Medicaid and fertility: The effect of eligibility on intended and unintended births. [Work-in-Progress]
Over a third of births in the United States are unintended, either unwanted or mistimed. Via the expansion of Medicaid, the Affordable Care Act expanded access to prescription contraception to millions of childless women of childbearing age at risk of unintended pregnancy. This expansion of contraception may reduce fertility, in particular unintended pregnancies. At the same time, coverage through Medicaid decreases the financial risk present when uninsured, which may lead to an increase intended births with less uncertainty. Using data from the American Community Survey and the Pregnancy Risk Assessment Monitoring System, I estimate the effect of increased Medicaid coverage on the general fertility rate and on the rates of unintended and intended births.