The Impact of the ACA Medicaid Expansion on Disability Program Applications

Lucie Schmidt, Lara Shore-Sheppard and Tara Watson

No 26192, NBER Working Papers from National Bureau of Economic Research, Inc

Abstract: The Affordable Care Act (ACA) expanded the availability of public health insurance, decreasing the relative benefit of participating in disability programs but also lowering the cost of exiting the labor market to apply for disability program benefits. In this paper, we explore the impact of expanded access to Medicaid through the ACA on applications to the Supplemental Security Income (SSI) and Social Security Disability Income (SSDI) programs. Using the fact that the Supreme Court decision of June 2012 made the Medicaid expansion optional for the states, we compare changes in county-level SSI and SSDI caseloads in contiguous county pairs across a state border. We find no significant effects of the Medicaid expansion on applications or awards to either SSI or SSDI, and can reject economically meaningful impacts of Medicaid expansions on applications to disability programs.

JEL-codes: I10 I13 (search for similar items in EconPapers)
Date: 2019-08
New Economics Papers: this item is included in nep-hea, nep-ias and nep-lab
Note: EH
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Published as Lucie Schmidt & Lara D. Shore-Sheppard & Tara Watson, 2020. "The Impact of the ACA Medicaid Expansion on Disability Program Applications," American Journal of Health Economics, vol 6(4), pages 444-476.

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Journal Article: The Impact of the ACA Medicaid Expansion on Disability Program Applications (2020)
Working Paper: The Impact of the ACA Medicaid Expansion on Disability Program Applications (2019)
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