affordable Care Act (ACA), many Americans with disabilities were locked into poverty to maintain eligibility for Medicaid coverage. US Medicaid expansion under the ACA allows individuals to qualify for coverage without first going through a disability determination process and declaring an inability to work to obtain Supplemental Security Income. Medicaid expansion coverage also allows for greater income and imposes no asset tests. In this article, we share updates to our previous work documenting greater employment among people with disabilities living in Medicaid expansion states.

Medicaid Expansion and Employment Incentives

Over time (2013–2017), the trends in employment among individuals with disabilities living in Medicaid expansion states have become significant, indicating a slow but steady progression toward employment for this group post-ACA. In effect, Medicaid expansion coverage is acting as an employment incentive program for people with disabilities. 

Conclusions

These findings have broad policy implications in light of recent changes regarding imposition of work requirements for Medicaid programs.

A full copy of the publication can be found HERE. A print version will be available soon. 

Source: https://ajph.aphapublications.org/doi/10.2...
← Healthcare Utilization and Spending among Working-Age Adults with and without Disabilities, 2008-2016“Just because our diseases are rare doesn’t mean we don’t count:” Perspectives of Americans with disabilities on access to health care →

jjkennedy@wsu.edu

The contents of this website were developed under a grant from the National Institute on Disability, Independent Living, and Rehabilitation Research (#90DP0075-01-00). NIDILRR is a Center within the Administration for Community Living (ACL), Department of Health and Human Services (HHS). The contents do not necessarily represent the policy of NIDILRR, ACL, HHS, and you should not assume endorsement by the Federal Government.