Andersen Lab

Univ of Arkansas for Med Scis

NEUROLOGY

Little Rock · United States

NIH-funded
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NIH R01 · 2025

Effects of COVID-19 Related Medicaid Policy Changes in the Marshallese COFA Migrant Population

ABSTRACT Access to healthcare is a persistent public policy concern, particularly for Marshallese Compact of Free Association (COFA) migrants in the United States. This research addresses the impact of Medicaid policy changes, prompted by the COVID-19 pandemic, on healthcare access for Marshallese COFA migrants residing in Northwest Arkansas, where the largest settlement of this population (~15,000) exists. Despite their eligibility for Medicaid under the 1986 RMI-US COFA agreement, subsequent legislative changes, notably the 1996 Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA), resulted in a significant portion (approximately 50%) of the Marshallese population…

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