Can Medicaid Expansion Prevent Housing Evictions?

Can Medicaid Expansion Prevent Housing Evictions?

Allen, Heidi L;Eliason, Erica;Zewde, Naomi;Gross, Tal;
Health affairs (Project Hope) 2019 Vol. 38 pp. 1451-1457
200
allen2019canhealth

Abstract

Evictions are increasingly recognized as a serious concern facing low-income households. This study evaluated whether expansions of Medicaid can prevent evictions from occurring. We examined data from a privately licensed database of eviction records in fourteen states (286 counties) and used a difference-in-differences research design to compare rates of eviction before and after California's early Medicaid expansion (51 counties). Early Medicaid expansion in California was associated with a reduction in the number of evictions, with 24.5 fewer evictions per month in each county from a pre-expansion average of 224.7. These results imply that for every thousand new Medicaid enrollees in California, Medicaid expansion was associated with roughly twenty-two fewer evictions per year. Additionally, we found a 2.9-percentage-point reduction in evictions per capita associated with early expansion. The effects were concentrated among counties with the highest pre-expansion rates of uninsurance. We conclude that health insurance coverage is associated with improved housing stability.

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ID: 33175
Ref Key: allen2019canhealth
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33175
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10.1377/hlthaff.2018.05071
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