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The Impact of the Patient Protection and Affordable Care Act's Medicaid Expansion on Maternal Health Outcomes

Dryzal, Dana Elizabeth (2023) The Impact of the Patient Protection and Affordable Care Act's Medicaid Expansion on Maternal Health Outcomes. Master Essay, University of Pittsburgh.

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Maternal health outcomes, including mortality and morbidity, have been increasing in the U.S. over the last several decades and highlight striking racial/ethnic disparities. Insurance coverage is vital for maternal health as it provides increased access to pre-pregnancy, prenatal, and postpartum care that can help reduce complications and death. Medicaid, the largest payer in the U.S. and financer of more than 40 percent of births, plays a considerable role in providing maternal health coverage and services to low-income women. With the passage of the Patient Protection and Affordable Care Act (ACA) in 2010, Medicaid eligibility was expanded to low-income non-pregnant women, increasing access to pre-pregnancy and postpartum care. The ACA initially included an all-or-nothing condition that threatened to rescind existing Medicaid funding for non-compliant expansion states; however, the Supreme Court ruled this as coercive and unconstitutional in National Federation of Independent Business v. Sebelius. As a result, Medicaid expansion was made optional to states free of consequence.
The literature review examines the current research assessing the ACA’s Medicaid expansion on maternal health outcomes overall and among various racial/ethnic groups. Although some results were inconclusive, the majority of studies reported positive effects on maternal health outcomes, highlighting its importance in care continuum for low-income women. However, lack of evidence surrounding racial/ethnic disparities and social determinants of health needs indicate a greater need for future research. Ultimately, expanding Medicaid in the remaining non-expansion states is a crucial consideration for policymakers and health care providers alike.


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Item Type: Other Thesis, Dissertation, or Long Paper (Master Essay)
Status: Unpublished
CreatorsEmailPitt UsernameORCID
Dryzal, Dana Elizabethded91@pitt.eduded91
ContributionContributors NameEmailPitt UsernameORCID
Committee ChairCole, Evan S.evancole@pitt.eduevancoleUNSPECIFIED
Committee MemberBodnar, Lisa M.bodnar@edc.pitt.edubodnarUNSPECIFIED
Committee MemberHershey, Tina BatraTBH16@pitt.eduTBH16UNSPECIFIED
Date: 11 May 2023
Date Type: Completion
Number of Pages: 55
Institution: University of Pittsburgh
Schools and Programs: School of Public Health > Health Policy & Management
Degree: MHA - Master of Health Administration
Thesis Type: Master Essay
Refereed: Yes
Date Deposited: 11 May 2023 17:34
Last Modified: 11 May 2023 17:34


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