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The Impact of the Affordable Care Act Young Adult Provision on Childbearing: Evidence From Tax Data
Open accessAbstract
We use panel U.S. tax data spanning 2008–2013 to study the impact of the Affordable Care Act (ACA) young adult provision on an important demographic outcome: childbearing. The impact is theoretically ambiguous: gaining insurance may increase access to contraceptive services while also reducing the out-of-pocket costs of childbirth. Because employer-reported U.S. Wage and Tax Statements (W-2 forms) record access to employer-provided benefits, we can examine the impact of the coverage expansion by focusing on young adults whose parents have access to benefits. We compare those who are slightly younger than the age threshold with those who are slightly older. Our results suggest that the ACA young adult provision led to a modest decrease in childbearing.
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Studies using unaffected age groups as control groups suggest a reduction in yearly birth rates between 5 percent and 10 percent.
“Studies using unaffected age groups as control groups suggest a reduction”
From Can Policies Stall the Fertility Fall? A Systematic Review of the (Quasi‐) Experimental Literature (2021) · cites this paper as Heim et al. 2018
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Research works printed but not linked: 14
- Abramowitz, 2016, Saying “I don’t”: The effect of the Affordable Care Act young adult provision on marriage, Journal of Human Resources, 51, 933, 10.3368/jhr.51.4.0914-6643R2 · DOI
- Abramowitz, 2017, Planning parenthood: The Affordable Care Act young adult provision and pathways to fertility, Journal of Population Economics
- Akosa Antwi, 2013, Effects of federal policy to insure young adults: Evidence from the 2010 Affordable Care Act dependent coverage mandate, American Economic Journal: Economic Policy, 5, 1
- Barbaresco, 2015, Impacts of the Affordable Care Act dependent coverage provision on health-related outcomes of young adults, Journal of Health Economics, 40, 54, 10.1016/j.jhealeco.2014.12.004 · DOI
- Braveman, 1993, Access to prenatal care following major Medicaid eligibility expansions, JAMA, 269, 1285, 10.1001/jama.1993.03500100083033 · DOI
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- DeLeire, 2011, Medicaid expansions and fertility in the United States, Demography, 48, 725, 10.1007/s13524-011-0031-6 · DOI · Paper page
- Egerter, 2002, Timing of insurance coverage and use of prenatal care among low-income women, American Journal of Public Health, 92, 423, 10.2105/AJPH.92.3.423 · DOI
- Kaestner, 1999, Health insurance, the quantity and quality of prenatal care, and infant health, Inquiry, 36, 162
- Ma, 2015, Health insurance and fertility decisions: Evidence from Affordable Care Act young adult provision
- Miller, 2013, Health insurance coverage predicts lower childbearing among near-poor adolescents, Journal of Adolescent Health, 53, 749, 10.1016/j.jadohealth.2013.06.024 · DOI
- Oberg, 1991, Prenatal care use and health insurance status, Journal of Health Care for the Poor and Underserved, 2, 270, 10.1353/hpu.2010.0472 · DOI
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Cited by
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Can Policies Stall the Fertility Fall? A Systematic Review of the (Quasi‐) Experimental Literature
Bergsvik, J., Fauske, A., & Hart, R. K. (2021) · Population and Development Review · doi:10.1111/padr.12431 · Cited by 259
Metadata
- Authors
- Heim, B., Lurie, I., & Simon, K.
- Affiliations
- Indiana University Bloomington (US)
- United States Department of the Treasury (US)
- National Bureau of Economic Research (US)
- Corresponding author
- Heim, Bradley
- Lurie, Ithai
- Simon, Kosali
- Venue
- Demography
- Publisher
- Duke University Press
- Published
- 2018-07-02
- Volume
- 55
- Issue
- 4
- Pages
- 1233-1243
- ISSN
- 0070-3370 (ISSN-L)
- 1533-7790
- OpenAlex
- W2810451307
- Cited by
- 24
- References
- 0
- Citations by year
- 2026: 2 · 2024: 3 · 2023: 2 · 2022: 3 · 2021: 4 · 2020: 5 · 2019: 4 · 2018: 1
- FWCI
- 3.35
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Demography (publishedVersion)
- PubMed (publishedVersion)
- RePEc: Research Papers in Economics (submittedVersion)
- Funders
- U.S. Department of the Treasury
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Reproductive Health and Contraception
- Social Sciences › Economics, Econometrics and Finance › Economics and Econometrics › Healthcare Policy and Management
- Social Sciences › Gender Studies › Gender, Labor, and Family Dynamics
- Keywords
- Affordable Care Act, childbearing, fertility, contraceptive access, health insurance coverage, employer-provided benefits, tax information, coverage extension
- MeSH terms
- Adult, Female, Fertility, Humans, Income, Income Tax, Infant, Newborn, Insurance, Health, Parents, Parity, Pregnancy, Regression Analysis, Unemployment, United States, Databases, Factual, Marital Status, United States Social Security Administration, Insurance Coverage, Young Adult, Patient Protection and Affordable Care Act
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