The Effects of the Affordable Care Act Medicaid Expansion On Breast And Cervical Cancer Screening Rates On Low-income Childless Women

Panel Name

Mental Health and Health Care Policies: Body Image, Maternal Care, and Breast Cancer Risk

Location

Lecture Centre Concourse

Start Date

3-5-2019 3:00 PM

End Date

3-5-2019 5:00 PM

Presentation Type

Poster Session

Academic Major

Economics

Abstract

On March 23rd, 2010, the Obama administration passed the Patient Protection and Affordable Care Act (ACA) commonly known as Obamacare. One of the main tenets of the ACA aimed at expanding the already existing Medicaid program to cover all adults under the age of 65 with income below 138% of the federal poverty level. Prior to ACA, Federal Health agencies had strict categorical eligibility requirements which excluded childless and non-pregnant women regardless of their income (Adams and Johnston, 2016).

This research focuses on women preventive services rate (Pap smear and mammogram) in states that have expanded Medicaid versus those that did not. Using the self-reported data from 2011-2016 Behavioral Risk Factor Surveillance System Survey, we used a difference-in-difference method to identify the change before and after Medicaid Expansion. We set two hypotheses for this study. The first one is that there will be a gap in screening rates between the expansion states and non-expansion states. The second one is that black women with the lowest level of education are the most affected as preventive care can be costly for uninsured women with low income.

Select Where This Work Originated From

Senior Thesis/Project

Award

Situation Prize for Research

First Faculty Advisor

Pinka Chatterji

First Advisor Email

pchatterji@albany.edu

First Advisor Department

Pinka Chatterji

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May 3rd, 3:00 PM May 3rd, 5:00 PM

The Effects of the Affordable Care Act Medicaid Expansion On Breast And Cervical Cancer Screening Rates On Low-income Childless Women

Lecture Centre Concourse

On March 23rd, 2010, the Obama administration passed the Patient Protection and Affordable Care Act (ACA) commonly known as Obamacare. One of the main tenets of the ACA aimed at expanding the already existing Medicaid program to cover all adults under the age of 65 with income below 138% of the federal poverty level. Prior to ACA, Federal Health agencies had strict categorical eligibility requirements which excluded childless and non-pregnant women regardless of their income (Adams and Johnston, 2016).

This research focuses on women preventive services rate (Pap smear and mammogram) in states that have expanded Medicaid versus those that did not. Using the self-reported data from 2011-2016 Behavioral Risk Factor Surveillance System Survey, we used a difference-in-difference method to identify the change before and after Medicaid Expansion. We set two hypotheses for this study. The first one is that there will be a gap in screening rates between the expansion states and non-expansion states. The second one is that black women with the lowest level of education are the most affected as preventive care can be costly for uninsured women with low income.