TY - JOUR AU - Courtemanche, Charles AU - Marton, James AU - Ukert, Benjamin AU - Yelowitz, Aaron AU - Zapata, Daniela TI - Effects of the Affordable Care Act on Health Behaviors after Three Years JF - National Bureau of Economic Research Working Paper Series VL - No. 24511 PY - 2018 Y2 - April 2018 DO - 10.3386/w24511 UR - http://www.nber.org/papers/w24511 L1 - http://www.nber.org/papers/w24511.pdf N1 - Author contact info: Charles J. Courtemanche Department of Economics Gatton College of Business and Economics University of Kentucky Lexington, KY 40506-0034 Tel: (859) 323-7990 Fax: (859) 323-1920 E-Mail: courtemanche@uky.edu James Marton Georgia State University Andrew Young School of Policy Studies Department of Economics P.O. Box 3992 Atlanta, GA 30302-3992 E-Mail: marton@gsu.edu Benjamin D. Ukert 212 Adriance Lab Rd College Station, TX 77843 E-Mail: benukert@gmail.com Aaron Yelowitz University of Kentucky Department of Economics 225H Business and Economics Building Lexington, KY 40506 Tel: 859/257-7634 Fax: 859/323-1920 E-Mail: aaron@uky.edu Daniela Zapata Impaq International 1325 G Street, NW Suite 900 Washington, DC 20005 E-Mail: dzapata@impaqint.com AB - This paper examines the impacts of the Affordable Care Act (ACA) – which substantially increased insurance coverage through regulations, mandates, subsidies, and Medicaid expansions – on behaviors related to future health risks after three years. Using data from the Behavioral Risk Factor Surveillance System and an identification strategy that leverages variation in pre-ACA uninsured rates and state Medicaid expansion decisions, we show that the ACA increased preventive care utilization along several dimensions, but also increased risky drinking. These results are driven by the private portions of the law, as opposed to the Medicaid expansion. We also conduct subsample analyses by income and age. ER -