Multi-generational Impacts of Childhood Access to the Safety Net: Early Life Exposure to Medicaid and the Next Generation's Health
Abstract
We examine multi-generational impacts of positive in utero and early life healthinterventions using state-year variation in public health insurance expansions that
targeted low-income pregnant women and children. We use restricted use Vital
Statistics Natality files to create a unique dataset linking individuals’ childhood
Medicaid exposure to the next generation’s health outcomes at birth. We find
robust evidence that the health benefits associated with treated generations’ early
life access to Medicaid extend to later offspring’s birth outcomes. Our results
imply that the return on investment is larger than suggested by evaluations of the
program that focus only on treated cohorts.