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Employment Effects of the Affordable Care Act Medicaid Expansions

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  • Pauline Leung
  • Alexandre Mas

Abstract

We examine whether the recent expansions in Medicaid from the Affordable Care Act reduced “employment lock†among childless adults who were previously ineligible for public coverage. We compare employment in states that chose to expand Medicaid versus those that chose not to expand, before and after implementation. We find that although the expansion increased Medicaid coverage by 3.0 percentage points among childless adults, there was no significant impact on employment.

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  • Pauline Leung & Alexandre Mas, 2018. "Employment Effects of the Affordable Care Act Medicaid Expansions," Industrial Relations: A Journal of Economy and Society, Wiley Blackwell, vol. 57(2), pages 206-234, April.
    • Handle: RePEc:bla:indres:v:57:y:2018:i:2:p:206-234
    DOI: 10.1111/irel.12207
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    Cited by:

    1. Jun Yeong Lee & John V. Winters, 2022. "State Medicaid Expansion and the Self-Employed," Small Business Economics, Springer, vol. 59(3), pages 925-954, October.
    2. Vinish Shrestha, 2024. "Heterogeneous Impacts of ACA-Medicaid Expansion on Insurance and Labor Market Outcomes in the American South," Working Papers 2024-08, Towson University, Department of Economics, revised Jun 2024.
    3. Wei Si, 2021. "Public health insurance and the labor market: Evidence from China's Urban Resident Basic Medical Insurance," Health Economics, John Wiley & Sons, Ltd., vol. 30(2), pages 403-431, February.
    4. Marguerite Burns & Laura Dague, 2023. "In-Kind Welfare Benefits and Reincarceration Risk: Evidence from Medicaid," NBER Working Papers 31394, National Bureau of Economic Research, Inc.
    5. Yelowitz, Aaron & Ingram, Samuel J., 2021. "How Does Occupational Licensing Affect Entry into the Medical Field? An Examination of EMTs," IZA Discussion Papers 14071, Institute of Labor Economics (IZA).
    6. Bottasso, Anna & Cerruti, Gianluca & Conti, Maurizio & Stancanelli, Elena G. F., 2022. "The Effects of the Affordable Care Act on Labour Supply and Other Uses of Time," IZA Discussion Papers 15415, Institute of Labor Economics (IZA).
    7. Benjamin C. Chu, 2023. "Who did the ACA Medicaid expansion impact? Estimating the probability of being a complier," Health Economics, John Wiley & Sons, Ltd., vol. 32(7), pages 1626-1655, July.
    8. Craig Garthwaite & John Graves & Tal Gross & Zeynal Karaca & Victoria Marone & Matthew J. Notowidigdo, 2019. "All Medicaid Expansions Are Not Created Equal: The Geography and Targeting of the Affordable Care Act," Brookings Papers on Economic Activity, Economic Studies Program, The Brookings Institution, vol. 50(2 (Fall)), pages 1-92.
    9. Charles J. Courtemanche & Ishtiaque Fazlul & James Marton & Benjamin D. Ukert & Aaron Yelowitz & Daniela Zapata, 2019. "The Impact of the ACA on Insurance Coverage Disparities After Four Years," NBER Working Papers 26157, National Bureau of Economic Research, Inc.
    10. Naoki Aizawa & Chao Fu, 2020. "Interaction of the Labor Market and the Health Insurance System: Employer-Sponsored, Individual, and Public Insurance," NBER Working Papers 26713, National Bureau of Economic Research, Inc.
    11. Seonghoon Kim & Kanghyock Koh, 2022. "Health insurance and subjective well‐being: Evidence from two healthcare reforms in the United States," Health Economics, John Wiley & Sons, Ltd., vol. 31(1), pages 233-249, January.
    12. Lucie Schmidt & Lara Shore-Sheppard & Tara Watson, 2019. "The Impact of Expanding Public Health Insurance on Safety Net Program Participation: Evidence from the ACA Medicaid Expansion," NBER Working Papers 26504, National Bureau of Economic Research, Inc.
    13. Lizhong Peng & Xiaohui Guo & Chad D. Meyerhoefer, 2020. "The effects of Medicaid expansion on labor market outcomes: Evidence from border counties," Health Economics, John Wiley & Sons, Ltd., vol. 29(3), pages 245-260, March.
    14. Schanzenbach, Diane Whitmore, 2023. "Understanding SNAP: An overview of recent research," Food Policy, Elsevier, vol. 114(C).

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