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Welfare reform and health insurance: consequences for parents
Jane L Holl1, Kristen Shook Slack, Amy Bush Stevens
1Institute for Health Services Research and Policy Studies, 339 E Chicago Ave, Room 713, Chicago, IL 60611-3071. j-holl@northwestern.edu.
Objectives:
We assessed the relation between the work promotion, welfare reduction, and marriage goals of welfare reform and the stability of health insurance of parents in transition from welfare to work.
Methods:
We analyzed a panel survey (1999-2002) of a stratified random sample of Illinois families receiving welfare in 1998 (n=1363).
Results:
Medicaid remains the foremost source of health insurance despite a significant decline in the proportion of parents with Medicaid. Regardless of work/welfare status in year 1, transitioning to work only or no work/no welfare increased the likelihood of having unstable health insurance in years 2 and 3 compared with those who remained on welfare only.
Conclusions:
Parents who meet the welfare reform goals of work promotion and reduction of welfare dependence experience significant loss and instability of health insurance.
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