Jacob Wallace
jacobwswallace.bsky.social
Jacob Wallace
@jacobwswallace.bsky.social
Associate Professor @ Yale SPH and Sixers fan. Health economist whose research is focused on the Medicaid program.
Congratulations! Don't forget about your college RA when you're famous. 😜
June 5, 2025 at 5:54 PM
This is well said, thanks for taking a close look at the results!
June 4, 2025 at 7:35 PM
Good point, this was not well phrased. Suspended would have been a better choice, thanks for flagging.
June 2, 2025 at 3:38 PM
RESULT 4:

Some towns reversed work requirements, what happened?

For our cohort, this was *not* associated with a change in SNAP enrollment — people didn't get back on the program

Implication: WR may be a "one-way door" out of safety net coverage

From a new JAMA HF pape that dropped last Friday
SNAP Work Requirements Reversal and Program Enrollment
This cohort study assesses the association of implementation and reversal of Supplemental Nutritional Assistance Program (SNAP) work requirements with SNAP enrollment.
jamanetwork.com
June 2, 2025 at 2:07 PM
RESULT 3: Work requirements led to substantial coverage losses even for those with incomes

Translation — More evidence that not only about whether folks are working, even those with incomes are screened out...

This appears to be about paperwork.

@pamherd.bsky.social @donmoyn.bsky.social

5/
June 2, 2025 at 2:07 PM
RESULT 2: Sickest folks hit hardest by work requirements

Disenrollment risk was

≈2× higher for people with diabetes

and

≈5.5× higher for older adults (40-49) with ≥3 chronic conditions

Concerning evidence the sickest and most vulnerable folks are screened out by work requirements.

4/
June 2, 2025 at 2:07 PM
RESULT 1: Work requirements --> coverage losses

When CT imposed WR, SNAP coverage fell 25% + Medicaid enrollment was flat.

Translation — People lost nutrition support, not because they earned more, but because of paperwork.

If they were earning more they would be losing Medicaid eligibility.

3/
June 2, 2025 at 2:07 PM
METHODS:

Chima Ndumele and Hannah Factor led study of SNAP work requirements taking effect in 87/169 CT towns

Triple-diff w/ variation across time, towns, and populations

Linked Medicaid-SNAP data see health + demographics of those who lost coverage.

First pape in @jamainternalmed.com.

2/
Supplemental Nutrition Assistance Program Work Requirements and Safety-Net Program Participation
This cohort study examines the association between work requirements and safety-net program enrollment among Medicaid and Supplemental Nutrition Assistance Program (SNAP) enrollees in Connecticut.
jamanetwork.com
June 2, 2025 at 2:07 PM
Fieldhouse is a Swattie! (You probably know that)
March 5, 2025 at 11:23 PM