Our research had not been in a position to straight connect specific insurance coverage status to payday borrowing.


Furthermore, although we discovered no proof of this, we’re able to maybe perhaps perhaps not rule out of the possibility that state- or county-level alterations in the legislation (or enforcement of laws) of pay day loans or any other industry modifications may have taken place in Ca when you look at the duration 2010–14. Nevertheless, the appropriateness was tested by us of y our approach in lot of methods. First, we stratified our models by age bracket (individuals more youthful or more than age sixty-five): Those in younger team could be beneficiaries regarding the Medicaid expansion, while those within the older team wouldn’t normally, simply because they could be qualified to receive Medicare. 2nd, we examined just just how alterations in payday financing diverse utilizing the share of uninsured individuals within the county before expansion: we might expect you’ll find a better lowering of payday financing in areas with greater stocks compared to areas with reduced shares. Final, we carried out an “event study” regression, described above, to assess any preexisting time styles in payday financing. Our extra methodology supplied reassuring proof that our findings were due to the Medicaid expansion.

Research Outcomes

The difference-in-differences methodology we relied on contrasted payday lending before and after California’s early Medicaid expansion within the state’s expansion counties versus nonexpansion counties nationwide. To regulate for confounding, time-varying facets that affect all counties at specific times (such as for example recessions, holiday breaks, and seasonality), this method utilized nonexpansion counties, in Ca as well as other states, as being a control team.

Display 1 presents estimates regarding the effect of Medicaid expansion in the general level of payday financing, our main results; the accompanying table is in Appendix Exhibit A4. 16 We discovered big general reductions in borrowing after the Medicaid expansion among individuals more youthful than age sixty-five. How many loans applied for per declined by 790 for expansion counties, compared with nonexpansion counties month. Provided a preexpansion mean of 6,948 loans per that amounts to an 11 percent drop in the number of loans month. This lowering of loan amount translates to a $172,000 decrease in borrowing per thirty days per county, from the mean of $1,644,000—a fall of 10 %. And 277 less borrowers that are unique county-month took away loans, which represents an 8 per cent decrease through the preexpansion mean of 3,603.

Display 1 effectation of early expansion of eligibility for Medicaid on month-to-month payday advances for borrowers more youthful than age 65, 2009–13

Display 2 presents the end result of Medicaid expansion regarding the range loans in three age groups: 18–34, 35–49, and 50–64; the table that is accompanying in Appendix Exhibit A5. 16 The lowering of the sheer number of loans every month had been completely driven by borrowers younger than age fifty (the small enhance among older borrowers had not been significant). For expansion counties in Ca, in accordance with the nonexpansion counties in California as well as other states, postexpansion borrowers ages 18–34 took down 486 loans per county-month, in comparison to a preexpansion mean of 2,268—a reduction of 21 %. For borrowers many years 35–49, the decrease had been 345 from a preexpansion mean of 2,715, a reduced amount of 13 per cent. This observed relationship across age groups stayed whenever we examined how many unique borrowers and dollars that are total (information perhaps maybe maybe not shown).

We aggregated the CFSA payday loans in Montana no credit check information towards the county-month degree, producing loan that is aggregate.

The data that are aggregated contained 58,020 county-month observations for the period 2009–13, which covered approximately twenty-four months before and twenty-four months following the Ca Medicaid expansions. Ca rolled down Medicaid expansion over 2011 and 2012, and we utilized the times of expansion by county given by Benjamin Sommers and coauthors. 17 These dates are placed in Appendix Exhibit A2, along side county-specific typical monthly payday borrowing before to expansion. 16 Appendix Exhibit A3 shows the study that is aggregate data. 16 We examined results within the 43 expansion counties in Ca, utilizing as an evaluation group 920 counties in nonexpanding states and 4 Ca counties that delayed expansion.

Our main results had been three measures of loan amount: the amount of loans, the money lent, together with quantity of unique borrowers. We measured unique borrowers in the info every month utilising the data set’s anonymized debtor identifiers. Medicaid expansions provide medical health insurance for uninsured grownups more youthful than age 65, therefore we stratified our results by age and centered on individuals more youthful than age 65. Offered past research findings that Medicaid expansions disproportionately benefited those more youthful than age 50, we further examined the circulation of this range loans among nonelderly grownups by borrower’s age (18–34, 35–49, and 50–64).

Furthermore, we thought that we would see greater reductions in payday lending within counties with greater preexpansion stocks of low-income adults that are uninsured. We investigated this possibility by comparing counties with a top share of uninsured to individuals with a low share. Counties classified as having a higher share had been those who work in the most notable tercile associated with the share uninsured with incomes of lower than 138 per cent regarding the federal poverty degree, in accordance with the 2010 Census Bureau’s Small region medical insurance Estimates; counties classified as having a minimal share had been within the base tercile.

Our additional results had been the stocks of loans that ended in standard, were repaid late, and had been rollovers.

Rollovers are loans which are applied for during the exact same time a past loan is born, makes it possible for the debtor to increase the loan’s timeframe without repaying the principal—in change for having to pay a finance fee. We identified most most likely rollovers when you look at the information as loans that started within 2 days of a past deadline for similar debtor and lender that is same. 18

We stratified our findings because of the chronilogical age of the borrower—focusing on individuals more youthful than age sixty-five, that would have been almost certainly become impacted by Medicaid expansion.

Both for our main and secondary results, we utilized a regular analysis that is difference-in-differences of results that covered approximately twenty-four months before and twenty-four months following the 2011–2012 Ca Medicaid expansions. As noted above, we compared 43 Ca very early expansion counties to 924 nonexpansion counties (like the 4 mentioned before nonexpansion Ca counties) within the nationwide information set, with standard errors clustered during the county degree. As being a sensitiveness test (see Appendix display A7), 16 we examined borrowers more than age sixty-five and utilized a triple-differences approach during the county-month-age degree.

To eliminate preexisting that is systemic trends which could have undermined our difference-in-differences approach, we estimated an “event study” regression of this effectation of Medicaid expansion regarding the amount of loans. This tested the legitimacy of y our assumption that payday borrowing could have had trends that are similar expansion and nonexpansion counties if none of this counties had expanded Medicaid. The regression included a hard and fast impact for each county, an effect that is fixed each month, and indicators for four six-month periods before Medicaid expansion and three six-month durations after expansion (see Appendix Exhibit A8). 16