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.
- Health policy
- Affordable Care Ac
DTDaniel Sebastian Tello-TrilloFrank Batten School of Leadership and Public Policy
JMJessica Keim MalpassSchool of Nursing
RDRebecca A. DillinghamSchool of Medicine
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.
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.
We will use at least 50% of the funding to hireat least 1 undergraduate student, 1 masters in public policy student, and 1masters in public health student. If funds allow, we will hire more students.We will pay them an hourly wage to learn how to use R, conduct literaturesearches for the project, clean data, and conduct data analyses. The studentswill use the context of this project to strengthen existing research skills andlearn new research skills. We will mentor these students as they work on theproject and there will also be the opportunity for mentoring between thestudents.