论文标题
《平价医疗法案》的影响依赖覆盖范围授权对同性夫妇中个人的健康保险覆盖范围
Effects of the Affordable Care Act Dependent Coverage Mandate on Health Insurance Coverage for Individuals in Same-Sex Couples
论文作者
论文摘要
2010年《平价医疗法案》依赖覆盖范围的大量研究文件负责大大增加年轻人的健康保险范围。尚无先前的研究检查性少数年轻人是否也从依赖覆盖范围中受益，尽管先前的研究表明，性少数群体的健康保险范围较低，并且与父母关系紧张的可能性较高的事实可能预测使用父母覆盖的能力较低。我们使用差异差异和事件研究模型对美国社区调查的估计表明，与稍大的27至31岁男性在同性伴侣中稍大的27至31岁男性相关的更改，同性伴侣21-25岁的男性更有可能获得任何健康保险。这种增加集中在雇主赞助的保险中，这对于时间段和年龄段的排列是可靠的。在同性伴侣和不同性别夫妇中的男性中对女性的影响小于同性伴侣中男性的相关影响。这些发现证实了扩大的依赖覆盖范围的广泛影响，并表明消除联邦依赖的授权可以减少同性夫妻中年轻成年少数群体的健康保险。
A large body of research documents that the 2010 dependent coverage mandate of the Affordable Care Act was responsible for significantly increasing health insurance coverage among young adults. No prior research has examined whether sexual minority young adults also benefitted from the dependent coverage mandate, despite previous studies showing lower health insurance coverage among sexual minorities and the fact that their higher likelihood of strained relationships with their parents might predict a lower ability to use parental coverage. Our estimates from the American Community Surveys using difference-in-differences and event study models show that men in same-sex couples age 21-25 were significantly more likely to have any health insurance after 2010 compared to the associated change for slightly older 27 to 31-year-old men in same-sex couples. This increase is concentrated among employer-sponsored insurance, and it is robust to permutations of time periods and age groups. Effects for women in same-sex couples and men in different-sex couples are smaller than the associated effects for men in same-sex couples. These findings confirm the broad effects of expanded dependent coverage and suggest that eliminating the federal dependent mandate could reduce health insurance coverage among young adult sexual minorities in same-sex couples.
