scholarly journals Effects of the Affordable Care Act Dependent Coverage Mandate on Health Insurance Coverage for Individuals in Same-Sex Couples

2020 ◽  
Author(s):  
Christopher S. Carpenter ◽  
Gilbert Gonzales ◽  
Tara McKay ◽  
Dario Sansone
Demography ◽  
2021 ◽  
Author(s):  
Christopher S. Carpenter ◽  
Gilbert Gonzales ◽  
Tara McKay ◽  
Dario Sansone

Abstract A large body of research documents that the 2010 dependent coverage mandate of the U.S. Affordable Care Act was responsible for significantly increasing health insurance coverage among young adults. No prior research has examined whether sexual minority young adults also benefitted from the dependent coverage mandate despite previous studies showing lower health insurance coverage among sexual minorities. Our estimates from the American Community Survey, using difference-in-differences and event study models, show that men in same-sex couples aged 21–25 experienced a significantly greater increase in the likelihood of having any health insurance after 2010 than older, 27- to 31-year-old men in same-sex couples. This increase is concentrated among employer-sponsored insurance, and it is robust to permutations of periods and age groups. Effects for women in same-sex couples and men in different-sex couples are smaller than the associated effects for men in same-sex couples. These findings confirm the broad effects of expanded dependent coverage and suggest that eliminating the federal dependent mandate could reduce health insurance coverage among young adult sexual minorities in same-sex couples.


ILR Review ◽  
2021 ◽  
pp. 001979392098441
Author(s):  
Daeho Kim

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.


2021 ◽  
pp. 107755872110158
Author(s):  
Priyanka Anand ◽  
Dora Gicheva

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.


2019 ◽  
pp. 150-181
Author(s):  
Rachel VanSickle-Ward ◽  
Kevin Wallsten

Chapter 8 describes the contours of public support for access to birth control over the last 60 years and for the contraceptive mandate of the Affordable Care Act (ACA) between 2011 and 2014. Drawing on data from numerous polling organizations, this chapter shows that majorities of both political parties, both genders, and all races and religious affiliations have had stable and supportive opinions on whether women should have access to birth control and whether contraceptives are morally acceptable since at least the 1950s. Our analysis also reveals, however, that large partisan, gender, and “God-based” gaps in public support for requiring health insurance coverage of contraceptives developed as a result of the 2012 debate over the ACA’s birth control mandate. The divisions in public opinion driven by the competing accusations of a “war on women” and a “war on religion” persist today.


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