TABLE 3.
Access to Care and Preventive Care Among Young Adults 19 to 23 Years Old in States Enacting Extension Eligibility Laws in 2005 and 2006 and in States Without These Laws During a Period Before Enactment (2002–2004) and After Enactment (2008–2009), Along With the Differential Changes in These Outcomes
| State Sample | Sample Size, No. | Before, % (2002–2004)a | After, % (2008–2009) | Before-After Difference, % | Difference in Differences, % (95% CI)a |
|---|---|---|---|---|---|
| Health insurance coverage | |||||
| No law | 16 973 | 68.5 (67.5 to 69.4) | 68.7 (67.4 to 70.1) | 0.3 (−1.4 to 1.9) | — |
| Extension laws (without MA) | 3442 | 67.6 (65.5 to 69.7) | 68.1 (65.1 to 71.0) | 0.4 (−3.2 to 4.1) | 0.2 (−3.8 to 4.2) |
| Extension laws (with MA) | 5278 | 71.1 (69.4 to 72.8) | 74.9 (72.8 to 77.1) | 3.9 (1.1 to 6.6) | 3.6 (0.5 to 6.7) |
| Identification of a personal physician/clinician or health care provider | |||||
| No law | 17 066 | 58.0 (59.0 to 57.0) | 60.2 (58.8 to 61.6) | 2.2 (0.5 to 3.9) | — |
| Extension laws (without MA) | 3459 | 62.4 (60.2 to 64.5) | 65.5 (62.5 to 68.5) | 3.2 (−0.5 to 6.9) | 0.9 (−3.1 to 5.0) |
| Extension laws (with MA) | 5298 | 64.3 (62.5 to 66.1) | 68.2 (65.9 to 70.4) | 3.9 (1.0 to 6.8) | 1.7 (−1.7 to 5.0) |
| Physical examination in past 2 y | |||||
| No law | 9859 | 76.2 (74.8 to 77.7) | 75.5 (74.3 to 76.7) | −0.7 (−2.6 to 1.1) | — |
| Extension laws (without MA) | 1839 | 77.3 (74.0 to 80.6) | 81.2 (78.6 to 83.7) | 3.9 (−0.2 to 8.0) | 4.6 (0 to 9.2) |
| Extension laws (with MA) | 2906 | 81 (78.4 to 83.7) | 83 (81.1 to 84.8) | 2.0 (2.0 to 5.2) | 2.7 (−1.0 to 6.4) |
| Forgone care due to cost | |||||
| No law | 13 327 | 17.8 (16.8 to 18.7) | 19.4 (18.3 to 20.5) | 1.7 (0.2 to 1) | — |
| Extension laws (without MA) | 2801 | 20.4 (18.3 to 22.6) | 18.2 (15.7 to 20.7) | −2.2 (−5.5 to 1.0) | −3.9 (−0.3 to −7.5) |
| Extension laws (with MA) | 4277 | 18.6 (16.9 to 20.3) | 16.0 (14.2 to 17.8) | −2.6 (−0.1 to −5.1) | −4.3 (−1.4 to −7.1) |
States enacting eligibility extension laws in 2005 or 2006 included Colorado, New Jersey, and South Dakota, along with Massachusetts (MA). Results are presented both with and without MA. There were 17 states without laws, including the District of Columbia.
a
Difference in differences compares the before-after difference among states enacting extension laws in 2005 or 2006 with the before-after difference among states without extension laws.