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Examining the role of pregnancy coverage in preventing poor obstetric outcomes among Latina immigrants

Award Number: R01MD013648
ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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Project Summary Comprehensive care throughout pregnancy promotes maternal and infant health through the identification and prevention of pregnancy complications, the management of chronic maternal disease, and promoting healthy birth spacing. Medicaid funds half of all pregnancy care in the United States (US). However, Medicaid coverage is highly restricted among US-based Latinas. By federal law, both undocumented and documented immigrants who have been in the US for less than five years are only eligible for Emergency Medicaid, a federal safety net program that covers emergency care only. Thus, Emergency Medicaid covers the cost of a delivery, but no prenatal or post-partum care. States can expand their Emergency Medicaid coverage to encompass prenatal and/or postpartum care, but we have no evidence about the impact of such policies. Oregon has implemented innovative policy that extends coverage from the prenatal period through 60 days postpartum. We will compare care utilization rates and interpregnancy interval Aim 1) between traditional Medicaid and Emergency Medicaid and Aim 2) within the Emergency Medicaid population between South Carolina (a no-coverage state) and Oregon. We will also estimate anticipated Medicaid costs and health benefits (Aim 3) of each coverage scenario. Our study will generate findings that can be used to guide policy nationally as to the health benefits and Medicaid costs of restricting access to pregnancy care.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2024 ( Subtotal = -$14,984 )
2024	2023	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	000	5	3/13/2024	NON-COMPETING CONTINUATION	-$14,984
														Subtotal = -$14,984

Issue Date FY: 2023 ( Subtotal = $470,806 )
2023	2023	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	001	5	2/6/2023	NON-COMPETING CONTINUATION	$47,082
2023	2023	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	000	5	11/9/2022	NON-COMPETING CONTINUATION	$423,724
														Subtotal = $470,806

Issue Date FY: 2022 ( Subtotal = $431,686 )
2022	2022	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	001	4	4/26/2022	NON-COMPETING CONTINUATION	$43,169
2022	2022	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	000	4	11/16/2021	NON-COMPETING CONTINUATION	$388,517
														Subtotal = $431,686

Issue Date FY: 2021 ( Subtotal = $434,916 )
2021	2021	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	000	3	11/23/2020	NON-COMPETING CONTINUATION	$391,424
2021	2021	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	001	3	3/11/2021	NON-COMPETING CONTINUATION	$43,492
														Subtotal = $434,916

Issue Date FY: 2020 ( Subtotal = $431,686 )
2020	2020	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	001	2	12/30/2019	NON-COMPETING CONTINUATION	$43,169
2020	2020	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	000	2	11/20/2019	NON-COMPETING CONTINUATION	$388,517
														Subtotal = $431,686

Issue Date FY: 2019 ( Subtotal = $453,036 )
2019	2019	OREGON HEALTH & SCIENCE UNIVERSITY	3181 SW SAM JACKSON PARK RD	PORTLAND	OR	97239	MULTNOMAH	USA	Minority Health and Health Disparities Research	000	1	2/1/2019	NEW	$453,036
														Subtotal = $453,036

Grand Total All Awards = $2,207,146

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Examining the role of pregnancy coverage in preventing poor obstetric outcomes among Latina immigrants

Award Number: R01MD013648

ORGANIZATION: NATIONAL CENTER ON MINORITY HEALTH AND HEALTH DISPARITIES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

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