This Article Reprint (PDF) Submit a response to this article Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services E-mail this article to a friend Similar articles in this journal Similar articles in ISI Web of Science Similar articles in PubMed Alert me to new issues of the journal Add to My Personal Archive Download to Citation Manager Reprints & Permissions Citing Articles Citing Articles via HighWire Citing Articles via ISI Web of Science (45) Citing Articles via Google Scholar Google Scholar Articles by Ellwood, M. R. Articles by Ku, L. Search for Related Content PubMed PubMed Citation Articles by Ellwood, M. R. Articles by Ku, L. Related Collections Long-Term Care Managed Care - Medicaid Medicaid State/Local Issues Workforce Issues

Health Affairs, Vol 17, Issue 3, 137-151
Copyright © 1998 by Project HOPE

Journal Article

Welfare and immigration reforms: unintended side effects for Medicaid

Welfare reform and changes in immigrants' eligibility may lead to significant reductions in Medicaid caseloads, even though many states are expanding Medicaid eligibility rules to accommodate changes under the new welfare programs. In 1996, for the first time in almost a decade, Medicaid participation of adults and children fell about 2 percent, and further reductions seem likely in 1997. The gradual restrictions on new immigrants also will affect future caseloads. Although new initiatives such as the State Children's Health Insurance Program (CHIP) should expand health coverage for children, the welfare reform and immigration changes will disproportionately lead to loss of insurance among adults.

                      What's this?

This article has been cited by other articles:

				E. Fuentes-Afflick, N. A. Hessol, T. Bauer, M. J. O'Sullivan, V. Gomez-Lobo, S. Holman, T. E. Wilson, and H. Minkoff Use of Prenatal Care by Hispanic Women After Welfare Reform Obstet. Gynecol., January 1, 2006; 107(1): 151 - 160. [Abstract] [Full Text] [PDF]

				B. Zuckerman, M. Sandel, L. Smith, and E. Lawton Why Pediatricians Need Lawyers to Keep Children Healthy Pediatrics, July 1, 2004; 114(1): 224 - 228. [Abstract] [Full Text] [PDF]

				T. R. Oliver Holding Back the Tide: Policies to Preserve and Reconstruct Health Insurance Coverage in Maryland Journal of Health Politics Policy and Law, April 1, 2004; 29(2): 203 - 236. [Abstract] [PDF]

				X. Castaneda, Z. C. Clayson, T. Rundall, L. Dong, and M. Sercaz Promising Outreach Practices: Enrolling Low-Income Children in Health Insurance Programs in California Health Promot Pract, October 1, 2003; 4(4): 430 - 438. [Abstract] [PDF]

				K. Kronebusch Children's Medicaid Enrollment: The Impacts of Mandates, Welfare Reform, and Policy Delinking Journal of Health Politics Policy and Law, December 1, 2001; 26(6): 1223 - 1260. [Abstract] [PDF]

				K. Swartz and D. W. Garnick Lessons from New Jersey Journal of Health Politics Policy and Law, February 1, 2000; 25(1): 45 - 70. [PDF]

				A. M. Kirk Riding the Bull: Experience with Individual Market Reform in Washington, Kentucky, and Massachusetts Journal of Health Politics Policy and Law, February 1, 2000; 25(1): 133 - 173. [PDF]

				R. B. Hackey The Politics of Reform Journal of Health Politics Policy and Law, February 1, 2000; 25(1): 211 - 223. [PDF]

				S. Rosenbaum Contemporary Managed Care: Readings in Structure, Operations, and Public Policy Journal of Health Politics Policy and Law, January 1, 1999; 24(5): 1219 - 1230. [PDF]

				S. Rosenbaum The Managed Care Blues and How to Cure Them Journal of Health Politics Policy and Law, January 1, 1999; 24(5): 1219 - 1230. [PDF]