The full impact of the affordable care act on political participation

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


This article examines the impact of both the Medicaid expansion and the private insurance-related components of the Affordable Care Act (ACA) on voter turnout and registration. We employ a difference-in-difference-in-differences identification strategy exploiting variation over time, state Medicaid expansion status, and within-state local area pre-ACA uninsured rates. Using data between 2006 and 2016 from the November Current Population Survey and the Census Bureau's Small Area Health Insurance Estimates, our results suggest little effect of the ACA on voter turnout or registration.

Original languageEnglish
Pages (from-to)179-204
Number of pages26
Issue number2
StatePublished - Jul 2020

Bibliographical note

Publisher Copyright:
© 2020 Russell Sage Foundation.


  • Affordable care act
  • Health insurance
  • Health-care finance
  • Medicaid
  • Voter turnout

ASJC Scopus subject areas

  • Social Sciences (miscellaneous)


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