+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Effects of the Affordable Care Act's Dependent Coverage Mandate on Private Health Insurance Coverage in Urban and Rural Areas



Effects of the Affordable Care Act's Dependent Coverage Mandate on Private Health Insurance Coverage in Urban and Rural Areas



Journal of Rural Health



To evaluate the impact of the Affordable Care Act's (ACA) dependent coverage mandate on insurance coverage among young adults in metropolitan and nonmetropolitan areas. A cross-sectional analysis was conducted using data from 2006-2009 and 2011 waves of the Medical Expenditure Panel Survey. A difference-in-difference analysis was used to compare changes in full-year private health insurance coverage among young adults aged 19-25 years with an older cohort aged 27-34 years. Separate regressions were estimated for individuals in metropolitan and nonmetropolitan areas and were tested for a differential impact by area of residence. Full-year private health insurance coverage significantly increased by 9.2 percentage points for young adults compared to the older cohort after the ACA mandate (P = .00). When stratifying the regression model by residence area, insurance coverage among young adults significantly increased by 9.0 percentage points in metropolitan areas (P = .00) and 10.1 percentage points in nonmetropolitan areas (P = .03). These changes were not significantly different from each other (P = .82), which suggests the ACA mandate's effects were not statistically different by area of residence. Although young adults in metropolitan and nonmetropolitan areas experienced increased access to private health insurance following the ACA's dependent coverage mandate, it did not appear to directly impact rural-urban disparities in health insurance coverage. Despite residents in both areas gaining insurance coverage, over one-third of young adults still lacked access to full-year health insurance coverage.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 057734787

Download citation: RISBibTeXText

PMID: 27079801

DOI: 10.1111/jrh.12183


Related references

Health insurance coverage and health care utilization: Evidence from the Affordable Care Act's dependent coverage mandate. Forum for Health Economics and Policy 21(2):, 2019

The effect of health insurance on sexual health: Evidence from the Affordable Care Act's dependent coverage mandate. Social Science and Medicine 202: 20-27, 2018

Medicaid Expansion Under the Affordable Care Act and Insurance Coverage in Rural and Urban Areas. Journal of Rural Health 33(2): 217-226, 2017

Will health care reform reduce disparities in insurance coverage?: Evidence from the dependent coverage mandate. Medical Care 52(6): 528-534, 2014

Did the Affordable Care Act's Dependent Coverage Expansion Affect Race/Ethnic Disparities in Health Insurance Coverage?. Health Services Research, 2017

Insurance Coverage and Health Outcomes in Young Adults With Mental Illness Following the Affordable Care Act Dependent Coverage Expansion. Journal of Clinical Psychiatry 78(7): E821-E827, 2017

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Montana: An Analysis from RAND COMPARE. Rand Health Quarterly 1(2): 11-11, 2011

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Texas: An Analysis from RAND COMPARE. Rand Health Quarterly 1(2): 12-12, 2011

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Connecticut: An Analysis from RAND COMPARE. Rand Health Quarterly 1(2): 10-10, 2011

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in Illinois: An Analysis from RAND COMPARE. Rand Health Quarterly 1(2): 13-13, 2011

The Impact of the Coverage-Related Provisions of the Patient Protection and Affordable Care Act on Insurance Coverage and State Health Care Expenditures in California: An Analysis from RAND COMPARE. Rand Health Quarterly 1(2): 1-1, 2011

Medicaid, Medicare, and private health insurance coverage in five urban, low-income areas. Inquiry 15(4): 336-344, 1978

Health insurance coverage in U.S. urban and rural areas. Journal of Rural Health 9(3): 204-214, 1993

Did the Affordable Care Act's dependent coverage mandate increase premiums?. Journal of Health Economics 41: 1-14, 2015

The effects of the Affordable Care Act on workers' health insurance coverage. New England Journal of Medicine 363(15): 1393-1395, 2010