Pregnancy Medicaid Improvements in a Nonexpansion State After the Affordable Care Act.

Journal Article (Journal Article)

One-half of women in the United States use Medicaid during pregnancy. Women living in states that did not expand Medicaid under the Patient Protection and Affordable Care Act (ACA) are at risk of losing coverage post partum. We analyzed Medicaid claims and vital statistics for the state of North Carolina for the period 2011 to 2017. North Carolina did not expand Medicaid but did alter Medicaid enrollment to meet ACA requirements. After implementation, enrollment in full Medicaid during pregnancy almost doubled, and enrollment in Medicaid for pregnant women decreased. Full Medicaid offers more comprehensive coverage and does not expire at 60 days post partum, allowing for access to crucial preventive health services including contraception and primary care.

Full Text

Duke Authors

Cited Authors

  • Swartz, JJ; Meskey, J; Stuart, GS; Rodriguez, MI

Published Date

  • 2021

Published In

Volume / Issue

  • 19 / 1

Start / End Page

  • 38 - 40

PubMed ID

  • 33431389

Pubmed Central ID

  • PMC7800743

Electronic International Standard Serial Number (EISSN)

  • 1544-1717

Digital Object Identifier (DOI)

  • 10.1370/afm.2615


  • eng

Conference Location

  • United States