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The Impact of the Affordable Care Act in Puerto Rico

Author

Listed:
  • Gamino Aaron M.

    (Department of Economics and Finance, 5235 Middle Tennessee State University , MTSU Box 27, 37132-0002, Murfreesboro, TN, USA)

Abstract

Was the Affordable Care Act (ACA) effective in the U.S. territories? This paper explores this question by examining the impact of the ACA’s dependent mandate and Medicaid expansion in Puerto Rico. The dependent mandate led to a 4.3 percentage point increase in health insurance coverage for Puerto Rican young adults due to increased employer-sponsored insurance coverage, and the Medicaid Expansion increased Medicaid coverage by 2.4 percentage points. The impact of both policies in Puerto Rico is smaller than in the mainland, highlighting the importance of considering how federal legislation affects territories with economic and health environments dissimilar to the mainland.

Suggested Citation

  • Gamino Aaron M., 2024. "The Impact of the Affordable Care Act in Puerto Rico," The B.E. Journal of Economic Analysis & Policy, De Gruyter, vol. 24(3), pages 879-904.
    • Handle: RePEc:bpj:bejeap:v:24:y:2024:i:3:p:879-904:n:1010
    DOI: 10.1515/bejeap-2023-0368
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    More about this item

    Keywords

    Affordable Care Act; insurance; territories; Puerto Rico; Medicaid; employer sponsored insurance;
    All these keywords.

    JEL classification:

    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • I38 - Health, Education, and Welfare - - Welfare, Well-Being, and Poverty - - - Government Programs; Provision and Effects of Welfare Programs

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