Financial effect of instituting deficit reduction act documentation requirements in family planning clinics in Oregon

Maria Isabel Rodriguez, Lisa Angus, Emily Elman, Philip D. Darney, Aaron B. Caughey

Research output: Contribution to journalArticle

7 Scopus citations


Background: The study was conducted to estimate the long-term costs for implementing citizenship documentation requirements in a Medicaid expansion program for family planning services in Oregon. Study Design: A decision-analytic model was developed using two perspectives: the state and society. Our primary outcome was future reproductive health care costs due to pregnancy in the next 5 years. A Markov structure was utilized to capture multiple future pregnancies. Model inputs were retrieved from the existing literature and local hospital and Medicaid data related to reimbursements. One-way and multi-way sensitivity analyses were conducted. A Monte Carlo simulation was performed to simultaneously incorporate uncertainty from all of the model inputs. Results: Screening for citizenship results in a loss of $3119 over 5 years ($39,382 vs. $42,501) for the state and $4209 for society ($63,391 compared to $59,182) for adult women. Among adolescents, requiring proof of identity and citizenship results in a loss of $3123 for the state ($39,378 versus $42,501) and $4214 for society ($63,391 instead of $59,177). Conclusion: Screening for citizenship status in publicly funded family planning clinics leads to financial losses for the state and society.

Original languageEnglish (US)
Pages (from-to)537-541
Number of pages5
Issue number6
StatePublished - Jun 1 2011



  • Cost analysis
  • Deficit reduction act
  • Family planning
  • Policy

ASJC Scopus subject areas

  • Reproductive Medicine
  • Obstetrics and Gynecology

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