The Effect of the Affordable Care Act Dependent Coverage Mandate on Health Insurance and Labor Supply: Evidence from Alternative Research Designs

ILR Review ◽  
2021 ◽  
pp. 001979392098441
Author(s):  
Daeho Kim
Keyword(s):  
Health Insurance ◽  
Labor Supply ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
Substantial Impact ◽  
Research Designs ◽  
Alternative Research ◽  
The Affordable Care Act ◽  
Dependent Coverage

This article examines the effect of the Affordable Care Act (ACA) dependent coverage mandate on health insurance and labor supply. The author applies three research designs—difference-in-differences, regression discontinuity, and regression kink designs—and conducts extensive robustness checks and falsification tests, along with a formal test for the location of discontinuity and kink. The author finds no discernible evidence of the labor supply impact of the ACA dependent coverage mandate during the first three years after its implementation (2011–2013), despite its substantial impact on health insurance coverage for the eligible young adults. The author attributes this finding to the fact that until 2014, grandfathered plans were not required to provide dependent coverage to those young adult workers who obtained insurance through their own employer.

The Impact of the Affordable Care Act Medicaid Expansions on the Sources of Health Insurance Coverage of Undergraduate Students in the United States

2021 ◽  
pp. 107755872110158
Author(s):  
Priyanka Anand ◽  
Dora Gicheva
Keyword(s):  
United States ◽  
Health Insurance ◽  
Undergraduate Students ◽  
Affordable Care Act ◽  
Insurance Coverage ◽  
Health Insurance Coverage ◽  
The United States ◽  
Percentage Points ◽  
The Affordable Care Act ◽  
Medicaid Expansions

This article examines how the Affordable Care Act Medicaid expansions affected the sources of health insurance coverage of undergraduate students in the United States. We show that the Affordable Care Act expansions increased the Medicaid coverage of undergraduate students by 5 to 7 percentage points more in expansion states than in nonexpansion states, resulting in 17% of undergraduate students in expansion states being covered by Medicaid postexpansion (up from 9% prior to the expansion). In contrast, the growth in employer and private direct coverage was 1 to 2 percentage points lower postexpansion for students in expansion states compared with nonexpansion states. Our findings demonstrate that policy efforts to expand Medicaid eligibility have been successful in increasing the Medicaid coverage rates for undergraduate students in the United States, but there is evidence of some crowd out after the expansions—that is, some students substituted their private and employer-sponsored coverage for Medicaid.

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