Please use this identifier to cite or link to this item: https://hdl.handle.net/10419/180486 
Year of Publication: 
2018
Series/Report no.: 
IZA Discussion Papers No. 11468
Publisher: 
Institute of Labor Economics (IZA), Bonn
Abstract: 
This paper examines the impacts of the Affordable Care Act (ACA) – which substantially increased insurance coverage through regulations, mandates, subsidies, and Medicaid expansions – on behaviors related to future health risks after three years. Using data from the Behavioral Risk Factor Surveillance System and an identification strategy that leverages variation in pre-ACA uninsured rates and state Medicaid expansion decisions, we show that the ACA increased preventive care utilization along several dimensions, but also increased risky drinking. These results are driven by the private portions of the law, as opposed to the Medicaid expansion. We also conduct subsample analyses by income and age.
Subjects: 
Affordable Care Act
health insurance
Medicaid
health behavior
obesity
smoking
drinking
preventive care
screening
JEL: 
I12
I13
I18
Document Type: 
Working Paper

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