The Affordable Care Act Has Led To Significant Gains In Health Insurance Coverage And Access To Care For Young Adults

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1 The Affordable Care Act Has Led To Significant Gains In Health Insurance Coverage And Access To Care For Young Adults Benjamin D. Sommers, M.D., Ph.D., Thomas Buchmueller, Ph.D., Sandra L. Decker, Ph.D., Colleen Carey, and Richard Kronick, Ph.D. TECHNICAL APPENDIX

2 Appendix Exhibit A1: Public and Private Health Insurance Coverage Among Young Adults, Source: National Health Interview Survey, January June 2011.

3 Appendix Exhibit A2: Health Insurance Coverage Among Young Adults, , by Race & Sex Source: National Health Interview Survey, January June 2011.

4 Appendix Exhibit A3: Effect of the Dependent Coverage Provision on Insurance Status for Adults Ages vs by December 2010 Current Population Survey Percent of Sample Percent of Ages Ages Difference Treatment Control Net Policy Effect year-olds with Insurance, pre-aca Effect Effect Effect for betweengroup difference Percentage Point Change, Before vs. After Full Sample < <0.001 N/A Gender Male < <0.001 Reference Female Marital Status Married Reference Unmarried < < Race/Ethnicity White non-hispanic < Reference Black non-hispanic Hispanic Other Non-White and/or Hispanic < Employment Status Working < Reference Not Working Student Status Student N/A N/A N/A N/A Reference Non-Student <0.001 N/A N/A N/A N/A 0.12 Health Status Excellent Reference Very Good < Good Fair / Poor Good / Fair / Poor < Source: Authors analysis of the Current Population Survey datasets, covering calendar years

5 Notes: This table reports results from linear probability regressions. Models control for region effects, gender, marital status, employment status, education, race/ethnicity categories, and linear and quadratic time trend terms. The sample size is 247,370. ACA = Affordable Care Act Student status is only reported for adults ages Our analysis for this variable does not include a control group, and the sample contains only those ages (n= 88,688).

6 Appendix Exhibit A4: Effect of the Dependent Coverage Provision on Insurance Status for Adults Ages vs By Health Status National Health Interview Survey Ages Ages Difference Effect Effect Effect for Difference Percentage Point Change, Before vs. After Full Post Period Excellent 5.5 < <0.001 Reference Very Good 5.9 < Good Fair /Poor Q4/2011 Q1 Excellent Reference Very Good Good Fair /Poor Q2/Q3 Excellent 7.6 < <0.001 Reference Very Good 8.2 < < Good Fair /Poor Source: Authors analysis of the National Health Interview Survey, January September Notes: This table reports results from linear probability regressions. Models control for region effects, gender, marital status, employment status, education, race/ethnicity categories, and linear and quadratic time trend terms. The sample size is 116,536.

7 Appendix Exhibit A5: Effect of the Dependent Coverage Provision on Access to Care for Adults Ages vs by the Second/Third Quarter of 2011 Delayed Care in the Past Year Due to Cost Did Not Get Care in the Past Year Due to Cost % among yearolds, pre- ACAbefore Net Policy Effect (19-25 vs year-olds) for betweengroup difference % among yearolds, pre- ACA Net Policy Effect (19-25 vs year-olds) for betweengroup difference Percentage Point Change, Before vs. After Gender Male Reference Reference Female Marital Status Married Reference Reference Unmarried < Race/Ethnicity White non- Hispanic Reference Reference Black non- Hispanic Hispanic Other Non-White and/or Hispanic Employment Status Working Reference Reference Not Working Health Status Excellent Reference Reference Very Good Good Fair/Poor Source: Authors analysis of the National Health Interview Survey, January September Notes: This table reports results from linear probability regressions. Models control for region effects, gender, marital status, employment status, education, race/ethnicity categories, and linear and quadratic time trend terms. The sample size is 116,536. Net Policy Effect is the difference-in-differences estimate for year-olds versus year-olds. ACA = Affordable Care Act

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