Table 2.

Unadjusted and Adjusted Changes in Health Outcomes after Medicaid Expansion among Childless Adults without a Chronic Condition (n = 47,942)

Outcome	Unadjusted pre-ACA prevalence	Unadjusted post-ACA prevalence	Unadjusted difference in differences	P value	Adjusted difference in differences*	P value
Self-reported general health
Medicaid expansion	3.48	3.49	0.02 (−0.04, 0.08)	0.54	0.05 (−0.02, 0.12)	0.16
Non-Medicaid expansion	3.45	3.43
Total days in poor health (days per month)
Medicaid expansion	7.6	7.4	−0.08 (−0.71, 0.55)	0.80	−0.04 (−0.74, 0.66)	0.91
Non-Medicaid expansion	7.2	7.1
Days limited by poor health (days per month)
Medicaid expansion	2.9	2.8	−0.10 (−0.53, 0.33)	0.63	−0.13 (−0.52, 0.25)	0.49
Non-Medicaid expansion	2.7	2.7
Poor physical health (days per month)
Medicaid expansion	3.4	3.6	0.06 (−0.37, 0.49)	0.79	0.08 (−0.41, 0.57)	0.74
Non-Medicaid expansion	3.4	3.5
Poor mental health (days per month)
Medicaid expansion	5.3	5.1	−0.23 (−0.69, 0.23)	0.33	−0.23 (−0.74, 0.28)	0.38
Non-Medicaid expansion	4.9	5.0
Disabled (%)
Medicaid expansion	18.7	18.9	0.31 (−1.5, 2.1)	0.73	−0.25 (−2.3, 1.8)	0.81
Non-Medicaid expansion	18.6	18.6
Depression (%)
Medicaid expansion	17.8	18.2	−1.6 (−4.1, 0.84)	0.19	−1.5 (−4.0, 1.1)	0.25
Non-Medicaid expansion	17.6	19.7

*Adjusted analyses account for state and quarter-year fixed effects, age, sex, race/ethnicity, education, marital status, and annual state unemployment rate

Note: A negative coefficient (i.e., unadjusted and adjusted difference-in-differences estimates) indicates a decrease in states that expanded Medicaid relative to states that did not expand Medicaid, whereas a positive coefficient indicates a relative increase in Medicaid expansion states