This article explains governors’ decisions to support or oppose Medicaid expansions offered under the 2010 Patient Protection and Affordable Care Act. We theorize that governors’ decisions to oppose the funding should depend on both political demands and the level of need in the state, though politics and need are often in tension. We find that governors’ partisanship and the composition of the legislature have substantively meaningful effects on governors’ decisions, but the level of need in the state exerts little effect on governors’ decisions. This suggests that for high profile, highly politicized issues such as the Affordable Care Act, political considerations outweigh the needs of citizens and state economic conditions in gubernatorial decision making.
BaickerKatherineTaubmanSarahAllenHeidiBernsteinMiraGruberJonathanNewhouseJoseph P.SchneiderEricWrightBillZaslavskyAlanFinkelsteinAmy, and the Oregon Health Study Group. 2013. “The Oregon Experiment—Effects of Medicaid on Clinical Outcomes.” New England Journal of Medicine368 (18): 1713–22.
BarrilleauxCharles J.MillerMark E.1988. “The Political Economy of Medicaid.” American Political Science Review82(4): 1089-1108.
6.
BarrilleauxCharlesBerkmanMichael B.2003. “Do Governors Matter? Budget Rules and Politics of State Policymaking.” Political Research Quarterly56 (4): 409–17.
7.
BarrilleauxCharlesBracePaul. 2007. “Notes from the Laboratories of Democracy: State Government Enactments of Market- and State-Based Health Insurance Reforms in the 1990s.” Journal of Health Politics, Policy and Law32 (4): 655–83.
BernickEthan M.MyersNathan. 2008. “Treatment or Placebo: Are State Programs Decreasing the Proportion of Uninsured?” Policy Studies Journal36 (3): 367–84.
10.
BerryWilliam D.DeMerittJaqueline H. R.EsareyJustin. 2010. “Testing for Interaction in Binary Logit and Probit Models.” American Journal of Political Science54 (1): 248–66.
11.
BerryWilliam D.DeMerittJaqueline H. R.EsareyJustin. 2014. “Bias and Overconfidence in Parametric Models of Interactive Processes.” American Journal of Political Science54 (1): 248–66.
12.
BiauGerardDevroyeLucLugosiGabor. 2008. “Consistency of Random Forests and Other Averaging Classifiers.” The Journal of Machine Learning Research9:2015–33.
13.
BracePaul R.1993. State Government and Economic Performance. Baltimore: Johns Hopkins.
14.
BradyDavid W.FiorinaMorris P.WilkinsArjun S.2011. “The 2010 Elections: Why Did Political Science Forecasts Go Awry?” Political Science & Politics44 (2): 247–50.
ChoChung-LaeWrightDeil S.2007. “Perceptions of Federal Aid Impacts on State Agencies: Patterns, Trends and Variations across the 20th Century.” Publius37 (1): 103–30.
EfronBradley. 1979. “Bootstrap Methods: Another Look at the Jackknife.” The Annals of Statistics7:1–26.
22.
FirthDavid. 1993. “Bias Reduction of Maximum Likelihood Estimates.” Biometrika80 (1): 27–38.
23.
GelmanAndrew. 2008. “Scaling Regression Inputs by Dividing by Two Standard Deviations.” Statistics in Medicine27 (15): 2865–73.
24.
GelmanAndrewJakulinAleksPittauMaria GraziaSuYu-Sung. 2008. “A Weakly Informative Default Prior distribution for Logistic and Other Regression Models.” The Annals of Applied Statistics2 (4): 1360–83.
25.
GroganColleenRigbyElizabeth. 2009. “Federalism, Partisan Politics, and Shifting Support for State Flexibility: The Case of the U.S. State Children’s Health Insurance Program.” Publius39 (1): 47–69.
26.
HansonRussell L.2008. “Intergovernmental Relations.” In Politics in the American States, eds. GrayV.HansonR.8th ed.Washington, DC: CQ Press, 30–60.
27.
HillDaniel W.Jr.M. JonesZachary. 2014. “An Empirical Evaluation of Explanations for State Repression.” American Political Science Review108:661–87.
28.
HolahanJohn F.CohenJoel W.1986. Medicaid: The Tradeoff between Cost Containment and Access to Care. Washington, DC: The Urban Institute.
29.
KailBenQuadagnoJillDixonMarc. 2009. “Can States Lead the Way to Universal Coverage? The Effect of Health Care Reform on the Uninsured.” Social Science Quarterly90:1–20.
KingGaryTomzMichaelWittenbergJason. 2000. “Making the Most of Statistical Analyses: Improving Interpretation and Presentation.” American Journal of Political Science44 (2): 341–55.
KousserThad. 2002. “Politics, Economics, and State Policy: Discretionary Medicaid Spending, 1980-1993.” Journal of Health Politics, Policy and Law27:639–71.
LewisDaniel C.SchneiderSaundraJacobyWilliam. 2013. “Governors or Legislators: Who Determines the Spending Priorities of State Governments?” Presented at the 13th State Politics and Policy Meeting, Iowa City, May.
PlotnickRobertWintersRichard F.1985. “A Politico-economic Theory of Income Redistribution.” American Political Science Review79:458–73.
44.
RaineyCarlisle. 2014a. “Arguing for a Negligible Effect.” American Journal of Political Science58:1083-91.
45.
RaineyCarlisle. 2014b. “Compression and Conditional Effects.” Working paper. http://crain.co/compress
46.
RigbyElizabeth. 2012. “State Resistance to ‘Obamacare.’” The Forum10:2. doi:10.1515/1540-8884.1501.
47.
RosenbaumSaraWestmorelandTimothy M.2012. “The Supreme Court’s Surprising Decision on the Medicaid Expansion: How Will the Federal Government and States Proceed?” Health Affairs31 (8): 1663–72.
SossJoeSchramSanford F.VartanianThomas P.O’BrienErin. 2001. “Setting the Terms of Relief: Explaining State Policy Choices in the Devolution.” American Journal of Political Science45 (2): 378–95.
50.
StroblCarolinBoulesteixAnne-LaureZeileisAchimHothornTorsten. 2007. “Bias in Random Forest Variable Importance Measures: Illustrations, Sources, and a Solution.” BMC Bioinformatics8 (1): 25.
51.
StuberJenniferBradleyElizabeth. 2005. “Barriers to Medicaid Enrollment: Who is at Risk?” American Journal of Public Health95 (2): 292–98.
52.
TausanovitchChrisWarshawChristopher. 2013. “Measuring Constituent Preferences in Congress, State Legislatures, and Cities.” Journal of Politics75 (2): 330–42.
53.
ThompsonFrank. 2012. Medicaid Politics: Federalism, Policy Durability and Health Reform. Washington, DC: Georgetown Press.
54.
ToddSusan R.SommersBenjamin D.2012. “Overview of the Uninsured in the United States: A Summary of the 2012 Current Population Survey Report.” U.S. Department of Health and Human Services, Assistant Secretary for Planning and Evaluation. http://aspe.hhs.gov/health/reports/2012/UninsuredInTheUS/ib.shtml
55.
TrainKenneth. 2009. Discrete Choice Methods with Simulation. 2nd ed.New York, NY: Cambridge University Press.
56.
WeissertCarol. 1992. “Medicaid in the 1990s: Trends, Innovations and the Future of the ‘PAC Man’ of State Budgets.” Publius22 (3): 93–109.
57.
WeissertCarolSchellerDaniel. 2008. “Learning from the States? Federalism and National Health Policy.” Public Administration Review68 (Suppl. s1): S162–74.
58.
WrightGerald C.EriksonRobert S.McIverJohn P.1987. “Public Opinion and Policy Liberalism in the United States.” American Journal of Political Science31 (3): 980–1001.
59.
ZornChristopher. 2005. “A Solution to Separation in Binary Response Models.” Political Analysis13 (2): 157–70.
