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. 2022 Apr 8;3(4):e220493. doi: 10.1001/jamahealthforum.2022.0493

Table. Changes in Insurance Coverage and Insurance Type for Low-Income Adults With Criminal Legal Involvement Before and After Implementation of the ACA in Medicaid Expansion and Nonexpansion States, 2010 to 2017.

Insurance Medicaid expansion states Nonexpansion states DiD estimate, percentage points (95% CI)
Adults with coverage, % (95% CI) Difference, percentage points (95% CI) Adults with coverage, % (95% CI) Difference, percentage points (95% CI) Unadjusted Adjusted
Pre-ACA Post-ACA Pre-ACA Post-ACA
Any coverage 59.2 (51.9 to 66.5) 82.5 (80.2 to 82.6) 23.4 (17.2 to 29.5) 45.4 (43.2 to 47.7) 54.2 (48.7 to 59.6) 8.7 (4.1 to 13.4) 14.6 (6.9 to 22.3) 14.9 (5.4 to 24.3)
Medicaid 37.0 (30.4 to 43.5) 61.4 (57.9 to 64.9) 24.5 (16.6 to 32.3) 24.7 (21.7 to 27.9) 29.6 (27.0 to 32.4) 6.2 (2.3 to 10.0) 18.3 (9.6 to 27.0) 19.1 (10.2 to 28.0)
Private 13.3 (11.1 to 15.5) 14.0 (12.0 to 16.0) 0.7 (−1.5 to 2.9) 14.7 (12.6 to 17.3) 17.2 (15.1 to 19.6) 1.5 (−2.3 to 5.4) −0.8 (−5.2 to 3.6) −1.1 (−5.9 to 3.6)
Othera 5.6 (3.7 to 7.6) 9.7 (6.6 to 12.8) 4.1 (1.5 to 6.7) 3.2 (1.5 to 4.8) 5.9 (2.8 to 9.1) 5.7 (−2.0 to 15) 1.3 (−1.9 to 4.6) 1.5 (−1.5 to 4.5)

Abbreviations: ACA, Affordable Care Act; DiD, difference-in-differences.

a

Other includes coverage via Medicare, Tricare, or the Veterans Health Administration.