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Job mobility among parents of children with chronic health conditions: Early effects of the 2010 Affordable Care Act

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  • Chatterji, Pinka
  • Brandon, Peter
  • Markowitz, Sara

Abstract

We examine the effects of the 2010 Patient Protection and Affordable Care Act's (ACA) prohibition of preexisting conditions exclusions for children on job mobility among parents. We use a difference-in-difference approach, comparing pre-post policy changes in job mobility among privately-insured parents of children with chronic health conditions vs. privately-insured parents of healthy children. Data come from the 2004 and 2008 Survey of Income and Program Participation (SIPP). Among married fathers, the policy change is associated with about a 0.7 percentage point, or 35 percent increase, in the likelihood of leaving an employer voluntarily. We find no evidence that the policy change affected job mobility among married and unmarried mothers.

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  • Chatterji, Pinka & Brandon, Peter & Markowitz, Sara, 2016. "Job mobility among parents of children with chronic health conditions: Early effects of the 2010 Affordable Care Act," Journal of Health Economics, Elsevier, vol. 48(C), pages 26-43.
  • Handle: RePEc:eee:jhecon:v:48:y:2016:i:c:p:26-43
    DOI: 10.1016/j.jhealeco.2016.03.004
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    Cited by:

    1. Trinh, Cong Tam & Nguyen, Xuan & Sgro, Pasquale & Pham, Cong S., 2020. "Culture, financial crisis and the demand for property, accident and health insurance in the OECD countries," Economic Modelling, Elsevier, vol. 93(C), pages 480-498.
    2. Laura Connolly & Matt Hampton & Otto Lenhart, 2024. "Labor mobility and the Affordable Care Act: Heterogeneous impacts of the preexisting conditions provision," Journal of Policy Analysis and Management, John Wiley & Sons, Ltd., vol. 43(1), pages 157-191, January.
    3. J Matthew Hampton & Otto Lenhart, 2019. "'Til insurance do us part: the effect of the affordable care act preexisting conditions provision on marriage," Working Papers 1902, University of Strathclyde Business School, Department of Economics.
    4. Matt Hampton & Otto Lenhart, 2022. "Access to health care and mental health—Evidence from the ACA preexisting conditions provision," Health Economics, John Wiley & Sons, Ltd., vol. 31(5), pages 760-783, May.
    5. Maclean, Johanna Catherine & Webber, Douglas, 2022. "Government regulation and wages: Evidence from continuing coverage mandates," Labour Economics, Elsevier, vol. 78(C).
    6. Aouad, Marion, 2023. "The intracorrelation of family health insurance and job lock," Journal of Health Economics, Elsevier, vol. 90(C).

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    More about this item

    Keywords

    Job lock; Health insurance; Child health; Health care reform; ACA;
    All these keywords.

    JEL classification:

    • I10 - Health, Education, and Welfare - - Health - - - General
    • I13 - Health, Education, and Welfare - - Health - - - Health Insurance, Public and Private
    • I18 - Health, Education, and Welfare - - Health - - - Government Policy; Regulation; Public Health
    • J6 - Labor and Demographic Economics - - Mobility, Unemployment, Vacancies, and Immigrant Workers

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