Mandating Health Insurance Coverage for High-Income Individuals

Paul D. Jacobs

National Tax Journal, 2018, vol. 71, issue 4, 807-828

Abstract: I seek to untangle the effect of the Affordable Care Act's (ACA's) individual mandate for health coverage by focusing on higher-income non-elderly adults and exploiting state differences in the rules governing premium setting and coverage issuance in the non-group market prior to 2014. Using the American Community Survey (ACS) from 2012 through 2016, the individual mandate penalties were associated with 7-12 percentage points of the 13-percentage-point increase in coverage for higher-income adults in the non-group market (a 19-30 percent reduction in uninsurance).

Date: 2018
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