Lerner Center for Public Health Promotion and Population Health
Population Health Research Brief Series
ACA Medicaid Expansions Did Not Significantly Improve Maternal Morbidity
Pinka Chatterji, Hanna Glenn, Sara Markowitz, and Jennifer Karas Montez
August 2023
Abstract
Rising rates of severe maternal morbidity in the U.S. highlight the unmet need for continuous and comprehensive health care for women before, during, and after pregnancy. This data slice summarizes findings from a study that tested whether ACA Medicaid expansions helped reduce severe maternal morbidity, including transfusion, ruptured uterus, unplanned hysterectomy, eclampsia, and the need for intensive care. Results show little evidence that the ACA expansions improved maternal morbidity, other than reducing the need for blood transfusions.