Table 5.

Studies of the impact of the ACA DCE on outpatient preventive and behavioral health care

Paper	Intervention		Control		Time Period		Data Source	Findings
	Age Group	Sample Size	Age Group	Sample Size	Pre-DCE	Post-DCE
(Barbaresco et al., 2015)	23-25	49,502	27-29	68,892	1/2007- 9/2010	10/2010- 12/2013	BRFSS	No effect on flu shot, physical exam or PAP test
(Chen et al., 2015)	19-26	9,327	27-30	4,982	1/2008- 12/2009	1/2011- 12/2012	MEPS	No effect on having ≥1 physician visit
(Han, Yabroff, Robbins, Zheng, & Jamal, 2014)	19-25	10,150	26-30	7,044	2009	2011- 2012	MEPS	Increase in blood pressure measurement. No effect on flu vaccination, PAP test, or physical exams
(Kotagal et al., 2014)	19-25	Not reported	26-34	Not reported	2009	2012	BRFSS	No effect on physical exam
(Kotagal et al., 2014)	19-25	Not reported	26-34	Not reported	2009	2012	NHIS	No effect on flu shot
(Jhamb et al., 2015)	19-25	21,993	27-33	26,750	2005- 2009	2011- 2013	NHIS	Increase in number of Dr.’s office visits
(Lau, Adams, Park, et al., 2014)	18-25	7,485	No Control Age Group		2009	2011	MEPS	Increase in cholesterol screening. No effect on physical exam, blood pressure measurement or flu shot
(Wallace & Sommers, 2015)	19-25	142,356	26-34	314,610	1/2005- 3/2010	9/2010- 12/2012	BRFSS	No effect on physical exam
(Chua & Sommers, 2014)	19-25	26,453	26-34	34,052	2002- 2009	2011	MEPS	No effect on ≥1 outpatient or primary care visit
(Saloner & Le Cook, 2014)	18-25	13,897	26-35	Not reported	2008- 2010	2011- 2012	NSDUH	Increase in use of any MH outpatient services. No effect on inpatient, outpatient or private MH care
(Saloner & Le Cook, 2014)	18-25	14,705	26-35	Not reported	2008- 2010	2011- 2012	NSDUH	No effect on SA treatment of any kind

BRFSS= Behavioral Risk Factor Surveillance System; MEPS= Medical Expenditure Panel Survey; NHIS=National Health Interview Survey; NSDUH=National Survey of Drug Use and Health; MH=Mental Health; SA=Substance Abuse