title: Welfare reform and elderly immigrants' health insurance coverage: the roles of federal and state medicaid eligibility rules.
abstract: Immigrants' access to federally-funded Medicaid became limited after welfare reform imposed restrictive noncitizen eligibility rules. This study used a representative sample from the Current Population Survey (N = 105,873) and state-level data to examine the effects of these policy changes on elderly immigrants. Triple difference-in-differences analyses show that federal restriction of eligibility had a significantly negative association with elderly immigrants' Medicaid coverage, and generous state eligibility had significantly positive relationships with Medicaid and any health insurance coverage. Findings indicate the important role of eligibility on elderly immigrants' health insurance coverage. Results call for social workers' actions to expand elderly immigrants' Medicaid eligibility.
authors: School of Social Work, University at Buffalo, the State University of New York, USA. yunjunam@buffalo.edu
authors: Yunju
authors: Y
authors: Nam
mesh_terms: D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D000375:Aging; D003625:Data Collection; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D054242:Emigrants and Immigrants / Q000331:legislation & jurisprudence*; D035082:Federal Government; D005260:Female; D005853:Geriatrics / Q000331:legislation & jurisprudence*; D006078:Government Programs / Q000331:legislation & jurisprudence; D006291:Health Policy; D006801:Humans; D019458:Insurance Coverage / Q000331:legislation & jurisprudence*; D007348:Insurance, Health / Q000331:legislation & jurisprudence; D016015:Logistic Models; D008297:Male; D008484:Medicaid / Q000331:legislation & jurisprudence; D008483:Medical Assistance / Q000331:legislation & jurisprudence*; D006278:Medicare / Q000331:legislation & jurisprudence; D009518:New York; D012946:Social Welfare / Q000331:legislation & jurisprudence*; D013219:State Government; D014481:United States