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Abstract

Our study investigates the impact of Medicaid expansion during the pandemic, focusing on health insurance coverage and self-reported health among individuals with chronic health conditions. Utilizing 2 years of pre-pandemic and 2 years of during-pandemic data from the Behavioral Risk Factor Surveillance System (BRFSS), we apply a difference-in-difference (DID) model to evaluate these effects. We find an increase in insurance coverage and a decrease in poor physical health days among individuals with chronic conditions in states that expanded Medicaid compared to non-expansion states. However, the impact on mental health remains inconclusive. Furthermore, we observe no significant impact of Medicaid expansion on insurance coverage and self-reported health among individuals without chronic conditions. This study contributes to understanding Medicaid expansion's role in improving access to health care and health outcomes for vulnerable populations during a health crisis.

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