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The Aftermath of Welfare Reform

Health, Health Insurance, and Access to Care Among Families Leaving TANF in Oregon

Portland State University, OR, seccombek{at}pdx.edu

Heather Hartley

Portland State University, OR

Jason Newsom

Portland State University, OR

Kim Hoffman

Portland State University, OR

Gwen C. Marchand

Portland State University, OR

Christina Albo

Portland State University, OR

Cathy Gordon

Portland State University, OR

Tosha Zaback

Portland State University, OR

Richard Lockwood

Portland State University, OR

Clyde Pope

Center for Health Research, Portland, OR

This research reports the initial findings of a statewide study that looks at health, insurance, and access to health care among families leaving Temporary Assistance to Needy Families (TANF) for work. Most national and state-level evaluation projects focus primarily on the employment characteristics of TANF leavers and pay little or no attention to health and access to health care. The quantitative data are from a sample of 637 adults in Oregon leaving TANF for work, and they are personalized by qualitative data from a subsample of 90 respondents. Our findings reveal significant barriers to accessing the health care system, even at a time when Medicaid enrollment is considered automatic, in a state with a relatively generous expanded Medicaid program.

Key Words: access to health care • poverty • temporary assistance to needy families • welfare • welfare reform

Journal of Family Issues, Vol. 28, No. 2, 151-181 (2007)
DOI: 10.1177/0192513X06294554


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