title: Refugee Resettlement Patterns and State-Level Health Care Insurance Access in the United States.
abstract: We sought to evaluate the relationship between state-level implementation of the Patient Protection and Affordable Care Act (ACA) and resettlement patterns among refugees. We linked federal refugee resettlement data to ACA expansion data and found that refugee resettlement rates are not significantly different according to state-level insurance expansion or cost. Forty percent of refugees have resettled to states without Medicaid expansion. The wide state-level variability in implementation of the ACA should be considered by federal agencies seeking to optimize access to health insurance coverage among refugees who have resettled to the United States.
authors.affiliation: The authors are with the Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Pooja
authors.initials: P
authors.lastname: Agrawal
authors.affiliation: The authors are with the Department of Emergency Medicine, Yale University School of Medicine, New Haven, CT.
authors.forename: Arjun Krishna
authors.initials: AK
authors.lastname: Venkatesh
mesh_terms: D019352:Censuses; D062265:Health Insurance Exchanges / Q000458:organization & administration*; D006284:Health Plan Implementation / Q000331:legislation & jurisprudence*; D006297:Health Services Accessibility; D006801:Humans; D008484:Medicaid / Q000191:economics / Q000331:legislation & jurisprudence*; D058991:Patient Protection and Affordable Care Act; D012036:Refugees / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D013219:State Government; D014481:United States