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The Review of Economics and Statistics Vol. 91 No. 1 2009

Subsidized Contraception, Fertility, and Sexual Behavior

Melissa S. Kearney1,2; Phillip B. Levine1

1 Wellesley College · 2 University of Maryland, College Park

Abstract

We examine the impact of recent state-level Medicaid policy changes that expanded eligibility for family planning services to higher-income women and to Medicaid clients whose benefits would expire otherwise. We show that the income-based policy change reduced overall births to non-teens by about 2% and to teens by over 4%; estimates suggest a decline of 9% among newly eligible women. The reduction in fertility appears to have been accomplished via greater use of contraception. Our calculations indicate that allowing higher-income women to receive federally funded family planning cost on the order of $6,800 for each averted birth.

DOI
10.1162/rest.91.1.137
Volume
91
Issue
1
Pages
137-151
Language
en
Sources
openalex crossref

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