Health Policy Commons^™

Responding To The Affordable Care Act: Health Insurance Exchange Policy Diffusion, Margaret Worman

Political Science Honors Projects

Following the passage of the Affordable Care Act, the government of each U.S. state either adopted a state run health insurance exchange or defaulted to a federally run exchange. This study uses event history analysis to examine this decision making process and the broader diffusion of health insurance exchange policy among the states. The results of this analysis indicate that states with a government controlled by the Democratic Party, a moralistic political culture, and a large uninsured population were more likely to adopt a state run exchange at an earlier date.