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Demography

, Volume 55, Issue 4, pp 1233–1243 | Cite as

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

  • Bradley Heim
  • Ithai Lurie
  • Kosali Simon
Article

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 

Notes

Acknowledgments

The views expressed are those of the authors and are not necessarily those of the U.S. Department of the Treasury (USDT). We thank Angshuman Gooptu and Kate Yang for research assistance.

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Copyright information

© Population Association of America 2018

Authors and Affiliations

  1. 1.School of Public and Environmental AffairsIndiana UniversityBloomingtonUSA
  2. 2.Office of Tax Analysis, U.S. Department of the TreasuryWashingtonUSA
  3. 3.National Bureau of Economic ResearchCambridgeUSA

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