The Affordable Care Act and Women's Self-Employment in the United States

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 article employs nationally representative survey data for 2009-18 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 2015-18, 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.

Automated summary

The Affordable Care Act in the United States improved the availability of non-group health insurance, which led to an increase in self-employment among unmarried women. The expansion of individual health insurance coverage had a positive impact on the rate of self-employment among women.