TY - RPRT AU - Courtemanche, Charles AU - Marton, James AU - Ukert, Benjamin AU - Yelowitz, Aaron AU - Zapata, Daniela TI - Effects of the Affordable Care Act on Health Behaviors after Three Years PY - 2018/Apr/ PB - Institute of Labor Economics (IZA) CY - Bonn T2 - IZA Discussion Paper IS - 11468 UR - https://www.iza.org/publications/dp11468 AB - This paper examines the impacts of the Affordable Care Act (ACA) – which substantially increased insurance coverage through regulations, mandates, subsidies, and Medicaid expansions – on behaviors related to future health risks after three years. Using data from the Behavioral Risk Factor Surveillance System and an identification strategy that leverages variation in pre-ACA uninsured rates and state Medicaid expansion decisions, we show that the ACA increased preventive care utilization along several dimensions, but also increased risky drinking. These results are driven by the private portions of the law, as opposed to the Medicaid expansion. We also conduct subsample analyses by income and age. KW - drinking KW - smoking KW - obesity KW - health behavior KW - Medicaid KW - health insurance KW - Affordable Care Act KW - preventive care KW - screening ER -