Document Type

Honors Project


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.

Included in

Health Policy Commons



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