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New York's Basic Health Program Increased Subsidized Insurance Coverage From Preconception To The Postpartum Period.

Julia C P Eddelbuettel1, Jamie R Daw2, Alison A Galbraith3

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New York's Basic Health Program (BHP) significantly boosted preconception and continuous postpartum insurance coverage for low-income pregnant individuals. This ACA provision enhances maternal health by improving access to affordable, stable health insurance.

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Area of Science:

  • Public Health
  • Health Policy
  • Maternal Health

Background:

  • Access to preconception care and continuous insurance are vital for maternal health.
  • The Affordable Care Act's Basic Health Program (BHP) offers affordable insurance for low-income individuals above Medicaid thresholds.
  • Understanding the impact of state-level BHP implementation on insurance coverage is crucial.

Purpose of the Study:

  • To evaluate the impact of New York's Basic Health Program (BHP) on insurance coverage.
  • To assess changes in preconception and continuous postpartum publicly subsidized coverage.

Main Methods:

  • Utilized data from the Pregnancy Risk Assessment Monitoring System (2015-20).
  • Employed a difference-in-differences design comparing New York's BHP to states without a BHP.
  • Examined two primary insurance outcomes: preconception coverage and continuous pre- to postpartum coverage.

Main Results:

  • New York's BHP increased preconception BHP and Marketplace coverage by 8.8 percentage points.
  • Continuous publicly subsidized coverage from preconception to postpartum increased by 6.9 percentage points.
  • The BHP did not significantly alter preconception uninsurance rates.

Conclusions:

  • The Basic Health Program (BHP) is a key state policy for improving insurance affordability and stability for pregnant individuals.
  • BHP can enhance maternal health by ensuring continuous coverage from preconception through the postpartum period.
  • This policy is particularly relevant given current uncertainties in federal Medicaid and Marketplace funding.