David W. Brown
Department of the Treasury
1500 Pennsylvania Avenue, NW
Washington, D.C. 20220
NBER Working Papers and Publications
|January 2015||Medicaid as an Investment in Children: What is the Long-Term Impact on Tax Receipts?|
with Amanda E. Kowalski, Ithai Z. Lurie: w20835
We examine the long-term impact of expansions to Medicaid and the State Children's Health Insurance Program that occurred in the 1980's and 1990's. With administrative data from the IRS, we calculate longitudinal health insurance eligibility from birth to age 18 for children in cohorts affected by these expansions, and we observe their longitudinal outcomes as adults. Using a simulated instrument that relies on variation in eligibility by cohort and state, we find that children whose eligibility increased paid more in cumulative taxes by age 28. These children collected less in EITC payments, and the women had higher cumulative wages by age 28. Incorporating additional data from the Medicaid Statistical Information System (MSIS), we find that the government spent $872 in 2011 dollars for ...