{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T01:56:43Z","timestamp":1792029403266,"version":"4.4.0"},"reference-count":43,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,3,15]],"date-time":"2026-03-15T00:00:00Z","timestamp":1773532800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Milbank Quarterly"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:sec>\n                    <jats:label\/>\n                    <jats:p>\n                      <jats:boxed-text content-type=\"box\" position=\"anchor\">\n                        <jats:caption>\n                          <jats:title>Policy Points<\/jats:title>\n                        <\/jats:caption>\n                        <jats:p>\n                          <jats:list list-type=\"bullet\">\n                            <jats:list-item>\n                              <jats:p>The continuous coverage provision of the March 2020 Families First Coronavirus Response Act resulted in extended postpartum Medicaid for individuals with pregnancy Medicaid coverage, which increased postpartum Medicaid enrollment, improved continuity of coverage, and increased Medicaid\u2010paid emergency department visits and mental and behavioral health diagnoses in the 3 to 12\u00a0months postpartum.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>These findings provide insight into the extent to which increased coverage translated into changes in postpartum Medicaid\u2010paid care.<\/jats:p>\n                            <\/jats:list-item>\n                            <jats:list-item>\n                              <jats:p>Communication and outreach are likely needed to ensure that individuals are aware of and able to use their extended postpartum Medicaid coverage.<\/jats:p>\n                            <\/jats:list-item>\n                          <\/jats:list>\n                        <\/jats:p>\n                      <\/jats:boxed-text>\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Context<\/jats:title>\n                    <jats:p>Before the COVID\u201019 pandemic, persons with pregnancy Medicaid coverage were typically disenrolled after 60\u00a0days postpartum, at which point they could retain Medicaid only if they qualified through another eligibility category (most commonly as a parent). The March 2020 Families First Coronavirus Response Act (FFCRA) extended postpartum Medicaid coverage by requiring states to pause disenrollment in exchange for enhanced federal funding.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This study examined 2019\u20102022 Medicaid claims data from 15 states to determine the association between extended postpartum Medicaid coverage and Medicaid\u2010paid care. We employed a continuous difference\u2010in\u2010difference design, leveraging variations in FFCRA\u2010associated eligibility changes (state\u2010level differences in pre\u2010FFCRA pregnancy and parental Medicaid eligibility as a percentage of the federal poverty level [FPL]). The study population included individuals with a birth between January 2019 and December 2021 that was paid for by pregnancy Medicaid coverage. The study population was followed for 12\u00a0months after childbirth. Outcomes included Medicaid enrollment, continuity of coverage, outpatient and emergency department visits, and pregnancy\u2010related and mental\u2010health\u2013related diagnoses. Care outcomes were measured from 3 to 12\u00a0months postpartum.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>In adjusted models, we found that a 100\u00a0percentage\u2010point FPL increase in postpartum Medicaid eligibility under the FFCRA was associated with 2.9 additional months of enrollment (95% CI: 0.9, 4.3), a 27.3\u00a0percentage\u2010point increase in 12\u2010month continuous Medicaid (95% CI: 2.3, 44.6), 107.2 more emergency department visits per 1,000 beneficiaries (95% CI: 18.7, 167.6), and a 3.2\u00a0percentage\u2010point (95% CI: 1.7, 5.4) increase in services with mental and behavioral health diagnoses.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Continuous Medicaid coverage during the FFCRA was associated with longer postpartum enrollment and increases in some health care utilization. However, no increases in Medicaid\u2010paid outpatient care or care for pregnancy\u2010related conditions were found, which may have been due to enrollees\u2019 limited awareness of their continued eligibility. Improved communication around extended postpartum Medicaid coverage may improve the translation of coverage into health care access.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/1468-0009.70079","type":"journal-article","created":{"date-parts":[[2026,3,16]],"date-time":"2026-03-16T03:31:38Z","timestamp":1773631898000},"page":"488-507","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Extended Pregnancy Medicaid During COVID\u201019 and Enrollment and Health Care Use in the Postpartum Year"],"prefix":"10.1111","volume":"104","author":[{"given":"ERICA L.","family":"ELIASON","sequence":"first","affiliation":[{"name":"Center for State Health Policy Rutgers University"},{"name":"Rutgers School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"MARIA W.","family":"STEENLAND","sequence":"additional","affiliation":[{"name":"University of Maryland School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5246-3176","authenticated-orcid":false,"given":"REBECCA A.","family":"GOUREVITCH","sequence":"additional","affiliation":[{"name":"University of Maryland School of Public Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,3,15]]},"reference":[{"key":"e_1_2_8_2_1","unstructured":"The White House.The White House Blueprint for Addressing the Maternal Health Crisis. PublishedJune 2022. Accessed July 29 2025.https:\/\/bidenwhitehouse.archives.gov\/wp\u2010content\/uploads\/2022\/06\/Maternal\u2010Health\u2010Blueprint.pdf"},{"key":"e_1_2_8_3_1","unstructured":"GunjaMZ GumasED MasithaR ZephyrinLC.Insights into the U.S. maternal mortality crisis: an international comparison.Commonwealth Fund Issue Brief. Published June 4 2024. Accessed July 7 2025.https:\/\/www.commonwealthfund.org\/publications\/issue\u2010briefs\/2024\/jun\/insights\u2010us\u2010maternal\u2010mortality\u2010crisis\u2010international\u2010comparison"},{"key":"e_1_2_8_4_1","unstructured":"TrostS BeauregardJ ChandraG et\u00a0al.Pregnancy\u2010related deaths: data from maternal mortality review committees in 36 US states 2017\u20102019.Centers for Disease Control and Prevention.2022. 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Accessed June 25 2025.https:\/\/www.mathematica.org\/sites\/data\u2010innovation\u2010lab"},{"key":"e_1_2_8_17_1","unstructured":"Centers for Medicare & Medicaid Services.Transformed Medicaid Statistical Information System (T\u2010MSIS) Analytic Files (TAF).2024. Accessed July 1 2025.https:\/\/www.medicaid.gov\/medicaid\/data\u2010systems\/macbis\/medicaid\u2010chip\u2010research\u2010files\/transformed\u2010medicaid\u2010statistical\u2010information\u2010system\u2010t\u2010msis\u2010analytic\u2010files\u2010taf\/index.html"},{"key":"e_1_2_8_18_1","unstructured":"Maternal and Infant Health (MIH): identifying pregnant and postpartum beneficiaries in Medicaid and CHIP administrative data. Reference codes.2022. 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