Does health insurance reform reduce how much workers choose to work?
Core argument: CBO projects the Affordable Care Act will reduce full-time-equivalent employment by roughly 2.5m by 2024 relative to what would have occurred without the law, primarily through lower labor supply as workers choose fewer hours or none.
The Congressional Budget Office (CBO) projects that the Affordable Care Act (ACA) will lead to a reduction in full-time-equivalent employment by approximately 2.5m by 2024, compared to what would have occurred without the ACA. This decline is primarily due to a decrease in labor supply, as workers opt to work fewer hours or not at all, influenced by new taxes, incentives, and financial benefits. The CBO estimates a 1.5% to 2.0% reduction in total hours worked from 2017 to 2024, with a corresponding 1% decrease in aggregate labor compensation. The impact is expected to be more pronounced among lower-wage workers, though the overall economic effect will be smaller than the reduction in hours worked. This change reflects a shift in labor force participation rather than an increase in unemployment or underemployment.








Ed Comment, “This seems like it. seems I have somewhat misremembered it. this raises an interesting point about worker who don’t have jobs so wont lose their job but they wont get a job in the future. Does the new cbo report speak to this issue? My guess is lots of them don’t have jobs now too.”
Steve Comment, “So they don’t carve out a specific estimate of non-workers who would otherwise be working but for the higher wage specifically. “…Under the first option ($15 an hour), according to CBO’s median estimate, about 1.3 million workerswho would otherwise be employed would be joblessin an average week in 2025. That decrease would account for 0.8 percent of all workers and 7 percent of directly affected workers who would otherwise earn less than $15 per hour…The $15 option would alter employment more for some groups than for others. Almost 50 percent of the newly jobless workers in a given week—600,000 of 1.3 million—would be teenagers (some of whom would live in families with income well above the poverty threshold). Employment would also fall disproportionately among part-time workers and adults without a high school diploma….”In the appendix they define affected workers, this definition doesn’t seem to capture those who don’t gain entry into the labor force in the first place, though perhaps the “newly jobless workers” # above given teenagers are new labor market entries might be a proxy?“…For each option, CBO estimated the number of workers whocould be affected. Directly affected workers are those whose hourly wage, in the absence of the change in the minimum wage, would range from just below the old minimum to the new, higher minimum and who therefore would either receive a higher wage or become jobless if the new federal minimum were adopted. Potentially affected workers are those whose wages would otherwise be slightly above the new federal minimum in 2025; their wages would also be affected by a higher minimum.CBO projects that such workers’ employment would not be affected by their newly higher wages, though it might be affected by changes in overall demand induced by the options….”