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Medicaid after pregnancy: state-level implications of extending postpartum coverage
Medicaid after pregnancy: state-level implications of extending postpartum coverage
- Collection:
- Health Policy and Services Research
- Series Title(s):
- ASPE issue brief
- Author(s):
- Gordon, Sarah, (Of Office of the Assistant Secretary for Planning and Evaluation, Office of Health Policy), author
Sugar, Sarah, author
Chen, Lucy, author
Peters, Christie, author
De Lew, Nancy, author
Sommers, Benjamin D., author - Contributor(s):
- United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation. Office of Health Policy, issuing body.
- Publication:
- Washington, D.C. : Assistant Secretary for Planning and Evaluation, Office of Health Policy, December 7, 2021
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Insurance Coverage -- statistics & numerical data
Medicaid -- statistics & numerical data
Postnatal Care -- economics
State Government
United States - Genre(s):
- Technical Report
- Abstract:
- One in three pregnancy-related deaths occur between one week and one year after childbirth. Disruptions in postpartum health coverage are common, particularly among those enrolled in Medicaid, as most states continue pregnancy-related Medicaid coverage for only 60 days after childbirth. The American Rescue Plan (ARP) included a temporary state option to extend continuous Medicaid and CHIP eligibility for pregnant individuals from 60 days up to 12 months postpartum. Seven states have approved or pending 1115 demonstrations to extend postpartum eligibility, and currently pending proposed legislation in Congress could extend 12 months of Medicaid postpartum eligibility nationwide. If all states extended pregnancy-related Medicaid eligibility to 12 months postpartum, the proportion of pregnant Medicaid beneficiaries who would remain eligible for the full postpartum year would increase from 52 percent to 100 percent, representing approximately 720,000 people annually with expanded coverage. Individuals in non-expansion states and states with more restrictive Medicaid parental income eligibility limits would benefit most from 12 months of postpartum Medicaid eligibility. Postpartum Medicaid eligibility would increase by 65 percentage points in non-expansion states (from 35 to 100 percent, roughly 350,000 people) and 38 percentage points in expansion states (from 62 to 100 percent, approximately 370,000 people). Gains in postpartum eligibility would be largest for individuals with incomes between 138- 250 percent of the federal poverty level, whose incomes are too high to qualify for Medicaid as parents in most states.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (19 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918539088806676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918539088806676