The 130th Annual Meeting of APHA

4131.0: Tuesday, November 12, 2002 - Table 5

Abstract #46701

Welfare reform and health insurance: What happens to parents?

Jane Holl, MD, MPH, Institute for Health Services Research and Policy Studies, and Children's Memorial Hospital, Northwestern University, 339 East Chicago Ave., Room 713, Chicago, IL 60611, 312-503-2937, j-holl@northwestern.edu and Amy Bush Stevens, MSW, MPH, Institute for Health Services Research and Policy Studies, and Institute for Policy Research, Northwestern University, 2040 Sheridan Road, Evanston, IL 60208.

Objectives: This study assesses the relationship between the goals of welfare reform and health insurance coverage for parents making the transition from welfare to work.

Methods: We conducted a descriptive and multivariate analysis of cross-sectional survey data, collected in 1999-2000, for a stratified random sample of Illinois families who were receiving welfare in late 1998 (n=1,362).

Results: 72.8% of parents had Medicaid, 18.5% were uninsured, and 28% experienced a gap in coverage during the preceding year. Receiving welfare was protective against being uninsured and having a gap in coverage, while working and being married were associated with gaps in coverage.

Conclusions: Current welfare reform goals of work, reduction of dependence on welfare, and marriage are incongruent with current health insurance coverage options for these parents.

Learning Objectives: At the conclusion of this session, participants will be able to

Keywords: Health Insurance, Welfare Reform

Related Web page: www.northwestern.edu/IPR/research/IFS.html

Presenting author's disclosure statement:
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

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The 130th Annual Meeting of APHA