Employment, Income, the ACA, and Health Insurance Coverage of Working-Age Adults During the First Year of the COVID-19 Pandemic: A Reassessment.

ABSTRACT:

Objective

To examine the effects of income, income transitions, and the Affordable Care Act (ACA) Medicaid expansion on health insurance coverage for working-age adults who became unemployed during the first year of the COVID-19 pandemic and for those who remained employed.

Study setting and design

We estimated panel-data regression models to assess the effects of employment, income and income transitions, and the Medicaid expansion on the type of insurance coverage and uninsurance among working-age adults in the United States during 2019 and 2020.

Data sources and analytic sample

Longitudinal data from the 2019-2020 Medical Expenditure Panel Survey and data on states' Medicaid expansion status. The study participants were 6435 adults aged 26-64.

Principal findings

SUBMITTER: Escarce JJ 

PROVIDER: S-EPMC12461136 | biostudies-literature | 2025 Oct

REPOSITORIES: biostudies-literature