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Did Medicaid Expansion Close African American-White Health Care Disparities Nationwide? A Scoping Review, Lonnie R. Snowden, Genevieve Graaf, Latocia Keyes, Katherine Kitchens, Amanda Ryan, Neal Wallace

OHSU-PSU School of Public Health Faculty Publications and Presentations

Objectives: To investigate the impact of the Affordable Care Act’s (ACA) Medicaid expansion on African Americanwhite disparities in health coverage, access to healthcare, receipt of treatment, and health outcomes. Design: A search of research reports, following the PRISMA-ScR guidelines, identified twenty-six national studies investigating changes in health care disparities between African American and white non-disabled, non-elderly adults before and after ACA Medicaid expansion, comparing states that did and did not expand Medicaid. Analysis examined research design and findings. Results: Whether Medicaid eligibility expansion reduced African American-white health coverage disparities remains an open question: Absolute disparities in coverage appear to have …