The Impact of the Affordable Care Act’s dependent mandate on people living with HIV

Public Health; Epidemiology; Econometrics; Public Policy

This project will use econometrics methods to investigate the effects of the Affordable Care Act’s dependent mandate on HIV viral suppression for people living with HIV ages 23-28 in Virginia.

This research aims to analyze the effects of theAffordable Care Act’s dependent mandate on HIV viral suppression for peopleliving with HIV ages 23-28 in Virginia. The dependent mandate was a part of theACA that had the goal of increasing insurance coverage of those under 26 byextending parental insurance coverage to people under the age of 26. However,in order for the dependent mandate to have its intended effect, a person underthe age of 26 must have a relationship with their parent, their parent musthave insurance, and the family must know that it is an option. We hypothesizethat this type of public policy has not had a measurable impact on HIV outcomesin Virginia. We hypothesize that there will be no improved HIV viralsuppression for those 23-26 compared with those over 26. This study willexamine data from 2008-2010 (pre dependent mandate) and 2010-2013 (postdependent mandate) so that other aspects of the ACA which came into effect in2014 will not confound the findings. We will use regression discontinuity, aneconometrics method, and take advantage of the discontinuity of eligibility forthe ACA’s dependent mandate at the age cut off of 26. 

Desired outcomes

We are excited to submit this project to 3Cavsas we are interested in (1) testing our hypotheses, presenting this work at anational conference, and publishing a peer-reviewed manuscript and (2) trainingat least 3 potential future researchers.