Medicaid

The state of Texas leads the nation in the percentage of residents lacking health insurance. In 2012, nearly a quarter of the state’s population went without health coverage, some 6.4 million people. Texas alone is home to 13% of all uninsured Americans, with poor and low-income people the most affected. More than ninety percent of well-off Texans have health insurance. But the ranks of the uninsured include more than two out of five impoverished Texans—as well as more than a quarter of individuals earning modest incomes in 2014 between $11,670 and $46,680 (or between $19,970 and $79,880 for a family of three). more...

U.S. health care is in the midst of a major transformation. With the implementation of the Affordable Care Act, tens of millions of Americans are getting health insurance coverage for the first time. Expanded coverage will bring a tsunami of new demand, and current transformations underline the truth that insurance is not the same thing as access to appropriate health care. Across the nation, front-line providers of primary care – safety net providers – risk becoming overwhelmed by the arrival of millions of people newly insured or enrolled in Medicaid, including many vulnerable people with special needs. As happened after the start of Medicare in 1965, the United States faces the prospect of tremendous strain on the vital primary care infrastructure – with the risk that many people could still go without adequate care.

Bolstering safety net services will be essential to meet the needs of the newly insured – as well as the needs of millions who will still remain uninsured (either because Affordable Care does not include them or because they live in conservative states that refuse to expand Medicaid). more...

The Patient Protection and Affordable Care Act of 2010 – popularly called ObamaCare – was designed to increase access to health insurance. The law does this in several ways, including by setting up exchange marketplaces where uninsured Americans can comparison shop for private health plans and (if they have low or moderate incomes) get subsidies to help pay the premiums. Medicaid expansion is another, equally important, method by which the Affordable Care Act will enlarge health insurance coverage. more...

Americans live in an aging society. As the Baby Boomers born after World War II retire, older people will become a larger segment of the U.S. population for at least the next two decades. Demand for federally funded Social Security and Medicare benefits will grow, and all fifty states will also face big challenges meeting the needs of elders. Our research shows that some states will do better than others in providing attractions and supports that matter for America’s graying citizens – and women serving in state legislatures will often be leaders in devising public policies that further care for the elderly in ways that improve the quality as well as length of life.

Previous research has documented that female state legislators are more interested than their male counterparts in supporting education and other public programs that meet the needs of families with children. To be sure, research to date leaves much more to be learned about the conditions that translate a female legislative presence into extra support for families. Democratic Party control of legislatures may magnify women’s influence, and so may an active women’s movement in any given state.

In addition to asking how women’s presence in legislatures translates into more support for families, we should also wonder about the extent of female legislative support. Does women’s legislative impact extend to policies that aim to help elders as well as younger families with children? And, if so, do states with more women in their legislatures actually prove to be better places for older people to live and flourish? We have investigated these issues as part of a broader project comparing state-level public policies that help people at various stages of aging. more...