In its 2012 ruling, the Supreme Court allowed states to opt in or out of the Affordable Care Act’s Medicaid expansion. To date, only about half the states have indicated they will expand their program, and at least three are exploring alternative approaches using private insurance. To examine the effects of this historic expansion, the research team will survey people in three states, each of which is taking a different approach toward expansion: 1) electing Medicaid expansion; 2) pursuing an alternative with private insurance; and 3) declining expansion. Phase 1 of this project will support a survey to examine awareness of the Medicaid expansion among state residents, as well as to collect baseline data on access to care, financial problems associated with getting health care, and health status. Phase 2 will follow up with residents one year later to assess the effects of the expansion.
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President and Fellows of Harvard College
Arnold Epstein, M.D., M.A.