{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,29]],"date-time":"2026-10-29T00:38:42Z","timestamp":1793234322456,"version":"4.5.0"},"reference-count":35,"publisher":"Oxford University Press (OUP)","issue":"9","license":[{"start":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T00:00:00Z","timestamp":1788220800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/100009633","name":"Eunice Kennedy Shriver National Institute of Child Health and Human Development","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009633","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000002","name":"National Institutes of Health","doi-asserted-by":"publisher","award":["R01HD111508"],"award-info":[{"award-number":["R01HD111508"]}],"id":[{"id":"10.13039\/100000002","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100023581","name":"National Science Foundation Graduate Research Fellowship Program","doi-asserted-by":"publisher","award":["DGE 2140743"],"award-info":[{"award-number":["DGE 2140743"]}],"id":[{"id":"10.13039\/100023581","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2026,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Little is known about the role of the Affordable Care Act Marketplaces in providing health insurance coverage for pregnant women.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Using PRAMS survey data from 2018\u20132019 from 36 states and Washington, DC, we estimated the percentage of women with a pregnancy resulting in live birth who had Marketplace coverage during pregnancy, overall, by state, by federal poverty level (FPL) categories, and by state-based vs federal Marketplace status. We also describe the preconception and postpartum insurance status and sociodemographic and health characteristics of pregnant Marketplace enrollees.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall, 4.9% of women who had a live birth had Marketplace coverage during pregnancy in 2018\u20132019. This percentage varied by state (1.6% in Iowa to 13.1% in Maryland) and was significantly higher in state-based Marketplaces vs federally-run\/facilitated Marketplaces (8.0% vs 3.5%) and among premium subsidy-eligible women (ie, &amp;lt;400% FPL). Pregnant Marketplace enrollees were more similar to pregnant women with Medicaid than those with private insurance in terms of sociodemographic characteristics and clinical predictors of adverse pregnancy outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Marketplace coverage is a small, but important coverage source for women who had a live birth, insuring 1 in 20 women in our sample. The extent to which pandemic-era and recent policies affected Marketplace coverage of this population merits further investigation.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/haschl\/qxag233","type":"journal-article","created":{"date-parts":[[2026,9,1]],"date-time":"2026-09-01T11:19:13Z","timestamp":1788261553000},"source":"Crossref","is-referenced-by-count":1,"title":["Marketplace coverage during pregnancy: what can we learn from state-level variation?"],"prefix":"10.1093","volume":"4","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9134-6570","authenticated-orcid":false,"given":"Julia C P","family":"Eddelbuettel","sequence":"first","affiliation":[{"name":"PhD Program in Health Policy, Harvard University , Cambridge, MA 02138 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7309-5915","authenticated-orcid":false,"given":"Alison A","family":"Galbraith","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Boston Medical Center & Boston University Chobanian & Avedisian School of Medicine , Boston, MA 02119 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4743-2014","authenticated-orcid":false,"given":"Sarah H","family":"Gordon","sequence":"additional","affiliation":[{"name":"Department of Health Law, Policy, & Management, Boston University School of Public Health , Boston, MA 02118 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7015-6583","authenticated-orcid":false,"given":"Anjali","family":"Kaimal","sequence":"additional","affiliation":[{"name":"Department of Obstetrics & Gynecology, University of South Florida Morsani College of Medicine , Tampa, FL 33606 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0014-4181","authenticated-orcid":false,"given":"Laura F","family":"Garabedian","sequence":"additional","affiliation":[{"name":"Department of Population Medicine, Harvard Medical School & Harvard Pilgrim Health Care Institute , Boston, MA 02215 ,","place":["United States"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2026,9,1]]},"reference":[{"issue":"10","key":"2026092213515879600_qxag233-B1","doi-asserted-by":"publisher","first-page":"1618","DOI":"10.1377\/hlthaff.2021.00581","article-title":"The association between continuity of Marketplace coverage during pregnancy and receipt of prenatal care","volume":"40","author":"Gordon","year":"2021","journal-title":"Health Aff 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