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The ACA's Medicaid eligibility expansion, therefore, would have been significantly beneficial to low\u2010income young adults. This study evaluates the effect of the ACA Medicaid expansion on the health, health care access and utilization, and financial well\u2010being of low\u2010income young adults ages 19\u201325. Using 2010\u20132017 National Health Interview Survey data, I estimate policy effects by applying a difference\u2010in\u2010differences design leveraging the variation in state implementation of the expansion policy. I show that Medicaid expansion improved health insurance coverage, health care access, and financial well\u2010being for low\u2010income young adults in expansion states, but had no effect on their health status and health care utilization. I also find that the policy was associated with larger gains in health coverage for racial minorities relative to their Non\u2010Hispanic White counterparts. With the continued health policy reform debates at the state and federal levels, the empirical evidence from this study can help inform policy decisions that aim to improve health care access and utilization among disadvantaged groups.<\/jats:p>","DOI":"10.1002\/hec.4839","type":"journal-article","created":{"date-parts":[[2024,5,24]],"date-time":"2024-05-24T06:00:09Z","timestamp":1716530409000},"page":"1895-1925","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["The impact of the 2014 Medicaid expansion on the health, health care access, and financial well\u2010being of low\u2010income young adults"],"prefix":"10.1002","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7018-7419","authenticated-orcid":false,"given":"Christal","family":"Hamilton","sequence":"first","affiliation":[{"name":"School of Public Policy University of Connecticut  Storrs Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,5,23]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2016.0631"},{"key":"e_1_2_12_3_1","article-title":"The effect of ACA state Medicaid expansions on medical out\u2010of\u2010pocket expenditures","author":"Abramowitz J.","year":"2018","journal-title":"Medical Care Research and Review"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1111\/1475\u20106773.14133"},{"key":"e_1_2_12_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2018.02.058"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamasurg.2018.1630"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11113\u2010023\u201009814\u2010x"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1162\/rest_a_00378"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1515\/9781400829828"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jss.2022.10.057"},{"key":"e_1_2_12_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jhealeco.2014.12.004"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2014.1298"},{"issue":"1","key":"e_1_2_12_13_1","first-page":"3","article-title":"The effects of the Affordable Care Act adult dependent coverage expansion on mental health","volume":"19","author":"Burns M. 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