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Updated: May 29, 2025

Assessment of Lymphocyte Migration in an Ex Vivo Transmigration System
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Moving opportunistically: Interstate migration after medicaid expansion.

Matthew C Baker1, Thomas Stratmann1

  • 1George Mason University, Economics Department, 4400 University Dr, Fairfax, VA, 22030, USA.

Social Science & Medicine (1982)
|February 2, 2025
PubMed
Summary

Medicaid expansion after the Affordable Care Act encouraged people to move to states with greater benefits. This led to increased population growth, particularly among disabled individuals and parents, influencing migration patterns.

Keywords:
MedicaidMigrationPolicyWelfare magnets

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Area of Science:

  • Health Economics
  • Public Health Policy
  • Sociology

Background:

  • The Affordable Care Act (ACA) significantly expanded Medicaid eligibility.
  • Understanding the impact of state-level policy changes on population migration is crucial for resource allocation and public health planning.

Purpose of the Study:

  • To investigate if the selective expansion of Medicaid eligibility under the ACA influenced interstate migration patterns.
  • To determine if states with larger Medicaid expansions attracted more in-migration, particularly among targeted populations.

Main Methods:

  • Utilized person-level data from the American Community Survey (ACS) spanning 2009-2019.
  • Analyzed migration data (moves within the prior 12 months) in relation to state-level Medicaid expansion.
  • Focused analysis on specific subpopulations: the general target population, disabled individuals, and parents.

Main Results:

  • States with the largest Medicaid expansion margins experienced higher in-migration rates.
  • This resulted in an estimated 0.23% annual population growth in the target population, 0.42% for the disabled, and 0.25% for parents.
  • Approximately 56,659 interstate moves were linked to Medicaid enrollment growth, concentrated near state borders.

Conclusions:

  • Medicaid expansion acts as a potential 'welfare magnet,' influencing the migration of high-needs individuals.
  • These migration patterns may lead to undercounting of individuals in government expenditure projections.
  • Policy implications include the need to consider migration effects in state-level health insurance benefit planning.