In 2005, Tennessee disenrolled about 170,000 adults from its Medicaid program. This health insurance reform has been shown to decrease access to care and worsen financial well-being. Those affected by the disenrollment greatly overlaps with the population responsible for paying child support. We examine whether the contraction of public health insurance eligibility in Tennessee affected child support receipt. We find that after TennCare disenrollment, parents with custody of children in Tennessee were 7.2 percentage points (16 percent) less likely to receive child support income. Child support income also decreased by $204 (20 percent). We document heterogenous effects, with the largest effect among custodial parents who are non-white, under age 40, and above the poverty line.

2005年，田纳西州从其医疗补助计划中取消了约170,000名成年人的注册。实践证明，这项健康保险改革会减少获得医疗服务的机会，并恶化财务状况。受解散影响的人与负责支付子女抚养费的人口有很大重叠。我们检查田纳西州公共健康保险资格的收缩是否影响了子女抚养费收据。我们发现，在TennCare取消注册后，田纳西州有子女监护权的父母获得子女抚养费的可能性降低了7.2个百分点（16％）。儿童抚养费收入也减少了204美元（20％）。我们记录了异质性影响，其中非白人，40岁以下及贫困线以上的监护父母中影响最大。