TY - JOUR AU - Garthwaite, Craig AU - Gross, Tal AU - Notowidigdo, Matthew J TI - Public Health Insurance, Labor Supply, and Employment Lock JF - National Bureau of Economic Research Working Paper Series VL - No. 19220 PY - 2013 Y2 - July 2013 DO - 10.3386/w19220 UR - http://www.nber.org/papers/w19220 L1 - http://www.nber.org/papers/w19220.pdf N1 - Author contact info: Craig Garthwaite Kellogg School of Management Northwestern University 2211 Campus Drive Evanston, IL 60208 Tel: 847/491-2509 Fax: 847/467-1777 E-Mail: c-garthwaite@kellogg.northwestern.edu Tal Gross Questrom School of Business 595 Commonwealth Ave. Boston, MA 02215 E-Mail: talgross@bu.edu Matthew J. Notowidigdo University of Chicago Booth School of Business 5807 S Woodlawn Ave Chicago, IL 60637 Tel: 773-834-6249 E-Mail: noto@chicagobooth.edu M2 - featured in NBER digest on 2013-09-19 AB - We study the effect of public health insurance eligibility on labor supply by exploiting the largest public health insurance disenrollment in the history of the United States. In 2005, approximately 170,000 Tennessee residents abruptly lost public health insurance coverage. Using both across- and within-state variation in exposure to the disenrollment, we estimate large increases in labor supply, primarily along the extensive margin. The increased employment is concentrated among individuals working at least 20 hours per week and receiving private, employer-provided health insurance. We explore the dynamic effects of the disenrollment and find an immediate increase in job search behavior and a steady rise in both employment and health insurance coverage following the disenrollment. Our results suggest a significant degree of "employment lock" - workers employed primarily in order to secure private health insurance coverage. The results also suggest that the Affordable Care Act - which similarly affects adults not traditionally eligible for public health insurance - may cause large reductions in the labor supply of low-income adults. ER -