The Impact of ACA Medicaid Expansions on the Employment of Adults with Disabilities
Our study accounts for the fact that the effect of Medicaid expansions might have varied at the state level and generates a carefully selected comparison group for each state. We estimate results at the national and state level. An earlier study by Hall et al. (2017) compared all expansion states to non-expansion states and did not detect a differential change in employment in Medicaid expansions relative to the change in non-expansion states. Yet, the services and supports for work available to people with disabilities varies widely at the state level, and so too might have the effect of newly available insurance coverage. For each expansion state, we match each Census PUMA within the state to PUMAs in non-expansion states that had similar per-expansion characteristics, such that the post-expansion employment rate of individuals with disabilities would have been expected to be the same, but for the Medicaid expansion.