|Title||Changing patterns of SNAP take-up and participation and the role of out-of-pocket medical expenses among older adults|
|Publication Type||Journal Article|
|Year of Publication||Forthcoming|
|Authors||Heflin, C, Li, J, Zuo, D|
|Journal||Applied Economic Perspectives and Policy|
|Keywords||Elderly, Medicaid expansion, Medical Expenses, SNAP|
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.