Impacts of the Affordable Care Act Dependent Coverage Provision on Health Related Outcomes of Young Adults

53 Pages Posted: 16 Jul 2014  

Silvia Barbaresco

Georgia State University

Charles Courtemanche

Georgia State University - Andrew Young School of Policy Studies

Yanling Qi

California State University, Long Beach

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Date Written: May 2014

Abstract

The first major insurance expansion of the Affordable Care Act – a provision requiring insurers to allow dependents to remain on parents’ health insurance until turning 26 – took effect in September 2010. We estimate this mandate’s impacts on numerous health-related outcomes using a difference-in-differences approach with 23-25 year olds as the treatment group and 27-29 year olds as the control group. For the full sample, the dependent coverage provision increased the probabilities of having insurance, a primary care doctor, and excellent self-assessed health, while decreasing unmet medical needs because of cost. However, we find no evidence of improvements in preventive care utilization or health behaviors. Subsample analyses reveal particularly striking gains for college graduates, including reduced obesity. Finally, we show that the mandate’s impacts on 19-22 year olds were generally weaker than those on 23-25 year olds, although we observe a reduction in pregnancies for unmarried 19-22 year old women.

Keywords: Affordable Care Act, health care reform, young adults, dependent coverage, health insurance, health, self-assessed health, self-reported health, health behaviors, risky behaviors, preventive care, moral hazard

JEL Classification: I12, I13, I18

Suggested Citation

Barbaresco, Silvia and Courtemanche, Charles and Qi, Yanling, Impacts of the Affordable Care Act Dependent Coverage Provision on Health Related Outcomes of Young Adults (May 2014). Andrew Young School of Policy Studies Research Paper Series No. 14-08. Available at SSRN: https://ssrn.com/abstract=2466495 or http://dx.doi.org/10.2139/ssrn.2466495

Silvia Barbaresco

Georgia State University ( email )

35 Broad Street
Atlanta, GA 30303-3083
United States

Charles Courtemanche (Contact Author)

Georgia State University - Andrew Young School of Policy Studies ( email )

P.O. Box 3992
Atlanta, GA 30302-3992
United States
404-413-0082 (Phone)

Yanling Qi

California State University, Long Beach ( email )

Long Beach, CA 90840
United States
(562) 985-4009 (Phone)
(562) 985-5886 (Fax)

HOME PAGE: http://sites.google.com/site/econyq

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