Public Economics Commons^™

Immigrants, Medicaid, And The Deficit Reduction Act, Nicholas T. Fritsch

Undergraduate Economic Review

This study examines the effects of the Deficit Reduction Act (DRA) on immigrant Medicaid participation using data from the 2005 and 2007 March supplements of the Current Population Survey. The DRA made changes to Medicaid coverage laws by requiring proof of citizenship for eligibility rather than a sworn statement, as was the case prior to the DRA, thus reducing the non-citizen/non-legal permanent resident use of Medicaid. A difference-in-difference methodology is used, and the research finds that the laws were effective in decreasing non-citizen use of Medicaid relative to citizens, though there is a possibility of “chilling effects” on eligible non-citizens.