Eastern Economic Journal

, Volume 45, Issue 1, pp 87–111 | Cite as

Effects of the 2010 Affordable Care Act Dependent Care Provision on Military Participation Among Young Adults

  • Pinka Chatterji
  • Xiangshi LiuEmail author
  • Barış K. Yörük
Original Article


The ACA dependent care provision mandated that private health insurance plans that offer dependent coverage must allow young adults to stay on parents’ insurance until age 26. In addition to the health and labor market-related outcomes that have been studied, the ACA dependent care provision also may have affected young adults’ decisions about whether or not to serve in the military and the type of military service chosen. In this paper, we use data from the 2008–2016 American Community Survey to test whether the ACA dependent care provision is associated with participating in the military, being on active duty, participating in the National Reserves, and having military health insurance. Findings indicate that the provision is associated reductions in the probability that young adults (mainly men) are serving on active duty and are sponsors on TRICARE health insurance plans. The results also show a corresponding increase in participation in the National Guard/Reserves.


Affordable Care Act ACA Dependent care Health insurance Military Armed forces 


  1. Ameudo-Dorantes, C., and M.E. Yaya. 2016. The impact of the ACA’s extension of coverage to dependents on young adults’ access to care and prescription drugs. Southern Economic Journal 83(1): 25–44.CrossRefGoogle Scholar
  2. Antwi, Y.A., A.S. Moriya, and K. Simon. 2013. Effects of federal policy to insure young adults: Evidence from the 2010 Affordable Care Act’s dependent coverage mandate. American Economic Journal: Economic Policy 2013(5): 1–28.Google Scholar
  3. Bailey, J., and A. Chorniy. 2016. Employer-provided health insurance and job mobility: Did the Affordable Care Act reduce job lock? Contemporary Economic Policy 34(1): 173–183.CrossRefGoogle Scholar
  4. Barbaresco, S., C. Courtemache, and Y. Qi. 2015. Impacts of the Affordable Care Act’s dependent care provision on health-related outcomes among young adults. Journal of Health Economics 40: 54–68.CrossRefGoogle Scholar
  5. Bertrand, M., E. Duflo, and S. Mullainathan. 2004. How much should we trust differences in differences estimates? The Quarterly Journal of Economics 119: 249–275.CrossRefGoogle Scholar
  6. Colman, G., and D. Dave. 2015. It’s about time: Effects of the Affordable Care Act dependent care mandate on time use. National Bureau of Economic Research Working Paper 21725.Google Scholar
  7. Heim, B.T., Z.L. Ithai, and K. Simon. 2017. Did the Affordable Care Act young adult provision affect labor market outcomes: Analysis using tax data. Industrial and Labor Relations Review 71 (4): 001979391774417.Google Scholar
  8. Kaiser Family Foundation, Health Coverage by Race and Ethnicity: The Potential Impact of the Affordable Care Act,, Accessed 13 Mar 2013.
  9. Karaca-Mandic, P., E. Norton, and B. Dowd. 2012. Interaction terms in nonlinear models. Health Services Research 47(1): 255–274.CrossRefGoogle Scholar
  10. Kleykamp, Meredith A. 2006. College, jobs, or the military? Enlistment during a time of war*. Social Science Quarterly 87(2): 272–290.CrossRefGoogle Scholar
  11. Mann, D.R. 2012. Why we fight: Understanding military participation over the life cycle. Journal of Human Capital 6(4): 279–315.CrossRefGoogle Scholar
  12. Military Wallet, Should I Join the Military? 11 Reasons the Military is a Good Career Option., Accessed 4/18.
  13. Military Advantage, Military Medical Benefits Overview., Accessed 4/18.
  14. Rodean, J. 2012. Health insurance coverage of young adults aged 19–25. 2008, 2009 and 2011. American Community Survey Briefs, Available at:
  15. The Balance: Military medical and dental care. Accessed 4/2018.
  16. TRICARE,, Accessed 2/18.
  17. US Department of Defense, 2016 Demographics: Profile of the Military Community, Available at: Accessed 2/18.

Copyright information

© EEA 2018

Authors and Affiliations

  • Pinka Chatterji
    • 1
  • Xiangshi Liu
    • 2
    Email author
  • Barış K. Yörük
    • 3
  1. 1.Department of EconomicsUniversity at Albany and NBERAlbanyUSA
  2. 2.School of Public AdministrationSouthwestern University of Finance and EconomicsChengduChina
  3. 3.Department of EconomicsUniversity at Albany and CESifoAlbanyUSA

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