Cover: Medi-Cal After Welfare Reform: Enrollment Among Former Welfare Recipients

Medi-Cal After Welfare Reform: Enrollment Among Former Welfare Recipients

Published 2002

by Amy G. Cox, Jacob Alex Klerman, Ingrid Aguirre Happoldt

Purchase Print Copy

Add to Cart Paperback12 pages Free

Recent studies have concluded that Medicaid enrollment fell over the past several years, both nationally and in California, for people leaving cash welfare. However, this research tends to combine people who have left welfare with other groups of Medicaid enrollees. Using post-welfare reform data from individual administrative records, this research looks directly at the enrollment trends of former welfare recipients to address the question of whether welfare reform has adversely affected their Medi-Cal (California's Medicaid program) enrollment. It finds, in contrast to some observers' fears, that Medi-Cal enrollment after leaving cash aid has actually risen since welfare reform. However, much of this rise resulted from a temporary adminstrative phenomenon that has since ended. In addition, the study finds substantial variation in Medicaid enrollment rates across California's 58 counties, which have sizeable control over the design of their welfare programs. Whether the increase in enrollment rates will cease and whether the variation across counties will stabilize depends largely on the use of recently developed and expanded Medi-Cal programs and on counties' outreach efforts.

Originally published in: Medi-Cal Policy Institute Issue Brief Number 4, December 2001, pp. 1-12.

This report is part of the RAND reprint series. The Reprint was a product of RAND from 1992 to 2011 that represented previously published journal articles, book chapters, and reports with the permission of the publisher. RAND reprints were formally reviewed in accordance with the publisher's editorial policy and compliant with RAND's rigorous quality assurance standards for quality and objectivity. For select current RAND journal articles, see External Publications.

This document and trademark(s) contained herein are protected by law. This representation of RAND intellectual property is provided for noncommercial use only. Unauthorized posting of this publication online is prohibited; linking directly to this product page is encouraged. Permission is required from RAND to reproduce, or reuse in another form, any of its research documents for commercial purposes. For information on reprint and reuse permissions, please visit

RAND is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.