Impacts of the Affordable Care Act Dependent Coverage Provision on Young Adults With Cancer

2019 ◽  
Vol 56 (5) ◽  
pp. 716-726 ◽  
Author(s):  
Justin M. Barnes ◽  
Jenine K. Harris ◽  
Derek S. Brown ◽  
Allison King ◽  
Kimberly J. Johnson
Keyword(s):  
Young Adults ◽  
Affordable Care Act ◽  
The Affordable Care Act ◽  
Dependent Coverage

The Affordable Care Act Appears to Have Narrowed Racial and Ethnic Disparities in Insurance Coverage and Access to Care Among Young Adults

2017 ◽  
Vol 76 (1) ◽  
pp. 32-55 ◽  
Author(s):  
Brandy J. Lipton ◽  
Sandra L. Decker ◽  
Benjamin D. Sommers
Keyword(s):  
Young Adults ◽  
Access To Care ◽  
Ethnic Groups ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Ethnic Disparities ◽  
Percentage Point Increase ◽  
The Affordable Care Act ◽  
Dependent Coverage ◽  
Racial Ethnic

Prior to the Affordable Care Act, one in three young adults aged 19 to 25 years were uninsured, with substantial racial/ethnic disparities in coverage. We analyzed the separate and cumulative changes in racial/ethnic disparities in coverage and access to care among young adults after implementation of the Affordable Care Act’s 2010 dependent coverage provision and 2014 Medicaid and Marketplace expansions. We find that the dependent coverage provision was associated with similar gains across racial/ethnic groups, but the 2014 expansion was associated with larger gains in coverage among Hispanics and Blacks relative to Whites. After the 2014 expansion, coverage increased by 11.0 and 10.1 percentage points among Hispanics and Blacks, respectively, compared with a 5.6 percentage point increase among Whites. The percentage with a usual source of care and a recent doctor’s visit also increased more for Blacks relative to Whites. Increases in coverage were larger in Medicaid expansion compared with nonexpansion states for most racial/ethnic groups.

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