Welfare Reform
The Center was at the forefront of analyzing the impact of welfare reform on the health system generally and the Medicaid program, specifically. CHSRP's research projects have grown out of its early and groundbreaking analysis of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996. Specific research topics include:
- Analysis of welfare reform legislation's impact on health care access;
- Effect of welfare and immigration reform on immigrants access to Medicaid and health care services;
- Impact of welfare reform on Medi-Cal enrollment and policies to encourage enrollment;
- State compliance with Medicaid requirements in welfare reforms; and
- Stigma's impact on Medicaid enrollment.
Related Publications
Publications Available Online
Maloy, K.A., Kenney, K.A., Darnell, J., and Cyprien, S. Can Medicaid Work for Low-Income Families? Kaiser Commission on Medicaid and the Uninsured. April 2002.
Maloy, K.A., and Aguirre Happoldt, I. Promise Fulfilled or Missed Opportunities? California Counties, Welfare Reform, and Medi-Cal. Medi-Cal Policy Institute. April 2002.
Maloy, K.A. Welfare Reform Reauthorization in 2002: What are the Issues for Tribal Communities and Indian Families. March 2002.
Stuber, J., Maloy, K.A, Rosenbaum, S., and Jones, K. Beyond Stigma: What Barriers Actually Affect the Decisions of Low-Income Families to Enroll in Medicaid? June 2000. (Download PDF file now)
Maloy, K.A, Darnell, J., Nolan, L., Kenney, K.A, and Cyprien, S. Effects of the 1996 Welfare and Immigration Reform Laws on the Ability and Willingness of Immigrants to Access Medicaid and Health Care Services. May 2000.
Maloy, K.A., Pavetti, Darnell, J., and Shin, P. Diversion As A Work-Oriented Welfare Reform Strategy and Its Effect On Access To Medicaid: An Examination Of The Experiences of Five Local Communities. March 1999. (Download PDF file now)
Articles Published in Professional Literature
Rosenbaum, S., and Maloy, K.A. The Law of Unintended Consequences: The 1996 Personal Responsibility and Work Opportunity Act and Its on Medicaid for Families with Children. Ohio State University Law Review, Vol. 60 No. 4 (1999).
Other Publications
Maloy, K.A., Darnell, J., and Nolan, L. States' Use of Options Under Section 1931 to Account for the Effects of Diversion under Welfare Reform. October 1999.
Maloy, K., Pavetti, Shin, P., and Darnell, J. A Description and Assessment of State Approaches to Diversion Programs and Activities Under Welfare Reform. August 1998.
Rosenbaum, S., Maloy, K.A., Stuber, J., and Darnell, J. Initial Findings from a Nationwide Study of Outstationed Medicaid Enrollment Programs at Federally Qualified Health Centers. February 1998.
Maloy, K.A., and Aguirre-Happoldt, I. How Can Medi-Cal Enrollment be Preserved and Promoted Under CalWORKs? Oakland, CA:The Medi-Cal Policy Institute. June 2000.
Rosenbaum, S., and Darnell, J. An Analysis of the Medicaid and Health-Related Provisions of the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (P.L. 104-193). February 1997.
