The 26‐year threshold in a high‐uninsured state: Evidence from Texas
Abstract
Abstract The Affordable Care Act's dependent‐coverage mandate reduced uninsurance among young adults, but less is known about the consequences of losing parental insurance at age 26. Using a regression discontinuity design and 2011–2021 Texas Behavioral Risk Factor Surveillance System (BRFSS) data, I find a sharp 5–7 pp (8%) coverage drop at the cutoff, concentrated among unmarried, unemployed, and non‐metropolitan adults. Overall health care use and health outcomes show no statistically significant changes, but women and unemployed adults report declines in good health, and married and employed adults report worse mental health. National BRFSS results show smaller coverage losses (2%–3%), reflecting stronger safety nets outside Texas.
Fields of Study & Subjects
Healthcare Policy and Management
Health disparities and outcomes
Healthcare Systems and Reforms
Publication details
- Journal / source
- Contemporary Economic Policy
- Volume
- 44
- Issue
- 3
- Pages
- 668–688
- Publication date
- 12 February 2026
- Language
- EN