The Journal of the Economics of Ageing

Chatterji, Pinka*, and Yue Li

Chatterji

ABSTRACT

We test whether early Affordable Care Act (ACA) Medicaid expansions in Connecticut (CT), Minnesota (MN), California (CA), and the District of Columbia (DC) affected Supplemental Security Income (SSI) receipt. We use a synthetic control approach, comparing the SSI receipt rate pre and post each early Medicaid expansion (“Early Expanders”) to the weighted receipt rate in states that expanded Medicaid in January 2014 (“Later Expanders”). In CT, the Medicaid expansion is associated a statistically significant, 7 percent reduction in SSI beneficiaries among individuals aged 18-64. For DC, MN and CA, we do not find consistent evidence that the Medicaid expansions affected disability-related outcomes.

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* Denotes CSDA Associates, Affiliates, and Staff