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Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility

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  • Joelle Abramowitz

    (University of Michigan)

Abstract

This paper investigates the effect of the Affordable Care Act young adult provision on fertility and related outcomes. The expected effect of the provision on fertility is not clear ex ante. By expanding insurance coverage to young adults, the provision may affect fertility directly through expanded options for obtaining contraceptives as well as through expanded options for obtaining pregnancy-, birth-, and infant-related care, and these may lead to decreased or increased fertility, respectively. In addition, the provision may also affect fertility indirectly through marriage or labor markets, and the direction and magnitude of these effects is difficult to determine. This paper considers the effect of the provision on fertility as well as the contributing channels by applying difference-in-differences type methods using the 2008–2010 and 2012–2013 American Community Survey, 2006–2009 and 2012–2013 Centers for Disease Control and Prevention abortion surveillance data, and 2006–2010 and 2011–2013 National Survey of Family Growth. Results suggest that the provision is associated with decreases in the likelihood of having given birth and abortion rates and an increase in the likelihood of using long-term hormonal contraceptives.

Suggested Citation

  • Joelle Abramowitz, 2018. "Planning parenthood: the Affordable Care Act young adult provision and pathways to fertility," Journal of Population Economics, Springer;European Society for Population Economics, vol. 31(4), pages 1097-1123, October.
    • Handle: RePEc:spr:jopoec:v:31:y:2018:i:4:d:10.1007_s00148-017-0676-6
    DOI: 10.1007/s00148-017-0676-6
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    References listed on IDEAS

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    Cited by:

    1. J Matthew Hampton & Otto Lenhart, 2019. "'Til insurance do us part: the effect of the affordable care act preexisting conditions provision on marriage," Working Papers 1902, University of Strathclyde Business School, Department of Economics.
    2. Jie Ma & Kosali I. Simon, 2020. "Heterogeneous Effects Of Health Insurance On Birth Related Outcomes: Unpacking Compositional Vs. Direct Changes," NBER Working Papers 27728, National Bureau of Economic Research, Inc.
    3. Scott Barkowski & Joanne Song McLaughlin & Alex Ray, 2020. "A Reevaluation of the Effects of State and ACA Dependent Coverage Mandates on Health Insurance Coverage," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 39(3), pages 629-663, June.
    4. Egidio Farina & Vikram Pathania, 2020. "Papal visits and abortions: evidence from Italy," Journal of Population Economics, Springer;European Society for Population Economics, vol. 33(3), pages 795-837, July.
    5. Pinka Chatterji & Xiangshi Liu & Barış K. Yörük, 2019. "The effects of the 2010 Affordable Care Act dependent care provision on family structure and public program participation among young adults," Review of Economics of the Household, Springer, vol. 17(4), pages 1133-1161, December.
    6. Janna Bergsvik & Agnes Fauske & Rannveig Kaldager Hart, 2021. "Can Policies Stall the Fertility Fall? A Systematic Review of the (Quasi‐) Experimental Literature," Population and Development Review, The Population Council, Inc., vol. 47(4), pages 913-964, December.
    7. Rannveig Kaldager Hart & Janna Bergsvik & Agnes Fauske & Wookun Kim, 2023. "Causal Analysis of Policy Effects on Fertility," CESifo Working Paper Series 10690, CESifo.
    8. Jie Ma & Kosali Simon, 2021. "Heterogeneous effects of health insurance on birth related outcomes: Unpacking compositional versus direct changes," Contemporary Economic Policy, Western Economic Association International, vol. 39(3), pages 626-640, July.
    9. Janna Bergsvik & Agnes Fauske & Rannveig K. Hart, 2020. "Effects of policy on fertility. A systematic review of (quasi)experiments," Discussion Papers 922, Statistics Norway, Research Department.

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