Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

Abramowitz, Joelle

doi:10.1007/s00148-017-0676-6

Cited by 26 publications

(24 citation statements)

References 43 publications

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“…The pattern of results in this paper suggests that one important pathway linking the dependent care provision to fertility changes may be use of long-term hormonal contraceptives. The analysis of the NSFG data in Abramowitz (2018) suggests that the dependent care provision increased use of this type of contraceptive, and reduced abortions, which is consistent with the idea that the provision reduced fertility by expanding insurance coverage for contraceptives.…”

Section: Prior Empirical Research On Health Insurance Policies and Desupporting

confidence: 58%

“…In order to better understand the role of access to contraception as a mechanism leading from the ACA dependent care provision to fertility outcomes, Abramowitz (2018) estimates the effect of the ACA dependent care provision not only on fertility but also on use of various kinds of contraception, women's efforts to become pregnant, and abortion. She uses DD methods and recent data from the ACS and the National Survey of Family Growth.…”

Section: Prior Empirical Research On Health Insurance Policies and Dementioning

confidence: 99%

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The effects of the 2010 Affordable Care Act dependent care provision on family structure and public program participation among young adults

2019

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We use difference-indifference methods and data from the 2008 Survey of Income and Program Participation to test whether the ACA dependent care provision is associated with family structure and public program participation among young adults. Findings indicate that implementation of the provision is associated with 10 and 15 percent reductions in the likelihoods of being married and cohabitating, respectively, and a 6 percent increase in the likelihood of being single. The provision is associated with a 12 percent reduction in being a single parent, as well as reductions in young adults' participation in SNAP, TANF and WIC. JEL-Codes: I110.

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Section: Prior Empirical Research On Health Insurance Policies and Desupporting

confidence: 58%

Section: Prior Empirical Research On Health Insurance Policies and Dementioning

confidence: 99%

The effects of the 2010 Affordable Care Act dependent care provision on family structure and public program participation among young adults

2019

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“…I further estimate a placebo analysis, for which I should not see significant effects of placebo expansions, following the approach of Slusky (2017), Barbaresco, Courtemanche, and Qi (2015), Abramowitz (2016), and Abramowitz (Forthcoming) using the same data and specification as in the main analysis. To do this, I consider a placebo mandate for alternative years prior to expansion implementation.…”

Section: Resultsmentioning

confidence: 99%

The Effect of ACA State Medicaid Expansions on Medical Out-of-Pocket Expenditures

Abramowitz

2018

Med Care Res Rev

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This article considers the extent to which Affordable Care Act state Medicaid expansions alleviated the burden of out-of-pocket costs associated with obtaining health insurance and medical care using data from the 2011 to 2016 Current Population Survey Annual Social and Economic Supplement. Using a difference-in-differences framework, the analysis examines effects of the Medicaid expansions on out-of-pocket expenditures for health insurance premiums and medical care, comparing expenditures across expansion and nonexpansion states before and after the expansions were implemented, performing separate analyses for individuals with family income at various eligibility cutoff levels in the first and second years of expansion implementation. The findings suggest that the expansions were associated with a relatively larger likelihood of having zero premium expenditures and of having zero nonpremium medical out-of-pocket expenditures for low-income individuals. These findings suggest that the expansions were effective in reducing medical out-of-pocket expenditures.

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“…18 It also impacts fertility decisions of younger women in our sample. 19 Because the implementation of this provision occurred prior to the start of our study period and state-fixed effects absorb the average young adult provision uptake by state, the young adult provision does not confound our results.…”

Section: Discussionmentioning

confidence: 95%

Medicaid expansion and infant mortality: the (questionable) impact of the Affordable Care Act

Cook

Stype

2020

J Epidemiol Community Health

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BackgroundMany states expanded Medicaid eligibility under the Patient Protection and Affordable Care Act (PPACA). Medicaid expansion might impact infant mortality through improved maternal health prior to pregnancy and reduced insurance churn. Some studies suggest the PPACA had no significant impact on low birth weight or preterm birth, while others suggest that the PPACA led to a significant decrease in infant mortality.MethodsUsing a difference-in-differences estimator with fixed effects to control for differences in state characteristics and time trends we analyse three samples of births from the CDC’s linked birth/death files from 2011 to 2017 to estimate the impact of Medicaid expansion on infant mortality.ResultsWe find mixed results. In our full sample, we find no statistically significant change in infant mortality associated with PPACA Medicaid expansion. However, when we restrict the sample to states who had adopted the 2003 birth certificate form and when we further exclude states with a Medicaid waiver, in both samples we see reductions in infant mortality for babies born to mothers of all races. When we stratify by race, we find infant mortality decreased for babies born to white mothers. However, this decrease is not seen for babies born to black mothers.ConclusionsMedicaid expansion under the PPACA has an impact on infant mortality, but the results are sensitive to the sample of states included in the study. There is suggestive evidence that Medicaid expansion is not closing the infant mortality gap between black and white babies.

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Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

Cited by 26 publications

References 43 publications

The effects of the 2010 Affordable Care Act dependent care provision on family structure and public program participation among young adults

The effects of the 2010 Affordable Care Act dependent care provision on family structure and public program participation among young adults

The Effect of ACA State Medicaid Expansions on Medical Out-of-Pocket Expenditures

Medicaid expansion and infant mortality: the (questionable) impact of the Affordable Care Act

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