Exhibit 5:

Summary of Study Outcomes and Main Findings

Policy Outcome	Measures	Main Findings
Employment & Community Engagement	* Any employment * Hours worked * Any community engagement activity	* No significant changes in any employment or community engagement outcome
Health Insurance Coverage	* Medicaid/Marketplace Coverage * Employer Sponsored Insurance (ESI) * Uninsured	* Significant drop in Medicaid and rise in uninsurance in 2018 while work requirements in effect * Most coverage losses reversed in 2019 after court blocked work requirements * No significant change in ESI in either year
Access to Care and Medical Debt	* Cost-related delays in care * Cost-related delays in medications * Serious problems paying off medical bills	* Loss of Medicaid/Marketplace coverage in prior year associated with more serious problems with medical debt and more cost-related delays in care

Source: Authors’ analysis of 2016, 2018, and 2019 survey data from low-income residents ages 19–64 in Arkansas, Kentucky, Louisiana, and Texas (N = 8,661)