The 130th Annual Meeting of APHA

4131.0: Tuesday, November 12, 2002 - Table 3

Abstract #47796

Utilization of Medicaid and welfare services among US disadvantaged populations

Lynn A. Agre, MPH, School of Social Work, Rutgers University, 640 Bartholomew Road - RUTCOR Modular Building, Piscataway, NJ 08854, 732-445-3079,

The 1987 National Medical Expenditure Survey finding revealed that approximately forty million Americans had no health insurance. A decade later, Congress responded by enacting the 1997 State Childrenís Health Insurance Program (SCHIP), expanding health insurance coverage to nearly two-thirds of poor children living below 100% of the Federal poverty level and more than one-quarter of children with incomes between 100% and 199% of the poverty level. While the signing of the 1996 Personal Responsibility and Work Opportunity Reconciliation Act and the Illegal Immigration Reform and Immigrant Responsibility Act underscored the perception that excessive dependency on health and welfare programs could be curtailed, the countervailing SCHIP legislation would buffer the effects of limiting entitlement support to the working poor and their children. Policy makers, however, did not perceive that regardless of citizenship status, those with lower education attainment and income comprised the greatest proportion of those without health insurance. This paper, then, based on data from the 1996 Current Population Survey compares the foreign born versus the native bornís Medicaid and welfare utilization in a series of bivariate graphs, stratified by educational attainment, income and race/ethnicity. These data demonstrate that the sociodemographic characteristics of citizens versus non-citizens, who use Medicaid and welfare services, do not differ. Both groups experience similar barriers in accessing medical care. The recommendation for Federal block grants establishing community medical clinics in targeted areas will be discussed. Partnership with community-based organizations in creating neighborhood health centers would promote delivery of services to underserved populations.

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

Keywords: Access and Services, Underserved Populations

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.

Overcoming Barriers to Care: Meeting Consumer Expectations

The 130th Annual Meeting of APHA