Labor force effects of Medicaid and Marketplace expansions: Variation by gender, parental status, and household structure.

We revisit the Affordable Care Act (ACA)'s Medicaid expansion's labor market effects and build upon it by estimating effects of subsidized Marketplace insurance. Using American Community Survey data, we jointly model the effects of Medicaid and Marketplace expansion on labor force outcomes using sim...

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Published in:Southern Economic Journal Vol. 90; no. 4; pp. 949 - 1002
Main Authors: Lavender, Makayla, Johnston, Emily
Format: Article
Published: Wiley-Blackwell Apr2024
Subjects:
Online Access:View this record in EBSCOhost
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      dt: Apr2024
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        atl: Labor force effects of Medicaid and Marketplace expansions: Variation by gender, parental status, and household structure.
      aug:
        au:
          Lavender, Makayla
          Johnston, Emily
        affil:
          Department of Economics, University of Nevada, Las Vegas, Las Vegas Nevada,, USA
          Health Policy Center, Urban Institute, Washington DC,, USA
      su:
        Labor supply
        Marketplaces
        American Community Survey
        Medicaid
        Women employees
        Insurance exchanges
      sug:
        subj:
          Labor supply
          Marketplaces
          American Community Survey
          Medicaid
          Women employees
          All Other Insurance Related Activities
          Temporary Help Services
          Administration of Human Resource Programs (except Education, Public Health, and Veterans' Affairs Programs)
          Insurance exchanges
      keyword:
        labor force participation
        marketplace
        subsidized insurance
        work requirements
        labor force participation
        marketplace
        subsidized insurance
        work requirements
      ab: We revisit the Affordable Care Act (ACA)'s Medicaid expansion's labor market effects and build upon it by estimating effects of subsidized Marketplace insurance. Using American Community Survey data, we jointly model the effects of Medicaid and Marketplace expansion on labor force outcomes using simulated eligibility measures. Throughout our analysis, we focus on heterogeneity by gender, parental status, and single versus two‐headed households. Consequently, this is the first paper presenting labor outcomes of the ACA among women with children, an important group, which may be particularly responsive to increased flexibility in meeting income, childcare, and insurance needs. Even among women, we find little evidence that Medicaid eligibility reduced labor force participation. Any significant reductions among women are small in magnitude and not well corroborated by placebo tests. Alternatively, women with children gaining Marketplace eligibility had statistically significant reductions in labor force participation, reductions in hours, and increases in part‐time work.
      pubtype: Academic Journal
      doctype: Article
      src: R
    language: English
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