Medicaid after pregnancy: state-level implications of extending postpartum coverage : (2023 update)
- Collection:
- Health Policy and Services Research
- Series Title(s):
- ASPE issue brief
- Author(s):
- Gordon, Sarah, (Of Office of the Assistant Secretary for Planning and Evaluation, Office of Health Policy) Whitman, Amelia, author Sugar, Sarah, author Chen, Lucy, author Peters, Christie Provost, author De Lew, Nancy, author Sommers, Benjamin D., author
- Contributor(s):
- United States. Department of Health and Human Services. Office of the Assistant Secretary for Planning and Evaluation, issuing body.
- Publication:
- Washington, D.C. : Office of the Assistant Secretary for Planning and Evaluation, Office of Health Policy, April 7, 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Eligibility Determination -- statistics & numerical data Insurance Coverage -- statistics & numerical data Medicaid -- statistics & numerical data Postpartum Period Pregnancy Complications -- mortality State Government United States
- Genre(s):
- Technical Report
- Abstract:
- One in three pregnancy-related deaths occur between one week and one year after childbirth. Disruptions in postpartum health coverage are common, particularly among those enrolled in Medicaid. Prior to 2022, most states continued pregnancy-related Medicaid coverage for only 60 days after the pregnancy ends. The American Rescue Plan (ARP) included a temporary state option to extend continuous Medicaid and CHIP eligibility for pregnant individuals from 60 days to 12 months postpartum and the Consolidated Appropriations Act (CAA) of 2023 made this state option permanent. As of April 2023, 31 states and the District of Columbia have extended postpartum eligibility to 12 months via state plan amendments or approved 1115 demonstrations. If all states extended pregnancy-related Medicaid eligibility to 12 months postpartum, approximately 1.5 million people would have 12 months of postpartum coverage, which includes 720,000 people who would gain additional months of coverage as compared to the coverage available to them in 2021. Individuals in non-expansion states and states with more restrictive Medicaid parental income eligibility limits would benefit most from 12 months of postpartum Medicaid eligibility. If all states extended eligibility to 12 months, postpartum Medicaid eligibility would increase by 65 percentage points in non- expansion states (from 35 to 100 percent, roughly 350,000 people) and 38 percentage points in expansion states (from 62 to 100 percent, approximately 370,000 people), compared to what was available in 2021. Gains in postpartum eligibility are likely to be largest for individuals with incomes between 138- 250 percent of the federal poverty level, whose incomes are generally too high to qualify for Medicaid as parents in most states.
- Copyright:
- The National Library of Medicine believes this item to be in the public domain. (More information)
- Extent:
- 1 online resource (1 PDF file (23 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918627488606676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918627488606676