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Author: Baughman, Reagan A.
Resulting in 4 citations.
1. Baughman, Reagan A.
Evaluating the Impact of the Earned Income Tax Credit on Health Insurance Coverage
National Tax Journal 58,4 (December 2005): 665-684
Cohort(s): NLSY79
Publisher: National Tax Association
Keyword(s): Earned Income Tax Credit (EITC); Health/Health Status/SF-12 Scale; Insurance, Health; Taxes

Permission to reprint the abstract has not been received from the publisher.

The goals and design of the Earned Income Tax Credit suggest that it has the potential to affect private health insurance coverage rates in its target population through income, tax price and employment effects. Results from an analysis using data from the National Longitudinal Survey of Youth show that the EITC expansion of the mid-1990s did increase the rate of employer-based health insurance coverage in the low-skilled population. The overall effect of EITC expansions was to increase the probability of coverage by 3.8 percentage points, or approximately 375,000 more individuals who were covered by employer-provided policies between 1992 and 1998.
Bibliography Citation
Baughman, Reagan A. "Evaluating the Impact of the Earned Income Tax Credit on Health Insurance Coverage." National Tax Journal 58,4 (December 2005): 665-684.
2. Baughman, Reagan A.
Evaluating the State EITC Expansion on Children's Health
Issue Brief No. 48, Carsey Institute, Spring 2012.
Also: http://carseyinstitute.unh.edu/publication/effects-state-eitc-expansion-children%E2%80%99s-health
Cohort(s): Children of the NLSY79, NLSY79
Publisher: Carsey Institute
Keyword(s): Body Mass Index (BMI); Child Health; Children, Illness; Earned Income Tax Credit (EITC); Health Care; Insurance, Health; Obesity; Taxes

Permission to reprint the abstract has not been received from the publisher.

This brief examines the impact of state-level adoption of EITCs on a set of health-related outcomes for children, including: (1) health insurance coverage, (2) use of preventive medical and dental care, and (3) health status measures including maternal reports of child health and body mass index (BMI). It also considers the possibility that the effect of the EITC on these outcomes may vary depending on where a child lives; families in urban and rural communities have different access to medical care and other resources that promote good health.
Bibliography Citation
Baughman, Reagan A. "Evaluating the State EITC Expansion on Children's Health." Issue Brief No. 48, Carsey Institute, Spring 2012.
3. Baughman, Reagan A.
The Effects of Child Support Payments on Child Health Outcomes
Presented: Ithaca, NY, 3rd Biennial Conference of the American Society of Health Economists, June 2010
Cohort(s): Children of the NLSY79
Publisher: American Society of Health Economists (ASHE)
Keyword(s): Child Health; Child Support; Children, Illness; Health/Health Status/SF-12 Scale; Insurance, Health; Modeling, Fixed Effects

Permission to reprint the abstract has not been received from the publisher.

The 1988 Family Support Act mandated that all states develop and use quantitative guidelines for establishing child support awards. The goal of this Act, and of the subsequent design of most state child support guideline formulas, has been to improve the well-being of children by ensuring that they have approximately the same standard of living in a single parent family that they would have if they lived with both of their parents.

This paper examines the impact of child support on one important set of indicators of child well-being: health outcomes. We expect that, all else equal, higher levels of child support payments improve a child's health status, assuming that health is a normal good. This effect could work either directly through greater out-of-pocket spending on health inputs (i.e. food, medical care or medication) or indirectly through the purchase of health insurance coverage. Based upon research on other outcomes related to child support, we also expect that higher levels of child support will be positively correlated with a child's health status, even after controlling for total family income. The literature provides several possible explanations for this finding, including unobserved heterogeneity, decreased child receipt of public benefits, an improved relationship between the parents and strategic bargaining between the parents.

The data for the project comes from a sample of single, custodial mothers in the 1979 National Longitudinal Survey of Youth (NLSY). NLSY79 respondents, who are between the ages of 41 and 48 in the latest interview wave, have reported data on their families over the course of the panel, including children as they were born. The matched Child and Young Adult (CYA) file provides individual-level panel data on those children, including health insurance coverage, utilization of non-emergency medical care, and several indicators of health status.

Using this data, we estimate a set of models in which a child's health outcomes are a function of the annual child support received by his or her custodial parent, controlling for a full set of demographic characteristics of child and parent. Actual child support awards are likely to be endogenous because most state child-support guidelines include supplemental awards for children with extraordinary health care needs. In order to address this endogeneity problem, we instrument for actual child support using the set of parameters in each state's child support guideline formula, which change at least once for most states during the 1990 to 2006 period of our analysis. Our preliminary results suggest that higher levels of child support receipt increase health insurance coverage rates, and may also result in more annual doctor check-ups and fewer children who are underweight. This holds true even after controlling for total family income. Our next step will be to add family-level fixed effects and control variables such as public program participation to the model in order to try to identify the mechanism (from the list of possible explanations from the literature) by which child support improves health above and beyond its income effect.

Bibliography Citation
Baughman, Reagan A. "The Effects of Child Support Payments on Child Health Outcomes." Presented: Ithaca, NY, 3rd Biennial Conference of the American Society of Health Economists, June 2010.
4. Baughman, Reagan A.
The Impact of Child Support on Child Health
Review of Economics of the Household 15,1 (March 2017): 69-91.
Also: http://link.springer.com/article/10.1007/s11150-014-9268-3
Cohort(s): Children of the NLSY79
Publisher: Springer
Keyword(s): Aid for Families with Dependent Children (AFDC); Body Mass Index (BMI); Child Health; Child Support; Children, Illness; Fathers, Presence; Health/Health Status/SF-12 Scale; Insurance, Health; Modeling, Fixed Effects; Weight

Permission to reprint the abstract has not been received from the publisher.

The broad goals of child support policy are to keep children in single-parent families out of poverty and to make sure that their material needs are met. One potentially important, but relatively understudied, set of measures of child well-being are health outcomes. A fixed-effects analysis of data from the Child and Young Adult file of the 1979 National Longitudinal Survey of Youth shows that, conditional upon receipt of some amount of child support, higher payment levels are associated with significantly greater odds of having private health insurance coverage and significantly lower odds of poor or declining health status. These effects persist even after controlling for other factors that are likely to be correlated with child support payments, including total family income and paternal visitation patterns.
Bibliography Citation
Baughman, Reagan A. "The Impact of Child Support on Child Health." Review of Economics of the Household 15,1 (March 2017): 69-91.