Public Policy, Health Insurance and the Transition to Adulthood
This paper assesses the impact of two recent policies designed to increase insurance coverage for older teens and young adults. The introduction of SCHIP in 1997 enabled low and moderate income teens up to age 19 to gain access to public health insurance. More recent policies adopted by a number of states have enabled young adults between the ages of 19 and (typically) 24 to remain covered under their parents' health insurance. We take advantage of the discrete break in coverage at age 19 to evaluate the impact of SCHIP. We also use quasi-experimental variation across states and years along with the targeted nature of eligibility to evaluate the impact of these "extended parental coverage" laws. Our results suggest that both types of policies were effective at increasing health insurance coverage, especially among their respective target populations. Overall, SCHIP increases insurance coverage by 3 percentage points; those with incomes under 150 percent of poverty are found to experience a 7 percentage point increase. We find little evidence of crowd-out associated with the introduction of SCHIP. Extended parental coverage laws have minimal aggregate effects on coverage, but they increase coverage by up to 5 percentage points for select groups. These laws may generate reverse crowd-out, as individuals leave public insurance coverage to take advantage of the private coverage now available to them.
|Date of creation:||Jun 2009|
|Date of revision:|
|Note:||CH HC HE|
|Contact details of provider:|| Postal: National Bureau of Economic Research, 1050 Massachusetts Avenue Cambridge, MA 02138, U.S.A.|
Web page: http://www.nber.org
More information through EDIRC
Please report citation or reference errors to , or , if you are the registered author of the cited work, log in to your RePEc Author Service profile, click on "citations" and make appropriate adjustments.:
- Jonathan Gruber & Kosali Simon, 2007. "Crowd-Out Ten Years Later: Have Recent Public Insurance Expansions Crowded Out Private Health Insurance?," NBER Working Papers 12858, National Bureau of Economic Research, Inc.
- Randall P. Ellis & Ching‐to Albert Ma, 2011.
"Health insurance, cost expectations, and adverse job turnover,"
John Wiley & Sons, Ltd., vol. 20(1), pages 27-44, January.
- Randall P. Ellis & Ching-to Albert Ma, 2007. "Health Insurance, Cost Expectations, and Adverse Job Turnover," Boston University - Department of Economics - Working Papers Series WP2007-034, Boston University - Department of Economics.
- Michael Anderson & Carlos Dobkin & Tal Gross, 2012.
"The Effect of Health Insurance Coverage on the Use of Medical Services,"
American Economic Journal: Economic Policy,
American Economic Association, vol. 4(1), pages 1-27, February.
- Michael Anderson & Carlos Dobkin & Tal Gross, 2010. "The Effect of Health Insurance Coverage on the Use of Medical Services," NBER Working Papers 15823, National Bureau of Economic Research, Inc.
- Anthony T. LoSasso & Thomas C. Buchmueller, 2002.
"The Effect of the State Children's Health Insurance Program on Health Insurance Coverage,"
NBER Working Papers
9405, National Bureau of Economic Research, Inc.
- Lo Sasso, Anthony T. & Buchmueller, Thomas C., 2004. "The effect of the state children's health insurance program on health insurance coverage," Journal of Health Economics, Elsevier, vol. 23(5), pages 1059-1082, September.
- Ham, John C. & Shore-Sheppard, Lara, 2005.
"The effect of Medicaid expansions for low-income children on Medicaid participation and private insurance coverage: evidence from the SIPP,"
Journal of Public Economics,
Elsevier, vol. 89(1), pages 57-83, January.
- Lara D. Shore-Sheppard & John C. Ham, 2003. "The Effect of Medicaid Expansions for Low-Income Children on Medicaid Participation and Private Insurance Coverage : Evidence from the SIPP," Department of Economics Working Papers 2003-10, Department of Economics, Williams College.
- Margo Rosenbach & Marilyn Ellwood & Carol Irvin & Cheryl Young & Wendy Conroy & Brian Quinn & Megan Kell, 2003. "Implementation of the State Childrens Health Insurance Program SCHIP Synthesis of State Evaluations," Mathematica Policy Research Reports 5f3bda32db9e4a9eb9d4dfc3a, Mathematica Policy Research.
- David M. Cutler & Jonathan Gruber, 1996. "Does Public Insurance Crowd out Private Insurance?," The Quarterly Journal of Economics, Oxford University Press, vol. 111(2), pages 391-430.
- David M. Cutler & Sarah J. Reber, 1998. "Paying for Health Insurance: The Trade-Off between Competition and Adverse Selection," The Quarterly Journal of Economics, Oxford University Press, vol. 113(2), pages 433-466.
- Blumberg, Linda J. & Dubay, Lisa & Norton, Stephen A., 2000. "Did the Medicaid expansions for children displace private insurance? An analysis using the SIPP," Journal of Health Economics, Elsevier, vol. 19(1), pages 33-60, January.
When requesting a correction, please mention this item's handle: RePEc:nbr:nberwo:15114. See general information about how to correct material in RePEc.
For technical questions regarding this item, or to correct its authors, title, abstract, bibliographic or download information, contact: ()
If references are entirely missing, you can add them using this form.