Medicaid Expansion Associated with Increased, But Not High Quality, Screening for Alcohol Use

People living in states with expanded Medicaid access were more likely to be screened by their doctor for alcohol use compared to people who lived in states that did not expand Medicaid access, but they did not necessarily receive effective interventions. A study published in Alcohol: Clinical and Experimental Research found that living in a state with expanded Medicaid access was associated with a higher prevalence of lower-income adults’ receiving some alcohol screening at a recent checkup but not receiving higher quality screening or brief counseling. The authors suggest that expanded Medicaid access may increase screening via increased access to primary care but that policies that target healthcare provider constraints are also needed to increase high-quality, evidence-based screening and counseling around alcohol use.