Changing patterns of SNAP take-up and participation and the role of out-of-pocket medical expenses among older adults

Colleen Heflin, Jun Li, Dongmei Zuo

Research output: Contribution to journalArticlepeer-review

Abstract

We use longitudinal data from the nationally representative Health and Retirement Study from 2002 to 2016 to document how Supplemental Nutrition Assistance Program (SNAP) participation and estimated take-up changed over time for older adults and the role that out-of-pocket medical expenses has played in these changing patterns. We rely upon the state adoption of Medicaid expansion of the Affordable Care Act as a source of identifying variation and do not find evidence that Medicaid expansion changed estimated SNAP take-up or participation. These findings suggest that out-of-pocket medical expenses are unlikely to be a major driver of SNAP take-up decisions for the nondisabled population under age 65.

Original languageEnglish (US)
JournalApplied Economic Perspectives and Policy
DOIs
StateAccepted/In press - 2022

Keywords

  • elderly
  • Medicaid expansion
  • medical expenses
  • SNAP

ASJC Scopus subject areas

  • Development
  • Economics and Econometrics

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