Employment Effects of the ACA Medicaid Expansions
We examine whether the recent expansions in Medicaid from the Affordable Care Act reduced “employment lock” among childless adults who were previously ineligible for public coverage. We compare employment in states that chose to expand Medicaid versus those that chose not to expand, before and after implementation. We find that although the expansion increased Medicaid coverage by 3.0 percentage points among childless adults, there was no significant impact on employment.
We thank Colleen Carey, Maria Fitzpatrick, Ilyana Kuziemko, Zhuan Pei, and workshop participants at Princeton University and Cornell University for many helpful comments. We are grateful to Samsun Knight, Suejin Lee, Katherine Wen, Amy Wickett, and Sophie Zhu for excellent research assistance. The views expressed herein are those of the authors and do not necessarily reflect the views of the National Bureau of Economic Research.