Part-time Employment and Health Insurance Reform: What Can Massachusetts Tell Us about the Affordable Care Act?

Authors

  • Laura J. Owen DePaul University

DOI:

https://doi.org/10.18533/rss.v2i3.90

Keywords:

Affordable Care Act, Health reform, Part-time employment

Abstract

Experience with health insurance reform in Massachusetts may provide a good forecast of the impact of the Affordable Care Act [ACA] on the growth of part-time employment. Concerns have been expressed that the ACA will lead to growing part-time employment, but it will take several years to observe this effect and whether it is labor demand (firm) or labor supply (worker) initiated. Using state-level data from 1999 to 2012, I treat the 2007 implementation of the new Massachusetts health insurance system as an “experiment” to examine whether it had any differential effect on the growth in part-time employment in the state. A panel estimation including fixed cross-section and period effects reveals that voluntary part-time employment increased in Massachusetts relative to the other states, but reform measures did not have an effect on involuntary part-time employment. The impact of the reform on voluntary part-time employment suggests that some Massachusetts workers found the pre-reform system to be an obstacle to their choice of optimal work hours. The implementation of the ACA, by providing avenues for obtaining health insurance that are not directly tied to employment, may remove this obstacle for workers in other states and make part-time employment a more attractive choice for workers across the U.S.

Author Biography

  • Laura J. Owen, DePaul University
    Economics Department

References

Aaronson, D., & Lubotsky, D. (2014). The Affordable Care Act and the Labor Market. Chicago Fed Letter No. 323.

Antwi, Y.A., Moriya, A.S., & Simon, K. (2013). Effects of Federal Policy to Insure Young Adults: Evidence from the 2010 Affordable Care Act's Dependent-Coverage Mandate. American Economic Journal: Economic Policy,5(4), 1-28.

Blank, R.M. (1990). Are Part-time Jobs Bad Jobs? In G. Burtless (Ed.) A Future of Lousy Jobs? The Changing Structure of U.S. Wages, (123-55). Washington D.C.: The Brookings Institution.

Cutler, D.M. & Madrian, B.C. (1998). Labor Market Responses to Rising Health Insurance Costs: Evidence on Hours Worked. RAND Journal of Economics, 29(3), 509-30.

Depew, B. (2015). The Effect of State Dependent Mandate Laws on the Labor Supply Decisions of Young Adults. Journal of Health Economics, 39, 123-34.

Duffy, A. & Pupo, N. (1992). Part-time Paradox: Connecting Gender, Work and Family. Toronto: McClelland & Stewart Inc.

Ehrenberg, R.G., Rosenberg, P. & Li, J.C. (1988). Part-time Employment in the United States. In R.A. Hart (Ed.) Employment, Unemployment and Labor Utilization, (256-81). Boston: Unwin Hyman.

Gallaway, L. (1995). Public Policy and Part-Time Employment. Journal of Labor Research, 16(3), 305-14.

Garthwaite, C., Gross, T. & Notowidigdo, M.J. (2014). Public Health Insurance, Labor Supply, and Employment Lock. Quarterly Journal of Economics, 129(2), 653-96.

Gruber, J. (2011a). The Impacts of the Affordable Care Act: How Reasonable Are the Projections? National Tax Journal, 64(3), 893-908.

Gruber, J. (2011b). Massachusetts Points the Way to Successful Health Care Reform. Journal of Policy Analysis and Management, 30(10), 184-92.

Gruber, J. & Madrian, B.C. (1994). Health Insurance and Job Mobility: The Effects of Public Policy on Job-Lock. Industrial and Labor Relations Review, 48(1), 86-102.

Gruber, J. & Madrian, B.C. (2004). Health Insurance, Labor Supply, and Job Mobility: A Critical Review of the Literature. In C. McLaughlin (Ed.) Health Policy and the Uninsured (97-178). Washington, D.C.: Urban Institute Press.

Hahn, Y. & Yang, H. (2016). Do Work Decisions among Young Adults Respond to Extended Dependent Coverage? Industrial and Labor Relations Review, 69(3), 737-71

Hamersma, S. & Kim, M. (2009). The Effect of Parental Medicaid Expansions on Job Mobility. Journal of Health Economics, 28(4), 761-70.

Heim, B.T. & Lurie, I.Z. (2015). The Impact of Health Reform on Job Mobility: Evidence from Massachusetts. American Journal of Health Economics, 1(3), 374–398.

Houseman, S. (2001). Why Employers Use Flexible Staffing Arrangements: Evidence From an Establishment Survey. Industrial and Labor Relations Review, 55(1), 149-170.

Jorgensen, H. & Baker, D. (2014). The Affordable Care Act: A Family-Friendly Policy. Center for Economic and Policy Research Issue Brief.

Kalleberg, A.L., Reskin, B.F. & Hudson, K. (2000). Bad Jobs in America: Standard and Nonstandard Employment Relations and Job Quality in the United States. American Sociological Review, 65(2), 256-278.

Kolstad, J.T. & Kowalski, A.E. (2016). Mandate-Based Health Reform and the Labor Market: Evidence from the Massachusetts Reform. Journal of Health Economics, 47, 81-106.

Marshall, K. (2001). Part-time by Choice. Perspectives on Labour and Income, 13(1), 20-27.

Massachusetts Chapter 58 of the Acts of 2006. An Act Providing Access to Affordable, Quality, Accountable Health Care. [cited as MA St. 2006, c.58]. Retrieved from https://malegislature.gov/Laws/SessionLaws/Acts/2006/Chapter58

Mathur, A. Slavov, S.N. & Strain, M.R. (2015). Has the Affordable Care Act Increased Part-Time Employment? Applied Economics Letters, 23(1-3), 222-25.

Mulligan, C.B. (2014). The Economics of Work Schedules under the New Hours and Employment Taxes. NBER Working Paper No. 19936. © 2014 by Casey B. Mulligan.

Owen, L.J. (2015). The Choice of Part-time Employment in the United States and Canada, 1955-2000. Labor History, 56(5), 643-69.

Pear, R. (2014, May 26). I.R.S. Bars Employers from Dumping Workers into Health Exchanges. New York Times, A12.

Pupo, N. & Duffy, A. (2000). Canadian Part-time Work into the Millennium: On the Cusp of Changes. Community, Work and Family, 3(1), 81-101.

Raymond, A.G. (2011). Massachusetts Health Reform: A Five-Year Progress Report. Blue Cross-Blue Shield Foundation of Massachusetts. Retrieved from http://www.power2u.org/downloads/Mass-health-care-reform-2011.pdf

Snider, S. (1995). Characteristics of the Part-Time Work Force and Part-Time Employee Participation in Health and Pension Benefits. Journal of Labor Research, 16(3), 239-48.

Tilly, C. (1991). Reasons for the Continuing Growth of Part-time Employment. Monthly Labor Review, 114(3), 10-18.

U.S. Congressional Budget Office. (2014, February). The Budget and Economic Outlook: 2014 to 2024. Publication no. 45010. Retrieved from http://www.cbo.gov/sites/default/files/cbofiles/attachments/45010-Outlook2014_Feb.pdf

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2017-03-21

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