Welfare Reform and Health Insurance

Consequences for Parents

Bibliographic Data

ID11025728
AuthorsJane L Holl (0000-0002-2934-1672, Jane L. Holl is with the Institute for Health Services Research and Policy Studies and Departments of Pediatrics and Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill. Kristen Shook Slack is with the School of Social Work, University of Wisconsin, Madison. Amy Bush Stevens is with Owl Creek Consulting, Gambier, Ohio.), Kristen S Slack (0000-0002-9669-9906, Northwestern University), Amy Bush Stevens (Jane L. Holl is with the Institute for Health Services Research and Policy Studies and Departments of Pediatrics and Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, Ill. Kristen Shook Slack is with the School of Social Work, University of Wisconsin, Madison. Amy Bush Stevens is with Owl Creek Consulting, Gambier, Ohio.)
Year2005
Volume95
Issue2
Pages279-285
Publication date2005-02-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueAmerican Journal of Public Health (JOURNAL)
Journal identifiersISSN: 0090-0036 • E-ISSN: 1541-0048
PublisherAmerican Public Health Association (PUBLISHER • US)
DOI10.2105/ajph.2003.025882
PMID15671465
PMCIDPMC1449167
OpenAlexW2117294060
LanguageEN
Citations received6
References cited12

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

Actuarial science · Business · Environmental health · Health care · Health insurance · Political science · Welfare · Gender, Labor, and Family Dynamics · Law · Medicine · Work-Family Balance Challenges · Workplace Health and Well-being

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