Abstract
Introduction
Medicaid expansion increased access to care, but longitudinal patterns of contraception
use after the Medicaid expansion have not been described.
Methods
We evaluated the effects of Medicaid expansion on the amount and type of contraceptive
prescriptions using the Medicaid State Utilization Dataset.
Results
Overall long-acting reversible contraception (LARC) use increased in both expansion
and non-expansion states. In a difference-in-differences analysis, states that expanded
Medicaid had no appreciable increase in per-capita prescription rates of LARC (p = 0.26) or short-acting hormonal contraception (p = 0.09) when compared to nonexpansion states.
Discussion
The Medicaid expansion was not associated with a change in per-capita LARC or short-acting
hormonal contraception use.
Keywords
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Article info
Publication history
Published online: November 16, 2020
Accepted:
November 10,
2020
Received in revised form:
November 6,
2020
Received:
May 22,
2020
Identification
Copyright
© 2020 Elsevier Inc. All rights reserved.
