*Names in bold indicate Presenter
This paper, using data from Kaiser Family Foundation Health Tracking Poll, examines the extent to Medicaid has evolved into a middle-class entitlement where (current and potential) constituents put pressure on state politicians to maintain or expand benefit levels, and state politicians in turn find it difficult to rescind Medicaid benefits. We will examine this questions in two ways: first, by considering the impact of public opinion for Medicaid expansions on state Medicaid decisionmaking; and second, the impact of potential constitutient demand on state Medicaid decisionmaking. The likelihood of adopting state Medicaid expansion policies is estimated as a function of: public support for Medicaid in each state, party control of the state government, provider interest group strength and the state safety-net market, the federal matching rate and other state demographic characteristics. We hypothesize that all else equal, states with higher levels of public support, and higher potential demand, will be associated with states adopting more generous Medicaid eligibility policies. These analyses help illuminate the extent to which, and the unique ways in which, Medicaid has evolved into a middle-class entitlement.