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The Impact of the Affordable Care Act Young Adult Provision on Childbearing: Evidence From Tax Data

Bradley Heim (), Ithai Lurie () and Kosali Simon ()
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Bradley Heim: Indiana University
Ithai Lurie: Office of Tax Analysis, U.S. Department of the Treasury
Kosali Simon: Indiana University

Demography, 2018, vol. 55, issue 4, 1233-1243

Abstract: Abstract 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.

Keywords: Health insurance; Childbearing; Affordable Care Act (search for similar items in EconPapers)
Date: 2018
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