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Association Between State-Level Medicaid Expansion and Eviction Rates

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Key Points Question Is Medicaid expansion associated with decreased home evictions, and is this association heterogenous across states and counties? Findings In this cohort study of 25 398 county-year observations (across… Click to show full abstract

Key Points Question Is Medicaid expansion associated with decreased home evictions, and is this association heterogenous across states and counties? Findings In this cohort study of 25 398 county-year observations (across 40 US states) for the years 2002 through 2018, Medicaid expansion was significantly associated with a decrease in mean number of county eviction judgments and a reduction in the rate of eviction judgments. Associations varied across both states and counties, with 29% of the variation being explained by across-state differences, and 9% being explained by county-level demographic and uninsurance differences. Meaning These results suggest that Medicaid expansion is associated with reductions in eviction judgments and eviction judgment rates; these associations may vary considerably both across as well as within states (across counties).

Keywords: state; eviction; across states; level; expansion; medicaid expansion

Journal Title: JAMA Network Open
Year Published: 2023

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