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Medicaid Eligibility Expansion Regardless of Immigration Status and Insurance Coverage Among Latinos Seen in Community Health Centers, 2018‒2023.

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Title: Medicaid Eligibility Expansion Regardless of Immigration Status and Insurance Coverage Among Latinos Seen in Community Health Centers, 2018‒2023.
Authors: Huguet, Nathalie, Kaufmann, Jorge, Holderness, Heather, Erroba, Jeremy, Mertes, Gretchen, Steeves-Reece, Anna, Springer, Rachel, Heintzman, John, Marino, Miguel
Source: American Journal of Public Health. Jun2025, Vol. 115 Issue 6, p900-909. 10p.
Subjects: Immigrants, Community health services, Emigration & immigration, Mathematical variables, Insurance, Research funding, Hispanic Americans, Sex distribution, Independent variables, Retrospective studies, Age distribution, Descriptive statistics, Longitudinal method, Eligibility (Social aspects), Electronic health records, Medicaid, Confidence intervals, Data analysis software, Poverty
Geographic Terms: United States
Abstract: Objectives. To assess whether Latino patients receiving care in community-based health centers (CHCs) in US states that expanded Medicaid eligibility regardless of immigration status to adults 50 years and older had greater insurance coverage after the eligibility amendment compared with states that did not expand eligibility. Methods. We performed a retrospective cohort study, using electronic health record data from 40 602 nonpregnant CHC patients aged 50 to 64 years living in states that expanded eligibility (OR, CA) or that did not (AK, CT, IN, MN, MT, NC, NJ, OH, WA) with a visit in both 2018–2019 (before policy change) and 2021–2023 (after policy change). Results. Among Spanish-preferring Latinas, the overall Medicaid-insured difference-in-difference estimate across all 3 years after the amendment was positively moderate (average treatment effect on treated [ATT] = +7.04; 95% confidence interval [CI] = 0.10, 13.98); however, this effect was greatest in the third year after the amendment (ATT = +21.82; 95% CI = 14.04, 29.59), and this was accompanied by a substantial drop in third year uninsured visit rates (ATT = −15.45; 95% CI = −24.77, ‒6.13). We observed the same pattern for Spanish-preferring Latinos. Conclusions. The findings suggest that expanding Medicaid eligibility regardless of immigration status improved access to health insurance for some Latino communities. [ABSTRACT FROM AUTHOR]
Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Medicaid Eligibility Expansion Regardless of Immigration Status and Insurance Coverage Among Latinos Seen in Community Health Centers, 2018‒2023.
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  Data: <searchLink fieldCode="AR" term="%22Huguet%2C+Nathalie%22">Huguet, Nathalie</searchLink><br /><searchLink fieldCode="AR" term="%22Kaufmann%2C+Jorge%22">Kaufmann, Jorge</searchLink><br /><searchLink fieldCode="AR" term="%22Holderness%2C+Heather%22">Holderness, Heather</searchLink><br /><searchLink fieldCode="AR" term="%22Erroba%2C+Jeremy%22">Erroba, Jeremy</searchLink><br /><searchLink fieldCode="AR" term="%22Mertes%2C+Gretchen%22">Mertes, Gretchen</searchLink><br /><searchLink fieldCode="AR" term="%22Steeves-Reece%2C+Anna%22">Steeves-Reece, Anna</searchLink><br /><searchLink fieldCode="AR" term="%22Springer%2C+Rachel%22">Springer, Rachel</searchLink><br /><searchLink fieldCode="AR" term="%22Heintzman%2C+John%22">Heintzman, John</searchLink><br /><searchLink fieldCode="AR" term="%22Marino%2C+Miguel%22">Marino, Miguel</searchLink>
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  Data: <searchLink fieldCode="JN" term="%22American+Journal+of+Public+Health%22">American Journal of Public Health</searchLink>. Jun2025, Vol. 115 Issue 6, p900-909. 10p.
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  Data: <searchLink fieldCode="DE" term="%22Immigrants%22">Immigrants</searchLink><br /><searchLink fieldCode="DE" term="%22Community+health+services%22">Community health services</searchLink><br /><searchLink fieldCode="DE" term="%22Emigration+%26+immigration%22">Emigration & immigration</searchLink><br /><searchLink fieldCode="DE" term="%22Mathematical+variables%22">Mathematical variables</searchLink><br /><searchLink fieldCode="DE" term="%22Insurance%22">Insurance</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Hispanic+Americans%22">Hispanic Americans</searchLink><br /><searchLink fieldCode="DE" term="%22Sex+distribution%22">Sex distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Independent+variables%22">Independent variables</searchLink><br /><searchLink fieldCode="DE" term="%22Retrospective+studies%22">Retrospective studies</searchLink><br /><searchLink fieldCode="DE" term="%22Age+distribution%22">Age distribution</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Longitudinal+method%22">Longitudinal method</searchLink><br /><searchLink fieldCode="DE" term="%22Eligibility+%28Social+aspects%29%22">Eligibility (Social aspects)</searchLink><br /><searchLink fieldCode="DE" term="%22Electronic+health+records%22">Electronic health records</searchLink><br /><searchLink fieldCode="DE" term="%22Medicaid%22">Medicaid</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence+intervals%22">Confidence intervals</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Poverty%22">Poverty</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22United+States%22">United States</searchLink>
– Name: Abstract
  Label: Abstract
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  Data: Objectives. To assess whether Latino patients receiving care in community-based health centers (CHCs) in US states that expanded Medicaid eligibility regardless of immigration status to adults 50 years and older had greater insurance coverage after the eligibility amendment compared with states that did not expand eligibility. Methods. We performed a retrospective cohort study, using electronic health record data from 40 602 nonpregnant CHC patients aged 50 to 64 years living in states that expanded eligibility (OR, CA) or that did not (AK, CT, IN, MN, MT, NC, NJ, OH, WA) with a visit in both 2018–2019 (before policy change) and 2021–2023 (after policy change). Results. Among Spanish-preferring Latinas, the overall Medicaid-insured difference-in-difference estimate across all 3 years after the amendment was positively moderate (average treatment effect on treated [ATT] = +7.04; 95% confidence interval [CI] = 0.10, 13.98); however, this effect was greatest in the third year after the amendment (ATT = +21.82; 95% CI = 14.04, 29.59), and this was accompanied by a substantial drop in third year uninsured visit rates (ATT = −15.45; 95% CI = −24.77, ‒6.13). We observed the same pattern for Spanish-preferring Latinos. Conclusions. The findings suggest that expanding Medicaid eligibility regardless of immigration status improved access to health insurance for some Latino communities. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of American Journal of Public Health is the property of American Public Health Association and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.2105/AJPH.2025.308052
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      – Code: eng
        Text: English
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        PageCount: 10
        StartPage: 900
    Subjects:
      – SubjectFull: Immigrants
        Type: general
      – SubjectFull: Community health services
        Type: general
      – SubjectFull: Emigration & immigration
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      – SubjectFull: Mathematical variables
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      – SubjectFull: Insurance
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      – SubjectFull: Research funding
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      – SubjectFull: Hispanic Americans
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      – SubjectFull: Sex distribution
        Type: general
      – SubjectFull: Independent variables
        Type: general
      – SubjectFull: Retrospective studies
        Type: general
      – SubjectFull: Age distribution
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      – SubjectFull: Descriptive statistics
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      – SubjectFull: Longitudinal method
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      – SubjectFull: Eligibility (Social aspects)
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      – SubjectFull: Electronic health records
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      – SubjectFull: Medicaid
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      – SubjectFull: Data analysis software
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      – SubjectFull: Poverty
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      – SubjectFull: United States
        Type: general
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      – TitleFull: Medicaid Eligibility Expansion Regardless of Immigration Status and Insurance Coverage Among Latinos Seen in Community Health Centers, 2018‒2023.
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              Text: Jun2025
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