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Abstract

We examine enrollment in the U.S. Medicaid and Supplemental Nutrition Assistance Programs (SNAP) by health status and find that while SNAP-eligible adults in poor overall health and with multiple chronic conditions are more likely to jointly enroll in SNAP and Medicaid, they are less likely to enroll in SNAP alone. We also find that the conditional probability of SNAP enrollment given Medicaid participation is higher for individuals with multiple chronic conditions, indicating that the Medicaid program facilitates food assistance receipt for these individuals. As a result, both Medicaid expansions and state and federal policies that harmonize eligibility criteria or promote enrollment coordination between SNAP and Medicaid are expected to increase the number of individuals in SNAP with chronic medical conditions. Such a change in the composition of SNAP enrollees would increase the justification for using SNAP as a platform for health promotion initiatives.

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