Faculty Publications

Title

The effect of the Affordable Care Act preexisting conditions provision on marriage

Document Type

Article

Keywords

Affordable Care Act, health insurance, marriage, preexisting conditions

Journal/Book/Conference Title

Health Economics (United Kingdom)

Volume

28

Issue

11

First Page

1345

Last Page

1355

Abstract

This paper investigates the effect of the Affordable Care Act preexisting conditions provision on marriage. The policy was implemented to prevent insurers from denying insurance coverage to individuals with preexisting health conditions. We test whether the implementation of the provision led to decreases in marriage among affected adults. We add to earlier work on how marital behavior is influenced by spousal health insurance and examine for the presence of “marriage lock,” a situation in which individuals remain married primarily for insurance. Using longitudinal data from the Panel Study of Income Dynamics from 2009 to 2017 and estimating difference-in-differences models, we find that male household heads with preexisting conditions are 7.12 percentage points (8.9 percent) less likely to be married after the policy. Using information on insurance status prior to the policy change, we find significant reductions in marriage among individuals with preexisting conditions who were previously insured by spousal health insurance plans. The findings suggest that the inability to attain individual coverage and reliance on spousal insurance provided incentives to remain married before 2014.

Department

Department of Economics

Original Publication Date

11-1-2019

DOI of published version

10.1002/hec.3947

Repository

UNI ScholarWorks, Rod Library, University of Northern Iowa

Language

en

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