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Effects of the affordable care act on insurance coverage and labor supply for noncitizen immigrants

Author

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  • Guo, Hao
  • Zou, Miaomiao
  • Liu, Yue

Abstract

Noncitizen immigrants constitute a sizable and growing share of the U.S. labor force. However, their response to changes in public benefits remains underexplored. Thus, the present study used undocumented immigrants (who are ineligible for public benefits) as a comparison group to determine whether the Affordable Care Act (ACA) changed the insurance coverage and labor supply of documented noncitizens. Based on the findings, the ACA was associated with a significant decrease in the uninsured rate and a substantial increase in Medicaid coverage among documented noncitizens. This change in insurance coverage was also related to the limited change in labor force participation, although the effect differed in states that expanded Medicaid coverage from those that did not. Moreover, the number of working hours and full-time employed documented immigrants declined, compared to that of undocumented immigrants.

Suggested Citation

  • Guo, Hao & Zou, Miaomiao & Liu, Yue, 2023. "Effects of the affordable care act on insurance coverage and labor supply for noncitizen immigrants," Economic Modelling, Elsevier, vol. 119(C).
    • Handle: RePEc:eee:ecmode:v:119:y:2023:i:c:s0264999322003546
    DOI: 10.1016/j.econmod.2022.106117
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    References listed on IDEAS

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    Full references (including those not matched with items on IDEAS)

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    More about this item

    Keywords

    Affordable care act; Medicaid expansion; Labor market outcomes; Health insurance coverage; Noncitizen immigrants;
    All these keywords.

    JEL classification:

    • I11 - Health, Education, and Welfare - - Health - - - Analysis of Health Care Markets
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • J15 - Labor and Demographic Economics - - Demographic Economics - - - Economics of Minorities, Races, Indigenous Peoples, and Immigrants; Non-labor Discrimination

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