Reports on Insurance from State University of New York (SUNY) Albany Provide New Insights (Effects of National Insurance Reforms and State Medicaid Expansions Under the Affordable Care Act on Insurance Coverage Among American Indian and Alaska …): Insurance

2026 MAY 08 (NewsRx) -- By a News Reporter-Staff News Editor at NewsRx Policy and Law Daily -- Fresh data on Insurance are presented in a new report. According to news reporting out of Albany, New York, by NewsRx editors, research stated, “To test whether national health insurance reforms under the Affordable Care Act (ACA) and state Medicaid expansions affected insurance coverage among American Indian and Alaska Native (AIAN) people and estimate comparative effects for other racial-ethnic groups. We use a difference-in-differences approach that decomposes effects of national insurance reforms from state Medicaid expansions.”

Financial support for this research came from Eunice Kennedy Shriver National Institute of Child Health and Human Development.

Our news journalists obtained a quote from the research from the State University of New York (SUNY) Albany, “Data are from the 2011 to 2019 American Community Survey. The analytic sample includes respondents aged 19-64 who identify as non-Hispanic AIAN, non-Hispanic white (NHW), non-Hispanic Black (NHB), or Hispanic and live in areas with a minimum of 50 respondents in each racial-ethnic group for 2009-2013. Medicaid expansions were associated with a 9.0 pp. reduction in uninsurance (p < 0.001), and a 4.4 pp. increase in Medicaid coverage (p = 0.049) among AIAN respondents, with stronger effects among those who reported having Indian Health Services. However, national insurance reforms were not associated with AIAN respondents’ insurance coverage. Similarly, Medicaid expansions rather than national reforms improved Hispanic respondents’ insurance coverage. Among NHW and NHB respondents, both Medicaid expansions and national reforms improved insurance coverage.”

According to the news editors, the research concluded: “Medicaid expansions were the driving force behind the ACA’s positive effects on insurance coverage among AIAN people between 2011 and 2019.”

This research has been peer-reviewed.

For more information on this research see: Effects of National Insurance Reforms and State Medicaid Expansions Under the Affordable Care Act on Insurance Coverage Among American Indian and Alaska Native People. Health Services Research, 2026;61(3). Health Services Research can be contacted at: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA. (Wiley-Blackwell - http://www.wiley.com/; Health Services Research - http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1475-6773)

Our news journalists report that additional information may be obtained by contacting Pinka Chatterji, State University of New York (SUNY) Albany, Albany, New York, United States. Additional authors for this research include Kate W. Strully and Han Liu.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1111/1475-6773.70119. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

Publisher contact information for the journal Health Services Research is: Wiley, 111 River St, Hoboken 07030-5774, NJ, USA.

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