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Author Notes:

Corresponding Author: E. Kathleen Adams, Rollins School of Public Health, Emory University, 1518 Clifton Road NE Room 654, Atlanta, GA 30322, USA. Email: eadam01@sph.emory.edu

The author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.


Research Funding:

This research was made possible through the funding of the Office of Population Affairs (OPA).


  • Science & Technology
  • Life Sciences & Biomedicine
  • Health Care Sciences & Services
  • Health Policy & Services
  • Medicaid
  • section 1115 waivers
  • family planning
  • unwanted births
  • costs
  • CARE

Medicaid Family Planning Waivers in 3 States: Did They Reduce Unwanted Births?


Journal Title:

INQUIRY: The Journal of Health Care Organization, Provision, and Financing


Volume 52


, Pages 004695801558891-004695801558891

Type of Work:

Article | Final Publisher PDF


Effects of Medicaid family planning waivers on unintended births and contraceptive use postpartum were examined in Illinois, New York, and Oregon using the Pregnancy Risk Assessment Monitoring System. Estimates for women who would be Medicaid eligible "if" pregnant in the waiver states and states without expansions were derived using a difference-in-differences approach. Waivers in New York and Illinois were associated with almost a 5.0 percentage point reduction in unwanted births among adults and with a 7 to 8.0 percentage point reduction, among youth less than 21 years of age. Oregon's waiver was associated with an almost 13 percentage point reduction in unintended, mostly mistimed, births. No statistically significant effects were found on contraceptive use.

Copyright information:

© The Author(s) 2015.

This is an Open Access work distributed under the terms of the Creative Commons Attribution-Noncommercial 3.0 Unported License (http://creativecommons.org/licenses/by-nc/3.0/).

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