HealthLawProf Blog

Editor: Katharine Van Tassel
Case Western Reserve University School of Law

Monday, June 27, 2022

The Affordable Care Act and Women’s Self-Employment

Margaret Blume-Kohout (Gettysburg College), The Affordable Care Act and Women’s Self-Employment, Feminist Econ. (Forthcoming):

The United States’ Affordable Care Act (ACA) of 2010 improved and expanded availability of non-group health insurance. Previous studies have shown that women in the US workforce value health insurance more highly than men do. Because prior to the ACA self-employed individuals did not have guaranteed access to affordable health insurance coverage, women’s relatively lower rate of self-employment may partly have reflected their greater ‘job lock’ due to employer-based health insurance. This paper employs nationally-representative survey data for 2009-2018 and a quasi-experimental difference-in-difference modeling approach and finds that unmarried women’s probability of self-employment increased by 1.2 percentage points in 2015-2018, after the ACA’s expansion of non-group health insurance came into effect. Among women who have never married, overall probability of self-employment increased by 1.2-1.5 percentage points versus trend, and the probability of transitioning into full-time self-employment increased by 0.9 percentage points.

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