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Effects of infertility insurance mandates on fertility

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  • Schmidt, Lucie

Abstract

Infertility currently affects over 6 million individuals in the United States. While most health insurance plans nationwide do not cover infertility diagnoses or treatments, to date fifteen states have enacted some form of infertility insurance mandate. In this paper, I use data from the Vital Statistics Detail Natality Data and Census population estimates to examine whether these statelevel mandates were successful in increasing fertility rates. Using a difference-in-differences approach, I exploit variation in the enactment of mandates both across states and over time, and identify control groups that should not have been affected by infertility coverage. My results suggest that the mandates significantly increase first birth rates for women over 35, and these results are robust to a number of specification tests.

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Bibliographic Info

Article provided by Elsevier in its journal Journal of Health Economics.

Volume (Year): 26 (2007)
Issue (Month): 3 (May)
Pages: 431-446

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Handle: RePEc:eee:jhecon:v:26:y:2007:i:3:p:431-446

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Web page: http://www.elsevier.com/locate/inca/505560

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  1. Willard G. Manning & John Mullahy, 1999. "Estimating Log Models: To Transform or Not to Transform?," NBER Technical Working Papers 0246, National Bureau of Economic Research, Inc.
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  6. Schmidt Lucie, 2005. "Effects of Infertility Insurance Mandates on Fertility," Labor and Demography 0511014, EconWPA.
  7. Phillip B. Levine, 2002. "The Impact of Social Policy and Economic Activity Throughout the Fertility Decision Tree," NBER Working Papers 9021, National Bureau of Economic Research, Inc.
  8. Summers, Lawrence H, 1989. "Some Simple Economics of Mandated Benefits," American Economic Review, American Economic Association, vol. 79(2), pages 177-83, May.
  9. Lucie Schmidt, 2005. "Infertility Insurance Mandates and Fertility," American Economic Review, American Economic Association, vol. 95(2), pages 204-208, May.
  10. Marianne Bertrand & Esther Duflo & Sendhil Mullainathan, 2002. "How Much Should We Trust Differences-in-Differences Estimates?," NBER Working Papers 8841, National Bureau of Economic Research, Inc.
  11. Papke, Leslie E & Wooldridge, Jeffrey M, 1996. "Econometric Methods for Fractional Response Variables with an Application to 401(K) Plan Participation Rates," Journal of Applied Econometrics, John Wiley & Sons, Ltd., vol. 11(6), pages 619-32, Nov.-Dec..
  12. Marianne Bitler & Lucie Schmidt, 2006. "Health disparities and infertility: impacts of state-level insurance mandates," Department of Economics Working Papers 2006-04, Department of Economics, Williams College, revised Nov 2006.
  13. Gruber, Jonathan, 1994. "The Incidence of Mandated Maternity Benefits," American Economic Review, American Economic Association, vol. 84(3), pages 622-41, June.
  14. Marianne P. Bitler, 2005. "Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandate," Working Papers 330, RAND Corporation Publications Department.
  15. Thomas S. Dee, 2001. "The Effects of Minimum Legal Drinking Ages on Teen Childbearing," Journal of Human Resources, University of Wisconsin Press, vol. 36(4), pages 823-838.
  16. Robert Kaestner & Kosali Ilayperuma Simon, 2002. "Labor market consequences of state health insurance regulation," Industrial and Labor Relations Review, ILR Review, Cornell University, ILR School, vol. 56(1), pages 136-159, October.
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Cited by:
  1. Thomas DeLeire & Leonard Lopoo & Kosali Simon, 2011. "Medicaid Expansions and Fertility in the United States," Demography, Springer, vol. 48(2), pages 725-747, May.
  2. Machado, Matilde P. & Sanz-de-Galdeano, Anna, 2011. "Coverage of Infertility Treatment and Fertility Outcomes: Do Women Catch Up?," IZA Discussion Papers 5783, Institute for the Study of Labor (IZA).
  3. Joelle Abramowitz, 2014. "Turning back the ticking clock: the effect of increased affordability of assisted reproductive technology on women’s marriage timing," Journal of Population Economics, Springer, vol. 27(2), pages 603-633, April.
  4. Lucie Schmidt, 2005. "Effects of Infertility Insurance Mandates on Fertility," Department of Economics Working Papers 2005-07, Department of Economics, Williams College.
  5. Marianne Bitler & Lucie Schmidt, 2008. "Utilization of Infertility Treatments: The Effects of Insurance Mandates," Department of Economics Working Papers 2008-05, Department of Economics, Williams College.
  6. Marianne P. Bitler, 2005. "Effects of Increased Access to Infertility Treatment on Infant and Child Health Outcomes: Evidence from Health Insurance Mandate," Working Papers 330, RAND Corporation Publications Department.
  7. Helmut Rainer & Geethanjali Selvaretnam & David Ulph, 2011. "Assisted reproductive technologies (ART) in a model of fertility choice," Journal of Population Economics, Springer, vol. 24(3), pages 1101-1132, July.
  8. Lucie Schmidt, 2005. "Infertility Insurance Mandates and Fertility," American Economic Review, American Economic Association, vol. 95(2), pages 204-208, May.

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