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Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood * David W. Brown Amanda E. Kowalski Ithai Z. Lurie § June 22, 2018 Abstract We use administrative data from the IRS to examine long-term impacts of child- hood Medicaid eligibility expansions on outcomes in adulthood at each age from 19–28. Greater Medicaid eligibility increases college enrollment and decreases fertility, espe- cially through age 21. Starting at age 23, females have higher contemporaneous wage income, although male increases are imprecise. Together, both genders have lower mortality. These adults collect less from the earned income tax credit and pay more in taxes. Cumulatively from ages 19–28, at a 3% discount rate, the federal government recoups 57 cents of each dollar of its “investment” in childhood Medicaid. * A previous version of this paper circulated as “Medicaid as an Investment in Children: What is the Long-Term Impact on Tax Receipts?” We thank Manasi Deshpande, Danny Yagan, and participants at the NBER Summer Institute, UCLA Anderson, the University of Connecticut, the University of Kentucky, Vanderbilt, and Yale for helpful comments. Kate Archibald, William Bishop, Saumya Chatrath, Anna Cornelius-Schecter, Rebecca McKibbin, Pauline Mourot, Sam Moy, Ljubica Ristovska, Sukanya Sravasti, Rae Staben, and Matthew Tauzer provided excellent research assistance. Support for Amanda Kowalski’s work on this project was provided in part by National Science Foundation (NSF) CAREER Award 1350132, National Institute on Aging of the National Institutes of Health (NIH) Award P30AG12810, and the Robert Wood Johnson Foundation. The findings, interpretations, and conclusions expressed in this paper are entirely those of the authors and do not necessarily represent the views of the US Department of Treasury or the Robert Wood Johnson Foundation. Office of Tax Analysis, US Department of the Treasury. E-mail: [email protected]. Corresponding author. Department of Economics, Yale University. 37 Hillhouse Avenue, Room 32, Box 208264, New Haven CT 06520. E-mail: [email protected]. § Office of Tax Analysis, US Department of the Treasury. E-mail: [email protected]. 1

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Page 1: Long-Term Impacts of Childhood Medicaid Expansions on ...ak669/medicaid.latest.draft.pdf · Long-Term Impacts of Childhood Medicaid Expansions on Outcomes in Adulthood David W. Browny

Long-Term Impacts of Childhood Medicaid Expansions

on Outcomes in Adulthood∗

David W. Brown† Amanda E. Kowalski‡ Ithai Z. Lurie§

June 22, 2018

Abstract

We use administrative data from the IRS to examine long-term impacts of child-

hood Medicaid eligibility expansions on outcomes in adulthood at each age from 19–28.

Greater Medicaid eligibility increases college enrollment and decreases fertility, espe-

cially through age 21. Starting at age 23, females have higher contemporaneous wage

income, although male increases are imprecise. Together, both genders have lower

mortality. These adults collect less from the earned income tax credit and pay more in

taxes. Cumulatively from ages 19–28, at a 3% discount rate, the federal government

recoups 57 cents of each dollar of its “investment” in childhood Medicaid.

∗A previous version of this paper circulated as “Medicaid as an Investment in Children: What is theLong-Term Impact on Tax Receipts?” We thank Manasi Deshpande, Danny Yagan, and participants atthe NBER Summer Institute, UCLA Anderson, the University of Connecticut, the University of Kentucky,Vanderbilt, and Yale for helpful comments. Kate Archibald, William Bishop, Saumya Chatrath, AnnaCornelius-Schecter, Rebecca McKibbin, Pauline Mourot, Sam Moy, Ljubica Ristovska, Sukanya Sravasti,Rae Staben, and Matthew Tauzer provided excellent research assistance. Support for Amanda Kowalski’swork on this project was provided in part by National Science Foundation (NSF) CAREER Award 1350132,National Institute on Aging of the National Institutes of Health (NIH) Award P30AG12810, and the RobertWood Johnson Foundation. The findings, interpretations, and conclusions expressed in this paper are entirelythose of the authors and do not necessarily represent the views of the US Department of Treasury or theRobert Wood Johnson Foundation.†Office of Tax Analysis, US Department of the Treasury. E-mail: [email protected].‡Corresponding author. Department of Economics, Yale University. 37 Hillhouse Avenue, Room 32, Box

208264, New Haven CT 06520. E-mail: [email protected].§Office of Tax Analysis, US Department of the Treasury. E-mail: [email protected].

1

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1 Introduction

In the United States, several elements of the social safety net target children. One rationale

for targeting children is that the childhood years are formative. In addition to delivering

short-term gains, programs targeted at children have the promise of improving human capital

formation, health, and economic outcomes. We assess and compare the age profiles of such

long-term gains by examining the impact of policies that occurred in the past.

Using data from the Internal Revenue Service (IRS), we examine long-term impacts of

previous expansions to childhood Medicaid on several outcomes during adulthood. Medicaid,

an important element of the U.S. social safety net that provides health insurance to low-

income individuals, began over 50 years ago in 1965. It expanded dramatically in the 1980s

and again in the 1990s with the establishment of the State Children’s Health Insurance

Program (SCHIP) in 1997. These combined “Medicaid” expansions resulted in a tremendous

amount of variation in health insurance eligibility for similar children born in different months

residing in different states. We focus on children born from January 1981 to December 1984,

as these children were exposed to many expansions, and we can observe their outcomes in each

year of adulthood from age 19 to 28. Our main outcomes include college enrollment, fertility,

mortality, wage income, earned income tax credit (EITC) receipts, and tax payments.

One reason why we might expect to observe long-term impacts of Medicaid eligibility on

children is that a very large literature demonstrates robust short-term impacts on children

and other groups. Seminal papers examine a doubling of eligibility for children from 1984

to 1992 and increases in eligibility for pregnant women from 1979 to 1992 (Cutler and

Gruber, 1996; Currie and Gruber, 1996a,b). Pioneering the use of a simulated instrument

methodology that we adapt to our application, they find increases in Medicaid coverage and

utilization of medical care, as well as reductions in childhood and infant mortality. Card

and Shore-Sheppard (2004) use a regression discontinuity design to examine two childhood

eligibility increases examined by the previous literature, and they find modest increases in

coverage. Several other papers revisit Medicaid expansions and later SCHIP expansions,

generally finding Medicaid takeup rates from 5 to 24 percent.1

Building on the early literature, several papers have found short-term impacts of Medicaid

on outcomes that could serve as mechanisms for long-term impacts. These outcomes include

child and infant mortality (Goodman-Bacon, 2018), doctor visits (Lurie, 2009), births (Lin-

drooth and McCullough, 2007), vaccination rates (Joyce and Racine, 2003), assets (Gruber

and Yelowitz, 1999), marriage (Yelowitz, 1998), and abortions (Blank et al., 1996). Findings

from the Oregon Health Insurance Experiment demonstrate short-term impacts on a wide

1See Blumberg et al. (2000); Rosenbach et al. (2001); Zuckerman and Lutzky (2001); Cunningham et al.(2002); Cunningham et al. (2002); Lo Sasso and Buchmueller (2004); Ham and Shore-Sheppard (2005);Hudson et al. (2005); Bansak and Raphael (2006); Buchmueller et al. (2008); and Gruber and Simon (2008).

2

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variety of other outcomes (Finkelstein et al., 2012; Taubman et al., 2014; Baicker et al., 2013,

2014; Finkelstein et al., 2016).

A small number of papers find long-term impacts of Medicaid on health and health care

utilization. Sommers et al. (2012) finds impacts of recent Medicaid expansions on mortality

up to five years later. Revisiting one of the expansions examined by Card and Shore-Sheppard

(2004), Wherry and Meyer (2016) find a decrease in disease-related mortality for black teens

between ages 15 and 18, and Wherry et al. (2015) find decreases in hospital and emergency

department visits for black adults, but neither paper can reject decreases for whites. Other

work by Miller and Wherry (2016) finds that in utero exposure to Medicaid decreases obesity

as well as some types of hospitalizations in adulthood. Earlier work by Currie et al. (2008)

finds evidence that children living in states with greater Medicaid eligibility in early childhood

have better health outcomes later in childhood.

Other papers set the stage for why we might find long-term impacts of Medicaid on

economic outcomes in adulthood. Levine and Schanzenbach (2009) and Cohodes et al.

(2016) find long-term impacts of childhood Medicaid expansions on human capital formation.

Boudreaux et al. (2016) find impacts of the initial adoption of Medicaid on an index of health

outcomes, but they do not have enough power to detect meaningful impacts on economic

outcomes. A growing literature finds impacts on the long-term economic outcomes of children

exposed to other elements of the social safety net, including disability insurance (Deshpande,

2016), the Food Stamp program (Hoynes et al., 2016), housing policy (Chetty et al., 2016),

and a deworming program in Kenya (Baird et al., 2016).

Using administrative data from the IRS, we can examine long-term impacts of Medicaid

on outcomes that have not been examined by the Medicaid literature, and we can compare

how several outcomes evolve with each year of age. The tax data include all individuals

with any interaction with the U.S. tax system starting in 1996, yielding a very large sample

size. We focus on all children born from 1981 to 1984. Given the time span of our data,

these children are young enough for us to link them to their parents to determine Medicaid

eligibility during childhood, and they are old enough for us to observe their outcomes from

ages 19 to 28. By comparing outcomes for the same cohorts over a range of adult ages, we

can discern relationships between human capital formation, fertility, and earnings.

The tax data do not contain information on Medicaid directly, but we simulate Medicaid

eligibility in our data using an eligibility calculator that we developed from federal and state

policies, which we distribute in the BKL Calculator Appendix.2 We also examine robustness

2Several individuals contributed to the development of the calculator, and we acknowledge them in theBKL Calculator Appendix available at http://users.nber.org/~kowalski/BKL.Calculator.Appendix.

zip. Along with the calculator itself, we provide detailed documentation on each source. We also distributesimulated Medicaid eligibility series that we constructed by applying our calculator to our tax data and tothe Current Population Survey (CPS).

3

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to simulating Medicaid eligibility in the Current Population Survey (CPS). We focus on

Medicaid eligibility rather than takeup or spending because policymakers can manipulate

eligibility thresholds directly. However, we also examine measures of Medicaid takeup and

spending derived from the Medicaid Statistical Information System (MSIS).3 When we add

external sources of data, we still take advantage of our longitudinal tax data to assign

childhood states of residence.

Our baseline specification harnesses variation across children born in the same state in

different birth month cohorts and across children born in different states in the same birth

month cohort. While our specification is subject to similar concerns as other specifications

that harness state-level policy variation, we conduct exercises that alleviate some concerns.

Of particular note, we conduct a dose-response exercise made possible by our longitudinal

data. The foundation for the dose-response exercise is that poorer children are more likely

to be eligible for Medicaid, so we should see greater impacts of Medicaid on children who

resided in poorer households during childhood. The results of our dose-response exercise

show that state-level factors that affect all children regardless of household income do not

drive our results. We also conduct a falsification exercise using gender, and the results lend

credibility to our specification.

Our results show long-term impacts of Medicaid eligibility from birth to age 18 on several

outcomes in adulthood. Children with more years of Medicaid eligibility during childhood

enroll in college at higher rates, especially through age 22, and they still have a higher

probability of having ever enrolled in college by age 26. These children are less likely to have

their first dependent child in their teenage years, but impacts on this measure of fertility are

most pronounced from ages 18–21, overlapping with the ages of greatest impact on college

enrollment. After age 21, as individuals who delayed their fertility have their first child,

impacts on fertility decrease, but an absolute decrease is still apparent at age 28. Temporal

patterns in adult mortality are harder to discern, but cumulative adult mortality rates are

lower for individuals who had greater Medicaid eligibility as children.

Turning to economic outcomes, females with more years of Medicaid eligibility during

childhood have higher wage income starting at age 23, and the increases get larger with age.

By age 28, each additional year of simulated childhood Medicaid results in an increase of

$1,784 in cumulative wage income on a base of $136,600. Male increases are smaller and

imprecise. However, both genders collect less from the earned income tax credit (EITC), at

each age from 19–28. Cumulatively by age 28, for each additional year of simulated childhood

Medicaid eligibility, they collect $182 less on a base of $3,044. The increase in their total

tax payments grows with age. Cumulatively by age 28, they pay $533 more in total taxes

on a base of $20,623 for each additional year of simulated childhood Medicaid eligibility.

3We distribute these data in the BKL Calculator Appendix.

4

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Each additional year of simulated Medicaid eligibility results in an additional 0.59 years of

coverage and costs the government $636. Discounted to birth at a 3% rate and focusing on

the IV estimates, each additional year of Medicaid eligibility increases spending by $433 and

taxes by $248. The ratio of $248 to $433 implies that the government recoups 57 cents of

each dollar it spends on childhood Medicaid by age 28. Forecasts indicate that Medicaid

pays for itself by age 32 when discounted to birth at a 3% rate and delivers positive fiscal

returns thereafter.

In the next section, we discuss our data and methodology. In Section 3, we present our

main results on the long-term impact of Medicaid. We examine heterogeneity in our results

and the robustness of our results in Section 4. In Section 5, we examine Medicaid takeup

and spending, and we calculate the implied fiscal return on investment in Medicaid. We

conclude in Section 6.

2 Data and Methodology

2.1 Sample Selection

Our primary source of data comes from administrative tax records obtained from the Internal

Revenue Service (IRS). These data span 1996 to the present and include all individuals who

interacted with the tax system in those years. With access to an array of tax forms, we can

examine effects for a variety of outcomes with a high level of precision and generality. These

data have been used in few studies because of extremely limited accessibility due to their

confidential nature. Examples of studies that have used these data include Chetty et al.

(2011), Chetty et al. (2013), and Yagan (2016). Our project is one of the first to use the

population of administrative tax data to evaluate the intersection of health policy and tax

administration, alongside other work coauthored by members of our team (Helmchen et al.,

2015; Heim et al., 2017)

We focus on children born from 1981 to 1984 because these children are old enough for us

to observe their adult outcomes from ages 19 to 28, and they are young enough for us to link

them to their parents so that we can estimate their Medicaid eligibility during childhood.

We restrict analysis to children that we can link to their parents using Form 1040 in 1997,

the earliest year in which we are confident in the linkage. We do not require parents to

claim the children in any year other than 1997, but we do require parents to file a Form

1040 in each tax year from 1996 (the first year of our data) through the year in which the

child turns 18 to increase the accuracy of our Medicaid eligibility estimates. After imposing

other minor restrictions, the filing restriction eliminates about 20% of children, yielding a

main sample of 10,045,162 children.4 We examine robustness to this restriction by imputing

4Census estimates show that approximately 14.6 million children were born in 1981–1984. In the taxdata, we begin with 13,834,198 dependents claimed on Form 1040 in 1997 that were born in 1981–1984

5

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Medicaid eligibility for children whose parents do not file in years other than 1997. In any

given year, the vast majority of low-income parents file because the EITC and the child tax

credit are refundable, providing an incentive to file even if the taxpayer faces no tax liability.

Taxpayers whose employers file Form W-2 have another incentive to file because if they do

not, they forfeit any federal income tax that has been withheld.

Even if children in our sample do not file in every year of adulthood, we can observe our

six main outcomes—college enrollment, fertility, mortality, wage income, earned income tax

credit (EITC) receipts, and tax payments—given a rich set of returns filed by other parties

and the longitudinal nature of our data. For example, colleges file Form 1098-T, from which

we derive college enrollment. The Social Security Administration maintains death records

that are linked to the administrative tax records. Employers file Form W-2, which provides

information on wage income, payroll taxes, and federal income tax withholding. If individuals

do not file, their EITC receipts are zero. Our measure of fertility only requires individuals

in our sample to claim a child on a Form 1040 in at least one year of our data. From a single

filing, we can infer the age of the individual when their child was born.

2.2 Medicaid Eligibility

Our administrative tax data do not contain information on Medicaid directly, but we cal-

culate Medicaid eligibility in our data using a calculator that we developed. We provide

the calculator and associated documentation in the BKL Calculator Appendix. The calcu-

lator incorporates many federal and state policies that affected Medicaid eligibility for the

children in our sample. Since Medicaid eligibility was initially linked to eligibility for cash

assistance, we incorporate need standards defined by the Aid to Families with Dependent

Children (AFDC) program. We also incorporate eligibility thresholds from the State Chil-

dren’s Insurance Program (SCHIP) as well as federally mandated expansions to Medicaid,

such as OBRA 90.

To determine Medicaid eligibility for an individual at a given age, we first calculate

“household FPL,” household income as a percent of the federal poverty level (FPL). The

FPL is a statutory function of household size, household income, year, and state of residence;

all states except Alaska and Hawaii share the same FPL. For years prior to when our data

(we rely upon the date of birth (DOB) maintained by the Social Security Administration linked to thedependent’s social security number rather than taxpayer-provided DOB on Form 1040). However, someof these dependents are duplicates claimed on more than one return. Addressing this issue by randomlyselecting one return for duplicates, we arrive at 13,113,433 children matched as dependents in 1997. We loseadditional children for whom we cannot identify a state of residence in each filing year from 1996 through age18, arriving at 12,852,988 children. Restricting the sample to children whose parents file in every tax yearfrom 1996 until the child turns 18, we arrive at our main estimation sample of 10,045,162 children: 4,913,139females and 5,132,023 males. Part of the reason why we lose sample size in the last selection step is that3,429,112 Form 1040 records are missing from our data in Florida in 1999 (some of the missing records arefor parents of children who would otherwise be in our main sample).

6

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start in 1996, we hold household FPL constant using household FPL in the year of parent-

child linkage. We then compare household FPL to the eligibility threshold in the calculator

that corresponds to the household’s state of residence, the month of eligibility, and the child’s

age in December.5

Since we are interested in the long-term impact of Medicaid eligibility, we construct mea-

sures of cumulative eligibility during childhood. We do so by summing Medicaid eligibility

at each age from birth to age 18. To calculate Medicaid eligibility at ages before our data

begin (before age 12 for our youngest cohort and age 15 for our oldest cohort), we assume

that the child resides in the state of residence observed in the year of linkage (1997).

To address measurement error and to isolate policy-induced variation in Medicaid eligi-

bility, we first construct simulated measures of Medicaid eligibility in the tradition of Currie

and Gruber (1996b). To construct simulated Medicaid eligibility in our data, we first extract

a national sample of 200,000 dependents from 1997. For each eligibility year and state, we

use our calculator to compute the share of children born in each month of the simulation

sample who are eligible for Medicaid. To take into account trends in income over time, we

also examine robustness to simulating Medicaid eligibility using a national sample drawn

from the CPS in each year. We construct our main measure of simulated Medicaid eligibility

during childhood by summing the assigned simulated Medicaid eligibility from birth to age

18 for each individual in our data. Simulated eligibility varies with the vector of states in

which we observe the child residing in our longitudinal data.

Overall, individuals in our sample were eligible for Medicaid from birth to age 18 for an

average of 3.77 years, with a standard deviation of 5.61 years. Simulated Medicaid eligibility

is 4.49 years on average, with a standard deviation of 1.60 years. Figure 1 shows cross-state

variation in simulated Medicaid eligibility during childhood for children born in our oldest

and youngest cohorts, assuming that they resided in the same state from birth to age 18,

so simulated eligibility does not vary within a state.6 As shown in the top panel, children

born in January 1981 had just over one year of simulated eligibility from birth to age 18

in Mississippi and more than six years in Vermont. As shown in the bottom panel, there

is still a considerable amount of variation across states for children born in December 1984.

However, individuals in this youngest cohort have a population-weighted average of 1.85

additional years of simulated eligibility relative to individuals in the oldest cohort. There is

also variation in simulated Medicaid eligibility across individuals born in different months of

the same calendar year that is not visible in this figure.

5We only use the eligibility threshold from December of each year because we only observe the informationneeded for the calculator once per year (after the tax year is complete). Our focus on December eligibilityshould overstate our Medicaid eligibility levels because eligibility generally increased over time.

6Figure 1 shows cross-state variation in actual (non-simulated) Medicaid eligibility.

7

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Figure 1: State Variation in Simulated Years Eligible for Medicaid, Ages 0–18

7.18 − 7.226.15 − 7.185.21 − 6.154.68 − 5.214.22 − 4.681.23 − 4.22

Born Jan '81Eligibility

7.18 − 9.356.15 − 7.185.21 − 6.154.68 − 5.214.22 − 4.683.45 − 4.22

Born Dec '84Eligibility

Note. Bins reflect the sextiles of the distribution for the cohort born in December 1984. We present theJanuary 1981 and December 1984 cohorts because they are the oldest and youngest cohorts in our sample.

8

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2.3 Methodology

To estimate the effect of Medicaid eligibility during childhood on long-term outcomes by

age, we estimate the following main reduced form specification:

Yi,a = βa

18∑t=0

Zi,t + γc + γs + εi,a, (1)

where∑18

t=0 Zi,t represents our “simulated instrument:” simulated years eligible for Medicaid

from birth to age 18 for individual i, where t denotes childhood age. We interpret the

coefficient βa as the effect of an additional year of Medicaid eligibility during childhood on

an outcome Yi,a measured at adult age a. We estimate equation (1) for each adult age from

19 to 28 for two measures of each main outcome: (i) a contemporaneous measure at the given

age, which we use to discern temporal patterns in the effect of Medicaid eligibility, and (ii)

a cumulative measure from age 19 to the given age, which we use to measure an aggregate

effect of Medicaid eligibility. We estimate equation (1) in the full sample and separately for

females and males.

Equation (1) incorporates fixed effects for monthly birth cohort c and fixed effects for state

of residence s at age 15 (the youngest age at which we observe all individuals in our sample).

These fixed effects control for time-invariant state characteristics and state-invariant birth

month cohort characteristics. The specification harnesses variation in Medicaid eligibility

across birth month cohorts within a state and across states within a birth month cohort.7

We examine robustness to the inclusion of income controls, but we exclude income controls

from the main specification because household income at age 15 could be a function of

Medicaid eligibility for children at previous ages, which would lead to an attenuation of our

estimates. We cluster standard errors by state of residence at age 15 to account for arbitrary

correlations within states over time.

While our specification is subject to similar concerns as other specifications that harness

policy variation by state and cohort, the longitudinal nature of our data allows us to conduct

a dose-response exercise that alleviates some concerns. The foundation for the dose-response

exercise is that poorer children are more likely to be eligible for Medicaid, so we should see

greater impacts of Medicaid on adults who resided in poorer households during childhood.

7For robustness, we also conduct an exercise that harnesses only variation from OBRA 90, a federalpolicy that selectively applied to children born in different months of the same year. We estimate a regressiondiscontinuity specification with a discontinuity at September 30, 1983, following Card and Shore-Sheppard(2004), Wherry and Meyer (2016), and (Wherry et al., 2015). Although the results are qualitatively similarto our main results, they are much noisier, so we report them and discuss their limitations relative to ourpreferred specification in Online Appendix 21. While Card and Shore-Sheppard (2004) also examine theOBRA 89 expansion, which started in 1990 and applied to children under six, we do not use this source ofeligibility because the youngest children in our sample were six years of age by December 1990.

9

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To implement the exercise, we estimate equation (1) on samples stratified by household

FPL during childhood. To the extent that we see a dose-response relationship between

household FPL during childhood and long-term impacts, we can be confident that policies

or economic changes coincident with Medicaid expansions that affected all children regardless

of household FPL do not drive our main results. Remaining threats to our design include

factors coincident with Medicaid expansions that differentially affected poor children (i) born

in different birth month cohorts who reside in the same state at age 15 , or (ii) born in the

same birth month cohort who reside in different states at age 15.

For several reasons, we focus on the reduced form specification given by equation (1)

rather than a traditional instrumental variable (IV) specification that instruments Medicaid

eligibility with simulated eligibility. First, the reduced form is simpler and more transparent.

To estimate the reduced form, we use longitudinal data on state of residence during childhood

to determine simulated Medicaid eligibility. To estimate the IV, we also need longitudinal

data on household FPL to determine endogenous Medicaid eligibility. Second, the reduced

form and IV are quantitatively similar, since the first stage is close to one, as we show in

Table OA.43. Third, a dose-response relationship between childhood poverty and outcomes

should only be visible in the reduced form (the first stage should be close to zero for children

far from poverty, so the IV, which is equal to the reduced form divided by the first stage,

is not well-defined). Although we focus on reduced form estimates, we also report IV and

ordinary least squares (OLS) estimates.

3 Results

3.1 College Enrollment

We measure college enrollment using Form 1098-T, which educational institutions send to

the IRS regardless of whether the enrollee files a return or claims a tax credit. The 1098-T

is used to administer educational incentives such as the American Opportunity Tax Credit

and the Lifetime Learning Credit. From the 1098-T, we derive our main measures of college

enrollment: (i) a contemporaneous measure that indicates whether an individual is currently

enrolled at a given age, and (ii) a cumulative measure that indicates whether an individual

has ever enrolled from age 19 to a given age. We do not consider cumulative years of

enrollment because five years of college is not necessarily better than four. The 1098-T does

not indicate college completion, but it does include a check box for enrollment that is at

least half-time, which we examine as a supplemental outcome. Using the 1098-T, Chetty

et al. (2014, 2016) measure contemporaneous college enrollment as we do. Chetty et al.

(2014) report a correlation greater than 0.95 between enrollment counts using the 1098-T

and a corresponding measure from the Integrated Postsecondary Education Data System

(IPEDS).

10

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Figure 2a: Contemporaneous and Cumulative College Enrollment (%)

-10

12

3 C

oeffi

cien

ts (

%)

19 22 25 28

Female

-10

12

3

19 22 25 28Age

Male

-10

12

3

19 22 25 28

All

020

4060

Mea

ns (

%)

19 22 25 28

020

4060

19 22 25 28Age

020

4060

19 22 25 28

Contemporaneous College (Currently Enrolled)

0.5

11.

52

2.5

Coe

ffici

ents

(%

)

19 22 25 28

Female

0.5

11.

52

2.5

19 22 25 28Age

Male0

.51

1.5

22.

5

19 22 25 28

All

020

4060

80M

eans

(%

)

19 22 25 28

020

4060

80

19 22 25 28Age

020

4060

80

19 22 25 28

Cumulative College (Ever Enrolled)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous college enrollment indicates current enrollment in college at a given age, observed through Form1098-T, filed by educational institutions. Cumulative college enrollment indicates ever having enrolled in college by a givenage, starting at age 19. Coefficients for each age are obtained from separate reduced form regressions of college enrollment onsimulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residenceat age 15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered by state. Dashedlines show 95% confidence intervals. Table OA.1 contains corresponding results.

11

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Figure 2a reports contemporaneous results in the top panel and cumulative results in the

bottom panel. Within each panel, the top subfigures plot the coefficient βa from equation

(1), estimated at each age a from 19 to 28. The columns report results within the female,

male, and full samples. The bottom subfigures in each panel plot the mean of the depen-

dent variable within each sample at each age. Table OA.1 in the Online Appendix reports

corresponding values in tabular form. To facilitate comparison across our main outcomes—

college enrollment, fertility, mortality, wage income, earned income tax credit (EITC), and

total taxes—we report contemporaneous results in Table A.1 and cumulative results in Ta-

ble A.2 for ages 19, 22, and 28.

The contemporaneous means in Figure 2a show strong temporal patterns in college en-

rollment; from age 19 to age 28, annual college enrollment falls from 53% to 17%. At every

age, females enroll in college at higher rates than males. The cumulative means show that

81% of women and 70% of men ever enroll by age 28. Despite the differences in means across

genders, the magnitudes of the coefficients are indistinguishable. At age 19, the coefficient

in the full sample indicates that each additional year of Medicaid eligibility increases college

enrollment by 1.69 percentage points on a base of 53%. The results are largest in magni-

tude through age 22. At older ages, as college enrollment decreases, so does the impact of

Medicaid.

The cumulative coefficients show that Medicaid shifts the timing of college enrollment to

younger ages. Additionally, the coefficients suggest that Medicaid inreases college enrollment

in general since the cumulative coefficients remain positive at older ages, though they are not

statistically significant at conventional levels after age 26. By age 28, each additional year

of Medicaid eligibility during childhood increases the probability of having ever enrolled

in college by 0.49 percentage points on a base of 75%. As shown in Figure OA.8 and

Table OA.15, we detect generally positive impacts on the probability of enrolling at least

half-time, with the most statistically significant results from ages 19–22.

To put our estimates in context, Cohodes et al. (2016) find that a 10 percentage point

increase in Medicaid eligibility during childhood decreases the high school dropout rate by

4%, increases college enrollment by 0.5%, and increases college completion by 2.5%. Their

10 percentage point increase in Medicaid eligibility from birth to age 17 translates into

1.8 (=0.1*18) additional years of eligibility. Our cumulative coefficient implies that a 1.8

year increase in Medicaid eligibility during childhood increases the likelihood of having ever

enrolled in college by 1.17% (=0.486*1.8/0.75) at age 28, which is larger than their estimate

for college enrollment but smaller than their estimate for college completion.

3.2 Fertility

We observe fertility if any individual in our sample ever claims a dependent child on a Form

1040. For each dependent child claimed, we use SSA records to obtain the DOB of the child

12

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and thereby the age of the parent when the child is born, even if the parent does not claim

the child until a subsequent year.8 Contemporaneous fertility indicates if a first dependent

child is born at a given age, and cumulative fertility indicates if a dependent child is ever

born by a given age. While these measures of fertility depend on filing and claiming behavior,

the vast majority of children are claimed as dependents at some point early in their lives.

Further, claiming a dependent child is interesting in its own right, as it determines EITC

eligibility and reflects the unequal costs of fertility borne by females.

We focus on the first birth since the first child is likely to cause earlier disruptions in

human capital investment and labor force participation, resulting in greater effects on labor

market outcomes later in life. Furthermore, the first birth has a greater impact on EITC

eligibility and benefit levels than subsequent births. To capture first births that occur during

teenage years, we estimate impacts on fertility starting at age 15, the first year that we have

reliable data on Medicaid eligibility and covariates for all individuals in our sample. We

measure Medicaid eligibility through the age of the outcome or through age 18, whichever

is younger. We observe births before age 15, and we incorporate them into our cumulative

outcomes. Therefore, our cumulative outcome at age 19 should capture all births during the

teenage years.

As shown in Figure 2b and in Tables OA.2 and OA.3, our mean fertility outcomes are

larger for women than for men at all ages. By age 28, 51% of women and 36% of men

have dependents that have already been born (our specification includes children claimed as

dependents before, during, or after age 28). There are a variety of reasons why we could

observe larger fertility outcomes for women. For example, women could be more likely

to claim children as single parents, women could have children with older men, and women

could have children with men who also have children with other women. Despite the apparent

differences in means, the coefficients are only slightly larger for women than they are from

men, and the magnitudes are statistically indistinguishable across genders.

The coefficients show that children eligible for Medicaid are less likely to have their first

dependent child in their teenage years. Each additional year of Medicaid eligibility during

childhood decreases the cumulative probability that the first dependent child has been born

by age 19 by 0.35 percentage points on a base of 12.1%. The contemporaneous coefficients

show that Medicaid eligibility has the most pronounced impacts on fertility from ages 18–

21, overlapping with the ages of greatest impact on college enrollment. After age 21, as

individuals who delayed their fertility have their first child, impacts on fertility decrease,

8Chetty et al. (2016) directly observe fertility in the tax data using the Kidlink (DM-2) database fromthe SSA, made available at the IRS. We cannot use this database to measure fertility in our sample becauseit begins in 1983. However, similar to Kidlink (DM-2), our measure uses SSA records linked through thesocial security number (SSN) to determine the time of fertility. It differs from Kidlink (DM-2) only in thatwe establish fertility through claiming behavior over a wide range of filing years.

13

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Figure 2b: Contemporaneous and Cumulative Fertility (%)

-.3

-.2

-.1

0.1

Coe

ffici

ents

(%

)

14 16 18 20 22 24 26 28

Female

-.3

-.2

-.1

0.1

14 16 18 20 22 24 26 28Age

Male

-.3

-.2

-.1

0.1

14 16 18 20 22 24 26 28

All

01

23

45

Mea

ns (

%)

14 16 18 20 22 24 26 28

01

23

45

14 16 18 20 22 24 26 28Age

01

23

45

14 16 18 20 22 24 26 28

Contemporaneous Fertility (First Dependent Child Born)

-2-1

.5-1

-.5

0 C

oeffi

cien

ts (

%)

14 16 18 20 22 24 26 28

Female

-2-1

.5-1

-.5

0

14 16 18 20 22 24 26 28Age

Male-2

-1.5

-1-.

50

14 16 18 20 22 24 26 28

All

010

2030

4050

Mea

ns (

%)

14 16 18 20 22 24 26 28

010

2030

4050

14 16 18 20 22 24 26 28Age

010

2030

4050

14 16 18 20 22 24 26 28

Cumulative Fertility (Dependent Child Ever Born)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous fertility indicates if a first dependent child is born at a given age, and cumulative fertility indicates if adependent child is ever born by a given age, starting at age 19. If an individual ever claims a dependent child on a Form 1040,SSA records yield age at birth. Coefficients for each age are obtained from separate reduced form regressions of fertility onsimulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residenceat age 15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered by state. Dashedlines show 95% confidence intervals. Table OA.3 contains corresponding results.

14

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but an absolute decrease is still apparent at age 28. By age 28, a dependent child has been

born to 43% of our sample, and each additional year of Medicaid eligibility during childhood

decreases the probability that the first dependent child has been born by 0.95 percentage

points.

Delays in fertility could serve as a mechanism through which Medicaid affects later-life

economic outcomes. Hotz et al. (2005) and Hotz et al. (1997) find that would-be teen mothers

who have miscarriages have lower annual hours of work and earnings as adults. However,

we generally expect reductions in fertility to improve economic outcomes, since our focus is

broader than teen motherhood and since we see decreases in fertility at ages where also see

increases in college enrollment.

We also see some evidence that Medicaid eligibility decreases marriage. However, we

interpret the results with caution because we only observe marriage contingent on filing a

Form 1040. We present marriage results in Online Appendix 20.

3.3 Mortality

We observe mortality regardless of filing behavior using Social Security Administration (SSA)

death records. We focus on mortality from age 19 to age 28 so that we can assess temporal

patterns in mortality relative to other outcomes, holding the sample constant. Though ex-

amining fertility before age 19 does not require us to change our sample, examining mortality

before age 19 would require us to expand our sample to include children who died during

childhood. As we discuss in Online Appendix 6.2, because we have limited administrative

tax data on children who die at young ages, including them would necessitate changes to our

instrument and specification that would inhibit comparability with our main results. How-

ever, we do observe the Social Security Administration (SSA) date of death for all children

with a social security number (SSN), so we report mean mortality from birth to age 28 in

Figure OA.10 and Table OA.17 to provide context for our results.

As shown in Figure 2c and Table OA.4, 0.07% of our sample dies at age 19, and mortality

generally increases with age through age 28, when 0.09% of our sample dies, but we do not

see strong temporal patterns.9 In contrast, there are strong temporal patterns in mortality

during childhood, as shown in Figure OA.10. Starting at age 12, there is a rapid acceleration

in mortality rates, especially for males, that levels out around age 19. At age 19, the male

mortality rate of 0.10% is more than double the female mortality rate of 0.04%.

The contemporaneous mortality coefficients are generally imprecise, and it is hard to

discern temporal patterns. However, we observe cumulative mortality reductions over adult-

hood that are statistically significant at least at the 10% level from ages 25–28, and at the

9To facilitate comparison with our cumulative mortality results, we include individuals in our estimationsample even if they have died at previous ages. Figure 6.1 and Table OA.16 present comparable results thatexclude individuals who have died in previous years, and the results are extremely similar.

15

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Figure 2c: Contemporaneous and Cumulative Mortality (%)

-.02

-.01

0.0

1.0

2 C

oeffi

cien

ts (

%)

19 22 25 28

Female

-.02

-.01

0.0

1.0

2

19 22 25 28Age

Male

-.02

-.01

0.0

1.0

2

19 22 25 28

All

0.0

5.1

.15

Mea

ns (

%)

19 22 25 28

0.0

5.1

.15

19 22 25 28Age

0.0

5.1

.15

19 22 25 28

Contemporaneous Mortality

-.06

-.04

-.02

0.0

2 C

oeffi

cien

ts (

%)

19 22 25 28

Female

-.06

-.04

-.02

0.0

2

19 22 25 28Age

Male-.

06-.

04-.

020

.02

19 22 25 28

All

0.5

11.

5M

eans

(%

)

19 22 25 28

0.5

11.

5

19 22 25 28Age

0.5

11.

5

19 22 25 28

Cumulative Mortality

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous mortality indicates mortality at a given age, measured using SSA death records. Cumulative mortalityindicates mortality by a given age, starting at age 19. Coefficients for each age are obtained from separate reduced formregressions of mortality on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by monthand for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Standard errors areclustered by state. Dashed lines show 95% confidence intervals. Table OA.4 contains corresponding results.

16

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5% level from ages 26–27. We focus on the point estimate at age 28 for comparison to other

outcomes. On a base of 81.2 cumulative deaths per 10,000 from ages 19–28, each additional

year of childhood Medicaid eligibility saves 2.0 lives per 10,000 in aggregate, an average of

0.20 lives per 10,000 each year.

The magnitude of our adult mortality estimate is plausible in the context of previous

infant, child, and teen mortality estimates from the Medicaid literature. As shown in Figure

OA.10, infants have relatively high death rates. Currie and Gruber (1996b) find a large

infant mortality impact; an additional year of eligibility at birth saves 30.31 infant lives per

10,000. Considering children, who have lower death rates, Currie and Gruber (1996a) find

that each additional year of Medicaid eligibility during childhood saves 1.28 child lives per

10,000. Considering teens, who have higher death rates, Wherry and Meyer (2016) find that

each additional year of Medicaid eligibility during childhood saves 0.16 teens per 10,000 per

year from ages 15–18. As we show in Section 5.1, even though the absolute number of lives

saved varies across studies, estimates of cost per life saved are similar.

3.4 Wage Income

We measure wage income using Line 1 of Form W-2, summed over all employers in a given

tax year and adjusted to 2011 dollars using the CPI-U. Individuals who do not file Form

W-2 have zero wage income. The frequency of zero contemporaneous wage income ranges

from 12.4% at age 23 to 17.9% at age 28. Chetty et al. (2011) show that wages at age 28

are a good predictor of future wages, which supports our focus on wage income at age 28.

As shown in Figure 2d and Table OA.5, average wage income grows with age, and the

impact of Medicaid on wage income also tends to grow with age. At a few ages, estimates

are statistically significant at the 10% level in the full sample. Females with more years of

Medicaid eligibility during childhood have higher contemporaneous wage income starting at

age 23, and the increases get larger with age. Cumulative impacts on wage income magnify

contemporaneous impacts, gaining magnitude with age. By age 28, each additional year of

childhood Medicaid for females results in $1,784 of cumulative wage income on a base of

$136,600. Male increases are smaller and imprecise. Results presented in Online Appendix

7 show imprecise impacts on log wages and on self-employment.

It is unclear why wage income gains are larger for females. Increases in college enrollment

and decreases in fertility are indistinguishable for females and males. However, it is possible

that these factors have a disproportionate impact on wage income for females, especially

since we start to see gains in wage income around age 23, presumably after graduation from

college.

To put our wage results in the context of a finding from the small existing literature on

long-term wage impacts of interventions during childhood, Chetty et al. (2011) find that a

one standard deviation increase in teacher value-added in a given grade increases earnings

17

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Figure 2d: Contemporaneous and Cumulative Wage Income ($000)

-.5

0.5

1 C

oeffi

cien

ts

19 22 25 28

Female

-.5

0.5

1

19 22 25 28Age

Male

-.5

0.5

1

19 22 25 28

All

010

2030

Mea

ns

19 22 25 28

010

2030

19 22 25 28Age

010

2030

19 22 25 28

Contemporaneous Wage Income ($000)

-10

12

3 C

oeffi

cien

ts

19 22 25 28

Female

-10

12

3

19 22 25 28Age

Male-1

01

23

19 22 25 28

All

050

100

150

Mea

ns

19 22 25 28

050

100

150

19 22 25 28Age

050

100

150

19 22 25 28

Cumulative Wage Income ($000)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous wage income indicates wages earned at a given age, obtained from Form W-2, adjusted to 2011dollars and censored at $10 million. Cumulative wage income indicates wage income earned by a given age, starting at age 19.Coefficients for each age are obtained from separate reduced form regressions of wage income on simulated years eligible, ages0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest ageat which we observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidenceintervals. Table OA.5 contains corresponding results.

18

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at age 28 by 1.3%. Our estimate is of the same order of magnitude. In the full sample, a

one standard deviation increase in Medicaid eligibility (5.59 years) results in a 6.0% increase

(=(280*5.59)/26,013) in wage income at age 28.

3.5 Earned Income Tax Credit (EITC)

Since the EITC is administered through the tax system, we measure EITC receipt directly

using Form 1040. We examine EITC receipt at the household level, as eligibility and benefit

levels are determined at that level. EITC receipt is zero for a large fraction of the sample,

so we examine EITC participation as a supplemental outcome. Although EITC generosity

expanded during the period of study, we do not adjust our estimates because actual EITC

receipts are relevant for the fiscal return to Medicaid spending.

The coefficients shown in Figure 2e and Table OA.6 show that individuals with greater

Medicaid eligibility during childhood collect less from the EITC at all ages from 19–22, and

the decreases generally get more pronounced over time. Cumulatively by age 28, for each

additional year of Medicaid eligibility during childhood, adults collect $182 less on a base

of $3,044. In addition to reducing EITC benefits, Table OA.20 shows that each additional

year of Medicaid eligibility reduces the probability of EITC participation from ages 19–28

by 0.69 percentage points on a base of 47.5%. These decreases are particularly notable given

that EITC benefits tend to grow with age within our data.

The effect of Medicaid eligibility on EITC receipts is approximately twice as large for

women, and the 95% confidence intervals for women and men shown in Figures 2e and OA.13

often do not overlap. EITC eligibility does not explicitly depend on gender—it only depends

on income, number of children, and marital status. Therefore, our wage income, fertility,

and marital status results can shed light on mechanisms through which Medicaid can affect

EITC receipt. Of those potential mechanisms, our results suggest that Medicaid likely affects

EITC through increases in wage income, which are pronounced for women but minimal and

imprecise for men.

3.6 Total Taxes

Our administrative tax data are especially well-suited to the examination of tax payments.

Tax payments are relevant for the fiscal return to Medicaid spending, and they are also

relevant as a summary measure that reflects the other five main outcomes (college enrollment,

fertility, mortality, wage income, and EITC). We construct a measure of total federal income

and payroll taxes at the household level. We start with tax payments reported on Form

1040 for the household, from which we deduct refundable tax credits—such as the Earned

Income Tax Credit (EITC), the Additional Child Tax Credit, and credits refundable through

the American Opportunity Tax Credit. Next, for each individual in the household, we add

payroll tax payments reported by employers on Form W-2 and by the self-employed on

19

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Figure 2e: Contemporaneous and Cumulative EITC ($000)

-.06

-.04

-.02

0 C

oeffi

cien

ts

19 22 25 28

Female

-.06

-.04

-.02

0

19 22 25 28Age

Male

-.06

-.04

-.02

0

19 22 25 28

All

0.2

.4.6

.8M

eans

19 22 25 28

0.2

.4.6

.8

19 22 25 28Age

0.2

.4.6

.8

19 22 25 28

Contemporaneous EITC ($000)

-.3

-.2

-.1

0 C

oeffi

cien

ts

19 22 25 28

Female

-.3

-.2

-.1

0

19 22 25 28Age

Male-.

3-.

2-.

10

19 22 25 28

All

01

23

4M

eans

19 22 25 28

01

23

4

19 22 25 28Age

01

23

4

19 22 25 28

Cumulative EITC ($000)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous EITC indicates EITC earned at a given age, obtained from Form 1040, adjusted to 2011 dollars.Cumulative EITC indicates EITC earned by a given age, starting at age 19. Coefficients for each age are obtained fromseparate reduced form regressions of EITC on simulated years eligible, ages 0–18. The specification includes fixed effects forbirth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.6 contains corresponding results.

20

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Schedule SE. We adjust total taxes to 2011 dollars using the CPI-U.

The results in Figure 2f and Table OA.7 show that the positive impact of Medicaid on

total taxes increase with age. Cumulatively by age 28, each additional year of Medicaid

eligibility during childhood increases total taxes by $533 on a base of $20,623. Therefore,

a one standard deviation increase in Medicaid eligibility during childhood (5.61 years) in-

creases total taxes by $2,990 (=533*5.61), a 14.5% increase (=2,990/20,623). Cumulative

coefficients are significant at the 5% level at ages 19–22 and the 1% level at ages 23–28.

Female coefficients are slightly larger and more precise than male coefficients.

A natural question is how the increase in total taxes relates to our findings of an increase in

wage income and a decrease in EITC receipts. More broadly, we are interested in how much of

the increase in total taxes stems from changes in payments to vs. from the government. It is

hard to separate these factors from a causal perspective because income affects EITC receipts,

but we can separate them from an accounting perspective. We decompose total taxes into

three components: EITC, payroll taxes (a transformation of wage income), and income taxes

plus EITC (gross income taxes). Total taxes are equal to payroll taxes plus gross income

taxes minus EITC. We perform the decomposition in this way so that the EITC results

have the same sign in the main results, even though EITC receipts enter negatively into the

government budget. Online Appendix 9 presents figures that examine each component of

total taxes as separate outcomes in equation (1), as well as tables that also report the percent

change in total taxes due to each component. As shown in Table OA.22, at age 19, each

additional year of Medicaid eligibility during childhood decreases EITC by $5 and increases

total taxes by $12. Therefore, 42% (=-(-5)/12) of the change in cumulative total taxes is due

to a decrease in EITC. By similar calculations, the increase in payroll taxes explains 25%,

and the increase in gross income taxes explains the remaining 33%. Further into adulthood,

the absolute impact of each component on total taxes grows, but the decomposition shows

that the relative impact changes—the role of EITC decreases dramatically and the role of

income taxes increases dramatically. At age 28, 24% of the $88 increase in contemporaneous

total taxes is due to a decrease in EITC and 83% is due to an increase in gross income taxes.

4 Heterogeneity and Robustness

4.1 Heterogeneous Effects by Childhood Household FPL:

Dose-Response Exercise

Medicaid is targeted at the poor. Therefore, we should see the greatest impact of Medicaid on

individuals who lived in the poorest households during childhood. We examine the reduced

form impact of simulated Medicaid eligibility on our main outcomes in three samples: a “high

impact” sample of children whose families were below 200% of the Federal Poverty Level

(FPL) in every year of our longitudinal data during childhood, an “intermediate impact”

21

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Figure 2f: Contemporaneous and Cumulative Total Taxes ($000)

-.05

0.0

5.1

.15

.2 C

oeffi

cien

ts

19 22 25 28

Female

-.05

0.0

5.1

.15

.2

19 22 25 28Age

Male

-.05

0.0

5.1

.15

.2

19 22 25 28

All

01

23

4M

eans

19 22 25 28

01

23

4

19 22 25 28Age

01

23

4

19 22 25 28

Contemporaneous Total Taxes ($000)

0.2

.4.6

.81

Coe

ffici

ents

19 22 25 28

Female

0.2

.4.6

.81

19 22 25 28Age

Male0

.2.4

.6.8

1

19 22 25 28

All

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

Cumulative Total Taxes ($000)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous total taxes indicate taxes paid at a given age, defined as household federal tax payments plus individualpayroll tax payments less EITC, adjusted to 2011 dollars. Cumulative total taxes indicate taxes paid by a given age, startingat age 19. Coefficients for each age are obtained from separate reduced form regressions of total taxes on simulated yearseligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (theyoungest age at which we observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95%confidence intervals. Table OA.7 contains corresponding results.

22

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sample between 200% and 500% FPL, and a “low impact” sample greater than 500% FPL.

We exclude 32.2% of the sample belonging to multiple FPL categories in the longitudinal

data. Because children are often born poor, and their household income increases over time,

we cannot be sure that children in our “low impact” sample had no exposure to Medicaid

during their childhoods before our sample begins in 1996, but we expect that there should

be a dose-response relationship whereby individuals with lower observed household FPL as

children should experience greater benefits from Medicaid. Boudreaux et al. (2016) and

Hoynes et al. (2012) also stratify their samples to examine dose-response relationships in

their settings. In our setting, to the extent that we see a dose-response relationship, we can

rule out the impact of policies or economic changes coincident with Medicaid expansions

that affected all children born in the same month who resided in the same state at age 15 in

the same way regardless of household FPL.

We see a general dose-response relationship for total taxes in Figure 3 and Table OA.30,

and for all other main outcomes in Online Appendix 10.10 For each additional year of

Medicaid eligibility during childhood, cumulative total taxes by age 28 increase by $1,779

in the high impact sample, $1,253 in the intermediate impact sample, and $656 in the low

impact sample. The dose-response relationship in the coefficients is especially striking given

that the means show the opposite relationship, consistent with inter-generational persistence

in household FPL absent Medicaid eligibility.

4.2 Heterogeneous Distributional Effects Within the High Impact Sample

To examine the impact of Medicaid on upward mobility, we focus on the high impact sample

of children with low household FPL during childhood. On this sample, we estimate versions

of equation (1) with outcomes representing the quartiles of the distribution of total taxes

and wage income in the full sample. The means in Table OA.32 show that 17% of children

from below 200% of the FPL end up in the top quartile of the distribution of cumulative

total taxes at age 28. For comparison, if there were no inter-generational persistence, 25% of

children would end up in the top quartile.11 The coefficients increase as the quartiles increase,

suggesting that Medicaid eligibility induces upward mobility among some children in the high

impact sample. The coefficients in Table OA.32 show that an additional year of Medicaid

eligibility during childhood increases the probability of being in the highest quartile of total

taxes by age 28 by 1.6 percentage points. Therefore, a one standard deviation increase

in Medicaid eligibility (5.61 years) closes the gap between the underlying rate of inter-

10In Online Appendix 10.7, we examine heterogeneous impacts of Medicaid using filing status as a proxyfor whether children resided in one vs. two parent households. This exercise is directly related to our dose-response exercise insofar as household FPL is higher for children whose parents file jointly. The results tella similar story.

11For another comparison, Chetty et al. (2014), who find a 7.5% probability that a child from the bottomquintile of the income distribution will end up in the top quintile.

23

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Figure 3: Cumulative Total Taxes ($000) by Family FPL at Ages 15–18

0.5

11.

52

Coe

ffici

ents

19 22 25 28

Female

0.5

11.

52

19 22 25 28Age

Male

0.5

11.

52

19 22 25 28

All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

010

2030

40M

eans

19 22 25 28

010

2030

40

19 22 25 28Age

010

2030

40

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Cumulative Total Taxes ($000)

Note. Cumulative total taxes indicate taxes paid by a given age starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients for each age are obtained from separatereduced form regressions of total taxes on simulated years eligible, ages 0–18. Children are assigned to an % FPL bin if theirhousehold remained in that bin at every age from 15–18. We exclude children with heterogeneity in their observed % FPL bin(32.2% of the sample). The specification includes fixed effects for birth cohort by month and for state of residence at age 15(the youngest age at which we observe all individuals in our sample). Standard errors are clustered by state. Table OA.30contains corresponding results.

generational persistence and zero inter-generational persistence ((0.766*5.61)/(25-16.635)).

The wage income results tell a similar story.

4.3 Heterogeneous Effects of Medicaid Eligibility at Different Ages

Examining which periods of childhood Medicaid eligibility drive our results, we find that

Medicaid eligibility from ages 15 to 18 results in the largest increase in cumulative total taxes

starting at age 22.12 Though eligibility during teenage years seems to drive our results, we

also find positive though imprecise results for Medicaid eligibility from ages 0–3 starting after

age 25. These results align with results from the literature that emphasize the importance of

intervening early in childhood and results from Cohodes et al. (2016) that find that Medicaid

eligibility during teenage years has the most important impact on college completion. We

interpret our result with caution because eligibility in any of the age bins could be collinear

12We divide Medicaid eligibility into four ranges—ages 0–3, 4–7, 8–14, and 15–18. We then estimateequation (1), replacing simulated Medicaid eligibility from birth to age 18 with a vector of simulated Medicaideligibilities for each age range. We present the results in Online Appendix 12.

24

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with eligibility at other ages. Furthermore, ages 15–18 are the only ages at which we observe

longitudinal data on all children in our sample.

4.4 Robustness to Gender as an Outcome: Falsification Exercise

As a falsification exercise, we estimate our main specification using gender as an outcome

and present the results in Online Appendix 13. We do not expect an impact of simulated

Medicaid eligibility on gender, which is fixed across time for each individual in our data. The

estimated coefficient is not statistically different from zero, and the standard error is small

enough to rule out meaningful changes in gender, which lends credibility to our specification.

4.5 Robustness to Assumptions in Early Childhood

Because our data do not begin until 1996, we make assumptions about household FPL and

state of residence in early childhood; we impute household FPL using household FPL in the

year of parent-child linkage, and we assume that the child resides in the first observed state

of residence. We are not particularly concerned about the imputation of household FPL

before the tax data begin because we focus on reduced form estimates, which do not rely on

variation in simulated Medicaid eligibility. We construct simulated eligibility by running a

nationally-representative sample through our Medicaid calculator, so measurement error that

results from holding FPL constant in years before the tax data began should be addressed

by cohort fixed effects. However, to be sure that national trends in household FPL that

occurred before our tax data begin do not drive our results, we construct simulated Medicaid

eligibility in the CPS using a different national sample in each year. We estimate reduced

form specifications following equation (1) with simulated eligibility from the CPS in lieu

of simulated eligibility from the tax data, assigning longitudinal state of residence during

childhood from the tax data. We report the results in Figure OA.26 and Table OA.35. We

also report results for ages 19, 22, and 18 in Table A.3, which facilitates comparisons across

several robustness exercises and our main results. As shown, results that use the CPS to

simulate Medicaid eligibility are very similar to our main results, suggesting that our tax

data are broadly representative compared to the nationally representative CPS and that the

inability to observe longitudinal household FPL in the tax data before 1996 does not drive

our results.

To address our inability to observe state of residence before the tax data begins, we

examine how important interstate moves that we can observe during childhood are to our

results. Figure OA.27 presents results in which we separately examine results for children

who reside in one state from ages 15–18 and results for children who reside in multiple. The

estimates that do not exploit variation from the state vector are similar to the results that

do, although the coefficients are less precise and smaller in magnitude.

We also implement two exercises that use sibling variation in Medicaid eligibility to

25

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control for potential unobserved characteristics across households, where one potential un-

observed characteristic is household state of residence before the tax data begin.13 The first

exercise controls for the sibling’s tax outcome. As shown in Figure OA.28, this exercise gen-

erates estimates that are very similar to those from our main specification. The estimates

are slightly attenuated, which we expect due to Medicaid eligibility being correlated across

siblings, such that controlling for the sibling’s outcome is conceptually similar to controlling

for a lagged dependent variable. The second exercise, which is more restrictive than the

sibling control approach, incorporates family fixed effects. These estimates, presented in

Figure OA.28, are attenuated further and are no longer statistically significant, but they

remain positive and display a similar age profile as our main results. It should be noted

that the identifying variation remaining in this specification is low, and the 95% confidence

intervals contain our main coefficients at each age in adulthood. The attenuation is also

consistent with parental investments that compensate for differences in Medicaid eligibility

across children, which amounts to a treatment spillover that would bias our coefficients to

zero.

4.6 Robustness to Sample Selection

To assess how the filing sample restriction affects our results, we examine robustness to

including children whose parents claim them in 1997 but do not file in every year from 1996

through age 18. In our expanded sample that includes non-filers, we impute income and state

of residence using the nearest filing year. Figure OA.30 and Table OA.37 compare results

from our main sample to results from the expanded sample. Average cumulative total taxes

by age 28 are nearly indistinguishable for the children in our sample, regardless of whether

their parents filed in each year.

4.7 Robustness to OLS, IV, and Income Controls

We compare reduced form, OLS and IV specifications with and without income controls in

Figure OA.31 and Table OA.38.14 We do not control for household income in equation (1)

because household income at age 15, the earliest age we observe it for all children, could

reflect Medicaid eligibility at earlier ages. However, we examine robustness to the inclusion

of income controls. OLS estimates without income controls show that individuals with

13We perform these exercises in the subsample of households with two children born in our samplingwindow from 1981 to 1984, and we pool across genders to allow for comparison of siblings of different genders.As shown in Figure OA.29, the effect of Medicaid eligibility on cumulative taxes paid is consistent acrossone-child households (N=7,002,034) and two-children households (N=2,526,911). The estimates attenuateto zero for households with three or more children (N=208,035), potentially due to the small sample sizeand to the unobserved characteristics of households who had three-or-more children in our short four-yearsampling window. We therefore focus on the sample of two-children households, which makes controlling forsibling outcomes easier and the identification of our specifications more transparent.

14We present tables and figures that report IV results with income controls for all of our main outcomesin Online Appendices 3 and 4.

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greater Medicaid eligibility during childhood have lower cumulative total taxes in adulthood,

which is to be expected because Medicaid is targeted at the poor. Controlling for income

attenuates the OLS estimates, but they remain negative. In contrast, IV and reduced form

estimates show positive impacts of Medicaid eligibility on cumulative total taxes in adulthood

regardless of income controls. The inclusion of income controls attenuates the reduced form

estimate of the impact of an additional year of Medicaid eligibility on cumulative total taxes

by age 28 from $533 to $326 and the IV estimate from $568 to $303. This attenuation is to

be expected if household income reflects Medicaid eligibility at earlier ages.15

5 Medicaid Takeup, Spending, and Fiscal Return on Investment

5.1 Medicaid Takeup and Spending

We supplement the tax data with administrative data on Medicaid takeup and spending

obtained from the Medicaid Statistical Information System (MSIS). Because our MSIS data

are aggregated over all children under twenty-one at the state-by-year level, we incorporate

additional data and assumptions to further disaggregate the data by age.16 For each in-

dividual in our tax data, we assign cumulative measures of Medicaid takeup and spending

from birth to age 18 as outcomes in our main IV specification. We focus on IV rather than

reduced form estimates because we want to ensure the highest degree of accuracy when we

compare our coefficients for Medicaid spending and total taxes.

Column 1 of Table 1 shows that each additional year of Medicaid eligibility during child-

hood increases Medicaid takeup by almost seven months (0.59 years) on a base of almost

three years. The implied 59% takeup per year of eligibility is higher than almost all of the

estimates from the literature discussed in Section 1, which generally range from 5 to 24

percent. However, studies that use different sources of variation and different covariates will

find different estimates if there is heterogeneity in takeup rates. Card and Shore-Sheppard

(2004) even find different takeup rates for the two expansions that they examine within the

same study. Furthermore, our takeup estimate differs from those in the literature because

we consider aggregate takeup over childhood, rather than contemporaneous takeup.

We do our best to identify takeup using the same variation that we use to identify

our other outcomes because heterogeneity in takeup is likely related to heterogeneity in

other outcomes. By scaling estimates for other outcomes by similarly obtained estimates of

15The inclusion of richer income controls in Table OA.39 further attenuates the reduced form estimatefrom $325 to $286. The inclusion of richer income controls is so computationally intensive that we onlyprovide reduced form estimates for cumulative total taxes at age 28.

16To disaggregate the MSIS data, we apply our calculator to the Current Population Survey (CPS) todetermine the share of children eligible for Medicaid by year, state, and age. We apply these shares tointercensal population estimates by year, state, and birth year to obtain the population of eligibles by year,state, and age. We allocate takeup and spending in proportion to eligibility. Finally, we adjust spending to2011 dollars using the CPI-U.

27

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takeup, we can assess the impact of enrollment rather than eligibility, assuming that impacts

of Medicaid are zero for those who are not enrolled. For example, using our IV coefficient for

total taxes, we find that each additional year of Medicaid enrollment from birth to age 18

increases cumulative total tax payments by age 28 by $963 (=568/0.59). If we had simply

scaled by a takeup estimate in the literature instead of estimating takeup using the same

variation, we would have obtained a much larger enrollment impact (through division by a

smaller number).

Table 1: Takeup, Spending, Taxes, and Fiscal Return on Investment (ROI)

(1) (2) (3) (4)Years ofMedicaidTakeup,Age 0-18

Medicaid Spending($000),

Age 0-18

Cumulative Total Taxes

($000),Age 19-28

Fiscal ROIby Age 28

= (3)/(2) - 100%

Discount rate = 0%0.591*** 0.636*** 0.568** -10.69%(0.037) (0.059) (0.221)

Mean 2.894 1.804 20.623

Discount rate = 1%0.558*** 0.430** -22.94%(0.051) (0.167)

Mean 1.584 15.609

Discount rate = 2%0.491*** 0.326** -33.60%(0.045) (0.127)

Mean 1.396 11.846

Discount rate = 3%0.433*** 0.248** -42.73%(0.040) (0.096)

Mean 1.234 9.014

Observations 9,876,591 9,876,591 10,045,162

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Years Eligible, Age 0-18

-

-

-

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative Medicaidtakeup and spending for ages 0–18 are estimated in the full sample using administrative data from the Medicaid StatisticalInformation System (MSIS), adjusted to 2011 dollars. Cumulative total taxes indicate taxes paid in the full sample from ages19–28, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars.Coefficients are obtained from an IV regression of the given outcome on years eligible, ages 0–18. The specification includesfixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individualsin our sample).

Column 2 of Table 1 shows that Medicaid spending during childhood increased by $636

on a base of $1,804 for each year of eligibility. The comparison of spending and takeup

means implies that each year of enrollment costs $623 (=1,804/2.894) on average, and the

comparison of spending and takeup coefficients shows that each additional year of enrollment

28

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costs $1,078 (=636/0.59). Therefore, the additional children who enroll due to the expansions

that we study cost more to cover than the previously enrolled children.

We can also compare the impact on Medicaid spending with the impact on another

outcome to obtain the cost of achieving that outcome through Medicaid, assuming that no

benefits accrue through other outcomes. For example, the IV estimate in Table OA.11 shows

that each year of Medicaid eligibility during childhood saves 2.1 lives per 10,000 (0.021 per-

centage points) from ages 19–28. Therefore, the cost per life saved through expanded child-

hood Medicaid eligibility is approximately $3.0 million (=636/0.021%), which is at the lower

bound of the traditional $3–7 million value of a statistical life (Cutler, 2005). Our estimate

for cost per life saved is similar to estimates from the Medicaid literature.17 However, as

we have shown, decreased mortality is not the only benefit of childhood Medicaid, so the

effective cost of saving these lives is likely much lower.

5.2 Fiscal Return on Investment

Increased tax revenue lowers the effective cost of childhood Medicaid. Our IV estimates

show that each additional year of Medicaid eligibility during childhood costs $636 and yields

$568 in future tax revenue by age 28, suggesting that the government recoups 0.89 cents on

each dollar spent on childhood Medicaid by age 28. However, to take into account that the

spending occurs well before the tax payments, we discount both to birth at 1%, 2%, and 3%

rates in the data before estimating the IV results presented in Table 1.18 At a 3% discount

rate, each additional year of Medicaid eligibility increases spending by $433 and taxes by

$248. The ratio of $248 to $433 implies that the government recoups 57 cents of each dollar

it spends on childhood Medicaid by age 28. Therefore, the fiscal return on investment in

childhood Medicaid is -43% (=0.57-1) by age 28. Forecasts in Online Appendix 18 indicate

that Medicaid pays for itself by age 32 and delivers positive fiscal returns thereafter.

The actual return to Medicaid is likely much larger. From the perspective of the federal

government, the fiscal return is larger because approximately 50% of Medicaid spending

was done by states in the period under consideration (Centers for Medicare & Medicaid

Services, 2015). The actual return is also larger if we consider benefits that accrue to the

children themselves. For example, if we add an implied value of life saved to the fiscal return,

17Currie and Gruber (1996b) report a $840,000 (in 1986 dollars, $1.7 million in 2011 dollars) cost per lifesaved through targeted eligibility changes but a much higher $4.2 million (in 1986 dollars, $8.6 million in2011 dollars) cost per life saved through broad eligibility changes. Currie and Gruber (1996a) report a costper life saved of $1.61 million (in 1992 dollars, $2.58 million in 2011 dollars). Similarly, Wherry and Meyer(2016) report a $1.77 million (in 2011 dollars) cost per life saved, and Goodman-Bacon (2018) report a costper life saved of $1.83 million (in 2012 dollars, $1.79 million in 2011 dollars).

18The Office of Management and Budget recommends a real discount rate of 0.8% for cost-effectivenessprojects of a 30-year duration (US Office of Management & Budget, 2016), which is within the range of our0% and 1% discount rates. The Department of Commerce recommends a 3% real discount rate for use inlife-cycle projects (Lavappa and Kneifel, 2016). We prefer 3% because it is the most conservative.

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Medicaid delivers benefits equal to three times its costs by age 28.19

6 Conclusion

Looking forward to future decisions regarding whether to expand Medicaid, our research

shows that Medicaid generally has favorable long-term impacts on children. Using adminis-

trative data from the IRS, we see that children with greater exposure to Medicaid enroll in

college at higher rates, delay their fertility, and have lower rates of adult mortality. Females

have higher wage income, and both genders collect less from the earned income tax credit.

Moreover, the government recoups much of its investment in childhood Medicaid over time

in the form of higher future tax payments.

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Wherry, L. R., S. Miller, R. Kaestner, and B. D. Meyer (2015). Childhood medicaid coverage

and later life health care utilization. Review of Economics and Statistics (0).

Yagan, D. (2016). Is the great recession really over? longitudinal evidence of enduring

employment impacts. Working Paper .

Yelowitz, A. S. (1998). Will extending medicaid to two-parent families encourage marriage?

The Journal of Human Resources 33 (4), pp. 833–865.

Zuckerman, S. and A. W. Lutzky (2001). Medicaid demonstration project in los angeles

county, 1995-2000 progress but room for improvement.

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Appendix A Main Results Tables, Selected Ages

Table A.1: Contemporaneous Outcomes at Age 19, 22, and 28

Female Male All Female Male All Female Male All

College (Currently Enrolled; %)1.750*** 1.637*** 1.690*** 0.718 0.646* 0.678* -0.026 -0.092 -0.062(0.539) (0.568) (0.549) (0.435) (0.342) (0.384) (0.157) (0.154) (0.143)

Mean 57.617 47.684 52.542 50.040 40.454 45.143 20.062 14.461 17.201

Fertility (First Had Dependent Child; %)-0.119** -0.051 -0.085* -0.088 -0.042 -0.065 -0.063 -0.072** -0.068*(-0.057) (-0.042) (0.047) (0.054) (0.048) (0.045) (0.050) (0.029) (0.034)

Mean 4.848 2.488 3.642 3.971 3.077 3.514 3.294 2.852 3.068

Mortality (%)-0.003 -0.001 -0.002 -0.005** 0.006 0.000 0.006* -0.009 -0.001(0.003) (0.004) (0.003) (0.002) (0.005) (0.003) (0.003) (0.006) (0.004)

Mean 0.037 0.098 0.068 0.040 0.125 0.084 0.051 0.121 0.087

Wage Income ($000)0.059* 0.061 0.061* 0.077 -0.045 0.015 0.414*** 0.149 0.280*(0.031) (0.041) (0.033) (0.061) (0.075) (0.064) (0.148) (0.183) (0.150)

Mean 4.198 4.864 4.538 8.729 10.461 9.614 23.336 28.577 26.013

EITC ($000)-0.006*** -0.003*** -0.005*** -0.023*** -0.009*** -0.016*** -0.033*** -0.009 -0.021***(0.002) (0.001) (0.001) (0.006) (0.003) (0.004) (0.010) (0.006) (0.008)

Mean 0.095 0.039 0.066 0.319 0.137 0.226 0.717 0.357 0.533

Total Taxes ($000)0.013*** 0.010* 0.012** 0.042*** 0.010 0.026** 0.115** 0.061 0.088*(0.004) (0.006) (0.005) (0.014) (0.011) (0.012) (0.047) (0.051) (0.048)

Mean 0.391 0.555 0.475 0.815 1.271 1.048 3.640 4.364 4.010

Observations 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162

Simulated Years Eligible, Age 0-18

(1)By Age 19

(2)By Age 22

(3)By Age 28

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneouscollege enrollment indicates current enrollment in college at a given age, observed through Form 1098-T, filed by educationalinstitutions. Contemporaneous fertility indicates if a first dependent child is born at a given age. If an individual ever claimsa dependent child on a Form 1040, SSA records yield age at birth. Contemporaneous mortality indicates mortality at a givenage, measured using SSA death records. Contemporaneous wage income indicates wages earned at a given age, obtained fromForm W-2, adjusted to 2011 dollars and censored at $10 million. Contemporaneous EITC indicates EITC earned at a given age,obtained from Form 1040, adjusted to 2011 dollars. Contemporaneous total taxes indicate taxes paid at a given age, definedas household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients foreach age are obtained from separate reduced form regressions of the given outcome at that age on simulated years eligible, ages0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest ageat which we observe all individuals in our sample).

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Table A.2: Cumulative Outcomes at Ages 19, 22, and 28

Female Male All Female Male All Female Male All

College (Ever Enrolled; %)

1.261** 1.305* 1.281** 0.813** 0.805* 0.806* 0.458 0.519 0.486

(0.608) (0.652) (0.629) (0.380) (0.450) (0.415) (0.278) (0.339) (0.307)

Mean 62.209 51.593 56.785 73.562 62.858 68.094 80.888 69.501 75.070

Fertility (Ever Had Dependent Child; %)

-0.512** -0.187 -0.348** -0.870** -0.387* -0.625** -1.177*** -0.721** -0.948***

(0.212) (0.119) (0.159) (0.344) (0.215) (0.271) (0.374) (0.313) (0.332)

Mean 15.863 8.572 12.138 28.763 17.442 22.979 50.573 36.103 43.180

Mortality (%)

-0.003 -0.001 -0.002 -0.010* 0.007 -0.001 -0.009 -0.031* -0.020*

(0.003) (0.004) (0.003) (0.006) (0.009) (0.006) (0.010) (0.017) (0.011)

Mean 0.037 0.098 0.068 0.152 0.454 0.306 0.417 1.191 0.812

Wage Income ($000)

0.059* 0.061 0.061* 0.152 -0.042 0.055 1.784*** 0.581 1.177

(0.031) (0.041) (0.033) (0.145) (0.189) (0.160) (0.662) (0.885) (0.715)

Mean 4.198 4.864 4.538 25.262 30.147 27.758 136.600 161.350 149.245

EITC ($000)

-0.006*** -0.003*** -0.005*** -0.059*** -0.026*** -0.042*** -0.263*** -0.103*** -0.182***

(0.002) (0.001) (0.001) (0.015) (0.008) (0.011) (0.063) (0.034) (0.046)

Mean 0.095 0.039 0.066 0.831 0.351 0.586 4.188 1.948 3.044

Total Taxes ($000)

0.013*** 0.010* 0.012** 0.101*** 0.039 0.069** 0.689*** 0.380* 0.533***

(0.004) (0.006) (0.005) (0.034) (0.029) (0.031) (0.200) (0.200) (0.192)

Mean 0.391 0.555 0.475 2.263 3.535 2.913 18.115 23.025 20.623

Observations 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162

(1)

By Age 19

(2)

By Age 22

(3)

By Age 28

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative collegeenrollment indicates ever having enrolled in college by a given age, starting at age 19, observed through Form 1098-T, filedby educational institutions. Cumulative fertility indicates if a dependent child is ever born by a given age, starting at age19. If an individual ever claims a dependent child on a Form 1040, SSA records yield age at birth. Cumulative mortalityindicates mortality by a given age, starting at age 19, measured using SSA death records. Cumulative wage income indicateswage income earned by a given age, starting at age 19, obtained from Form W-2, adjusted to 2011 dollars and censored at $10million. Cumulative EITC indicates EITC earned by a given age, starting at age 19, obtained from Form 1040, adjusted to2011 dollars. Cumulative total taxes indicate taxes paid by a given age, starting at age 19, defined as household federal taxpayments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients for each age are obtained fromseparate reduced form regressions of the given outcome at that age on simulated years eligible, ages 0–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample).

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Table A.3: Robustness of Cumulative Total Tax ($000) Results to Alternative Specifications

Female Male All Female Male All Female Male All

0.013*** 0.010* 0.012** 0.101*** 0.039 0.069** 0.689*** 0.380* 0.533***(0.004) (0.006) (0.005) (0.034) (0.029) (0.031) (0.200) (0.200) (0.192)

Mean 0.391 0.555 0.475 2.263 3.535 2.913 18.115 23.025 20.623

Instrument: Simulated Eligibility in the CPS0.015*** 0.012* 0.014** 0.114*** 0.045 0.079** 0.731*** 0.395* 0.560***(0.005) (0.006) (0.005) (0.039) (0.033) (0.035) (0.216) (0.220) (0.208)

Mean 0.391 0.555 0.475 2.263 3.535 2.913 18.115 23.025 20.623

0.013** 0.015* 0.014** 0.078** 0.040 0.059 0.376** 0.164 0.269(0.006) (0.008) (0.007) (0.038) (0.035) (0.036) (0.172) (0.180) (0.167)

Mean 0.392 0.556 0.476 2.274 3.547 2.924 18.254 23.153 20.757

Specification: Inclusion of Sibling Controls0.013** 0.064* 0.312*(0.005) (0.034) (0.172)

Mean 0.494 3.029 21.537

Specification: Inclusion of Family Fixed Effects0.014 0.052 0.035

(0.012) (0.063) (0.303)Mean 0.494 3.029 21.537

Sample: Parents Filing Jointly0.009** 0.009 0.009* 0.065** 0.013 0.039 0.481** 0.222 0.350*(0.004) (0.006) (0.005) (0.031) (0.030) (0.030) (0.200) (0.226) (0.207)

Mean 0.436 0.595 0.517 2.680 3.865 3.288 22.396 26.452 24.477

Sample: Parents Not Filing Jointly0.020*** 0.012** 0.016*** 0.168*** 0.084** 0.125*** 0.854*** 0.459*** 0.651***(0.006) (0.005) (0.005) (0.044) (0.033) (0.037) (0.229) (0.163) (0.183)

Mean 0.276 0.451 0.364 1.203 2.669 1.944 7.234 14.036 10.671

Sample: Non-filers0.015*** 0.012** 0.013** 0.109*** 0.038 0.074** 0.669*** 0.322* 0.494***(0.005) (0.006) (0.005) (0.036) (0.030) (0.032) (0.184) (0.188) (0.176)

Mean 0.369 0.538 0.455 2.102 3.419 2.773 16.365 21.612 19.037

Specification: Inclusion of Income Controls0.012*** 0.010* 0.011** 0.082** 0.032 0.057* 0.451** 0.207 0.326*(0.004) (0.006) (0.005) (0.031) (0.028) (0.029) (0.170) (0.187) (0.172)

Mean 0.391 0.555 0.475 2.263 3.535 2.913 18.115 23.025 20.623

Sample: Constant State of ResidenceSimulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18 - - - - - -

Simulated Years Eligible using CPS, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

(1)By Age 19

(2)By Age 22

(3)By Age 28

Simulated Years Eligible, Age 0-18

Main Results

- -

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18 - - - -

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxesindicate taxes paid by a given age, starting at age 19, defined as household federal tax payments plus individual payroll taxpayments less EITC, adjusted to 2011 dollars. Coefficients for each age are obtained from separate reduced form regressions ofthe given outcome at that age on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohortby month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Thespecifications that include sibling controls and family fixed effects are estimated in the sample of two-child households for thepooled-gender samples only. Observation counts for each specification are available in the Online Appendix.

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Online Appendix

Long-Term Impacts of Childhood Medicaid Expansions onOutcomes in Adulthood

by David W. Brown, Amanda E. Kowalski, and Ithai Z. Lurie

Contents

1 State Variation in Medicaid Eligibility 4

2 Main Results Tables 5

2.1 College Enrollment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

2.2 Fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

2.3 Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

2.4 Wage Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

2.5 Earned Income Tax Credit (EITC) . . . . . . . . . . . . . . . . . . . . . . . 10

2.6 Total Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

3 Main IV Results Tables 12

3.1 College Enrollment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

3.2 Fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

3.3 Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15

3.4 Wage Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

3.5 Earned Income Tax Credit (EITC) . . . . . . . . . . . . . . . . . . . . . . . 17

3.6 Total Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

4 Main IV Results Figures 19

4.1 College Enrollment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

4.2 Fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

4.3 Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21

4.4 Wage Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

4.5 Earned Income Tax Credit (EITC) . . . . . . . . . . . . . . . . . . . . . . . 23

4.6 Total Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

5 Supplemental College Enrollment Results 25

5.1 Supplemental College Enrollment Results Figure . . . . . . . . . . . . . . . . 25

5.2 Supplemental College Enrollment Results Table . . . . . . . . . . . . . . . . 26

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6 Supplemental Mortality Results 27

6.1 Mortality Results in Surviving Sample . . . . . . . . . . . . . . . . . . . . . 27

6.2 Mortality at Younger Ages . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

7 Supplemental Wage Income Results 31

7.1 Self-employment Results Figure . . . . . . . . . . . . . . . . . . . . . . . . . 31

7.2 Self-employment Results Table . . . . . . . . . . . . . . . . . . . . . . . . . . 32

7.3 Log of Wage Income Results Figure . . . . . . . . . . . . . . . . . . . . . . . 33

7.4 Log of Wage Income Results Table . . . . . . . . . . . . . . . . . . . . . . . 34

8 Supplemental EITC Results 35

8.1 Any EITC . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

9 Supplemental Total Taxes Results 37

9.1 Components of Total Taxes: Tables . . . . . . . . . . . . . . . . . . . . . . . 37

9.2 Components of Total Taxes: Combined Figures . . . . . . . . . . . . . . . . 41

9.3 Components of Total Taxes: Separate Figures . . . . . . . . . . . . . . . . . 42

10 Heterogeneous Effects by Childhood Household FPL 45

10.1 College Enrollment . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45

10.2 Fertility . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 47

10.3 Mortality . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 49

10.4 Wage Income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 51

10.5 Earned Income Tax Credit (EITC) . . . . . . . . . . . . . . . . . . . . . . . 53

10.6 Total Taxes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

10.7 Heterogeneous Effects by Parental Filing Status . . . . . . . . . . . . . . . . 57

11 Heterogeneous Distributional Effects in the High Impact Sample 59

12 Heterogeneous Effects of Medicaid Eligibility at Different Ages 60

13 Robustness to Gender as an Outcome: Falsification Exercise 62

14 Robustness to Assumptions in Early Childhood 63

14.1 Robustness to Simulated Eligibility in the CPS . . . . . . . . . . . . . . . . 63

14.2 Robustness to Restricting Variation in State of Residence . . . . . . . . . . . 65

15 Robustness to Sibling Controls and Family Fixed Effects 67

16 Robustness to Sample Selection 69

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17 Robustness to OLS, IV, and Income Controls 71

17.1 OLS, IV, and Income Controls . . . . . . . . . . . . . . . . . . . . . . . . . . 71

17.2 OLS, IV, and Income Controls: Table at Age 28 . . . . . . . . . . . . . . . . 73

17.3 Robustness to Richer Income Controls . . . . . . . . . . . . . . . . . . . . . 74

18 Forecast of Fiscal Return on Investment 74

19 First Stage Results 79

20 Filing and Marriage Results 79

20.1 Filing Results Figure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 80

20.2 Filing Results Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 81

20.3 Marriage Results Figure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 82

20.4 Marriage Results Table . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 83

21 Regression Discontinuity Results 84

21.1 Regression Discontinuity Figures . . . . . . . . . . . . . . . . . . . . . . . . 86

21.2 Regression Discontinuity Table . . . . . . . . . . . . . . . . . . . . . . . . . . 94

3

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Appendix 1 State Variation in Medicaid Eligibility

Figure OA.1: State Variation in Actual Years Eligible for Medicaid, Ages 0–18

7.07 − 7.175.35 − 7.074.30 − 5.353.38 − 4.302.55 − 3.380.68 − 2.55

Born Jan '81Eligibility

7.07 − 9.765.35 − 7.074.30 − 5.353.38 − 4.302.55 − 3.381.57 − 2.55

Born Dec '84Eligibility

Note. Bins reflect the sextiles of the distribution for the cohort born in December 1984. We present theJanuary 1981 and December 1984 cohorts because they are the oldest and youngest cohorts in our sample.

4

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Ap

pen

dix

2M

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2.1

Colle

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Enro

llment

Table OA.1: Contemporaneous and Cumulative College Enrollment (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female1.750*** 1.171** 0.767 0.718 0.583 0.655*** 0.285 0.270* 0.073 -0.026(0.539) (0.489) (0.476) (0.435) (0.438) (0.228) (0.245) (0.161) (0.166) (0.157)

Mean 57.617 57.535 55.003 50.040 38.253 30.240 26.617 24.229 22.150 20.062

Male1.637*** 0.945* 0.644* 0.646* 0.382 0.292 0.099 0.094 -0.034 -0.092(0.568) (0.484) (0.379) (0.342) (0.354) (0.223) (0.241) (0.145) (0.158) (0.154)

Mean 47.684 47.512 44.558 40.454 31.936 23.910 19.793 17.472 15.848 14.461

All1.690*** 1.053** 0.701* 0.678* 0.479 0.466** 0.187 0.177 0.016 -0.062(0.549) (0.476) (0.418) (0.384) (0.392) (0.221) (0.236) (0.146) (0.154) (0.143)

Mean 52.542 52.414 49.667 45.143 35.025 27.006 23.130 20.777 18.930 17.201

Cumulative College (Ever Enrolled; %)Female

1.261** 1.054** 0.876** 0.813** 0.785** 0.744** 0.609* 0.545* 0.473 0.458(0.608) (0.452) (0.394) (0.380) (0.360) (0.342) (0.331) (0.319) (0.298) (0.278)

Mean 62.209 68.004 71.339 73.562 75.161 76.539 77.788 78.944 79.982 80.888

Male1.305* 0.996* 0.817* 0.805* 0.802* 0.792* 0.737* 0.632* 0.576 0.519(0.652) (0.541) (0.471) (0.450) (0.425) (0.399) (0.389) (0.370) (0.357) (0.339)

Mean 51.593 57.531 60.727 62.858 64.315 65.524 66.641 67.663 68.623 69.501

All1.281** 1.022** 0.843* 0.806* 0.791** 0.766** 0.672* 0.586* 0.522 0.486(0.629) (0.495) (0.433) (0.415) (0.392) (0.369) (0.359) (0.344) (0.326) (0.307)

Mean 56.785 62.654 65.917 68.094 69.620 70.911 72.093 73.181 74.179 75.070

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Contemporaneous College (Currently Enrolled; %)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous college enrollment indicatescurrent enrollment in college at a given age, observed through Form 1098-T, filed by educational institutions. Cumulative college enrollment indicatesever having enrolled in college by a given age, starting at age 19. Coefficients for each age are obtained from separate reduced form regressions of collegeenrollment on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15(the youngest age at which we observe all individuals in our sample).

5

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2.2

Fertility

Table OA.2: Contemporaneous and Cumulative Fertility (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Contemporaneous Fertility (First Dependent Child Born; %)Female

-0.119** -0.130** -0.139** -0.088 -0.022 -0.057 -0.070** -0.009 -0.085** -0.063(-0.057) (0.060) (0.062) (0.054) (0.036) (0.041) (0.031) (0.032) (0.033) (0.050)

Mean 4.848 4.709 4.220 3.971 3.726 3.654 3.710 3.705 3.721 3.294

Male-0.051 -0.051 -0.107** -0.042 -0.049 -0.090** -0.040 -0.058* -0.026 -0.072**

(-0.042) (0.047) (0.041) (0.048) (0.039) (0.037) (0.030) (0.030) (0.030) (0.029)Mean 2.488 2.834 2.958 3.077 3.134 3.177 3.180 3.157 3.162 2.852

All-0.085* -0.090* -0.123** -0.065 -0.036 -0.074** -0.055** -0.035 -0.055** -0.068*(0.047) (0.047) (0.047) (0.045) (0.033) (0.037) (0.023) (0.023) (0.022) (0.034)

Mean 3.642 3.751 3.575 3.514 3.423 3.410 3.439 3.425 3.435 3.068

Female-0.512** -0.642** -0.781** -0.870** -0.892** -0.949** -1.019** -1.028** -1.114*** -1.177***(0.212) (0.250) (0.300) (0.344) (0.362) (0.391) (0.400) (0.399) (0.399) (0.374)

Mean 15.863 20.572 24.792 28.763 32.489 36.143 39.854 43.559 47.279 50.573

Male-0.187 -0.238 -0.345* -0.387* -0.436* -0.526* -0.566* -0.624* -0.649** -0.721**(0.119) (0.157) (0.189) (0.215) (0.245) (0.274) (0.293) (0.313) (0.313) (0.313)

Mean 8.572 11.407 14.364 17.442 20.575 23.752 26.932 30.088 33.250 36.103

All-0.348** -0.438** -0.560** -0.625** -0.662** -0.736** -0.790** -0.825** -0.880** -0.948***(0.159) (0.196) (0.237) (0.271) (0.293) (0.322) (0.336) (0.346) (0.345) (0.332)

Mean 12.138 15.890 19.465 22.979 26.402 29.812 33.252 36.677 40.112 43.180

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Cumulative Fertility (Dependent Child Ever Born; %)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous fertility indicates if a firstdependent child is born at a given age, and cumulative fertility indicates if a dependent child is ever born by a given age, starting at age 19. If anindividual ever claims a dependent child on a Form 1040, SSA records yield age at birth. Coefficients for each age are obtained from separate reducedform regressions of fertility on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state ofresidence at age 15 (the youngest age at which we observe all individuals in our sample).

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Table OA.3: Contemporaneous and Cumulative Fertility (%)

(1) (2) (3) (4)Age 15 Age 16 Age 17 Age 18

Female-0.039* -0.055 -0.062 -0.133**(-0.021) (-0.034) (-0.044) (-0.065)

Mean 1.056 1.806 2.805 3.880

Male0.003 -0.003 0.006 -0.011

(-0.013) (-0.013) (-0.017) (-0.031)Mean 0.642 0.865 1.290 1.883

All-0.018 -0.029 -0.028 -0.071(0.015) (0.019) (0.028) (0.044)

Mean 0.844 1.325 2.031 2.860

Female-0.038 -0.117* -0.197* -0.393**

(-0.035) (-0.069) (-0.099) (-0.163)Mean 2.523 4.330 7.135 11.015

Male-0.042 -0.056 -0.075 -0.136

(-0.032) (-0.034) (-0.052) (-0.083)Mean 2.048 2.912 4.202 6.084

All-0.040 -0.087* -0.135* -0.263**

(-0.027) (-0.044) (-0.071) (-0.118)Mean 2.280 3.606 5.637 8.496

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162

Contemporaneous Fertility (First Dependent Child Born; %)

Cumulative Fertility (Dependent Child Ever Born; %)

Simulated Years Eligible, Birth to Given Age

Simulated Years Eligible, Birth to Given Age

Simulated Years Eligible, Birth to Given Age

Simulated Years Eligible, Birth to Given Age

Simulated Years Eligible, Birth to Given Age

Simulated Years Eligible, Birth to Given Age

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous fertilityindicates if a first dependent child is born at a given age, and cumulative fertility indicates if a dependent child is ever born bya given age, starting at age 15. If an individual ever claims a dependent child on a Form 1040, SSA records yield age at birth.Coefficients for each age are obtained from separate reduced form regressions of fertility on simulated years eligible from birththrough the given age. The specification includes fixed effects for birth cohort by month and for state of residence at age 15(the youngest age at which we observe all individuals in our sample).

7

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2.3

Morta

lity

Table OA.4: Contemporaneous and Cumulative Mortality (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Contemporaneous Mortality (%)Female

-0.003 0.001 -0.004 -0.005** -0.001 -0.001 -0.005 0.000 0.001 0.006*(0.003) (0.003) (0.004) (0.002) (0.003) (0.004) (0.003) (0.003) (0.004) (0.003)

Mean 0.037 0.037 0.038 0.040 0.039 0.041 0.042 0.046 0.046 0.051

Male-0.001 0.004 -0.001 0.006 -0.009** -0.013** 0.001 -0.002 -0.005 -0.009(0.004) (0.005) (0.004) (0.005) (0.004) (0.005) (0.004) (0.005) (0.005) (0.006)

Mean 0.098 0.111 0.120 0.125 0.126 0.129 0.125 0.121 0.120 0.121

All-0.002 0.003 -0.003 0.000 -0.005* -0.007** -0.002 -0.001 -0.002 -0.001(0.003) (0.003) (0.002) (0.003) (0.003) (0.003) (0.003) (0.003) (0.004) (0.004)

Mean 0.068 0.075 0.080 0.084 0.083 0.086 0.084 0.084 0.084 0.087

Female-0.003 -0.001 -0.005 -0.010* -0.011 -0.012 -0.017* -0.016* -0.015* -0.009(0.003) (0.004) (0.006) (0.006) (0.007) (0.008) (0.009) (0.008) (0.009) (0.010)

Mean 0.037 0.074 0.112 0.152 0.191 0.232 0.274 0.320 0.367 0.417

Male-0.001 0.003 0.002 0.007 -0.002 -0.015 -0.015 -0.017 -0.022 -0.031*(0.004) (0.007) (0.008) (0.009) (0.010) (0.012) (0.013) (0.013) (0.014) (0.017)

Mean 0.098 0.209 0.329 0.454 0.579 0.707 0.831 0.951 1.070 1.191

All-0.002 0.001 -0.001 -0.001 -0.006 -0.013* -0.015* -0.016** -0.018** -0.020*(0.003) (0.004) (0.005) (0.006) (0.007) (0.008) (0.008) (0.008) (0.008) (0.011)

Mean 0.068 0.143 0.223 0.306 0.389 0.475 0.559 0.643 0.726 0.812

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Cumulative Mortality (%)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous mortality indicates mortality ata given age, measured using SSA death records. Cumulative mortality indicates mortality by a given age, starting at age 19. Coefficients for each ageare obtained from separate reduced form regressions of mortality on simulated years eligible, ages 0–18. The specification includes fixed effects for birthcohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).

8

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2.4

Wage

Inco

me

Table OA.5: Contemporaneous Wage Income ($000)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female

0.059* 0.045 -0.029 0.077 0.213*** 0.306*** 0.259** 0.208 0.232 0.414***

(0.031) (0.043) (0.039) (0.061) (0.073) (0.090) (0.121) (0.142) (0.144) (0.148)

Mean 4.198 5.566 6.769 8.729 12.234 15.684 18.137 20.106 21.842 23.336

Male

0.061 0.024 -0.082 -0.045 0.069 0.130 0.197 0.066 0.012 0.149

(0.041) (0.047) (0.067) (0.075) (0.110) (0.146) (0.168) (0.170) (0.167) (0.183)

Mean 4.864 6.619 8.204 10.461 14.038 18.026 20.988 23.519 26.055 28.577

All

0.061* 0.035 -0.055 0.015 0.140* 0.217* 0.228 0.136 0.121 0.280*

(0.033) (0.038) (0.051) (0.064) (0.083) (0.109) (0.138) (0.147) (0.149) (0.150)

Mean 4.538 6.104 7.502 9.614 13.156 16.880 19.593 21.850 23.994 26.013

Female

0.059* 0.104 0.076 0.152 0.366* 0.672** 0.930*** 1.139*** 1.370** 1.784***

(0.031) (0.069) (0.094) (0.145) (0.206) (0.255) (0.324) (0.424) (0.539) (0.662)

Mean 4.198 9.763 16.532 25.262 37.496 53.180 71.316 91.422 113.264 136.600

Male

0.061 0.085 0.003 -0.042 0.027 0.157 0.354 0.420 0.432 0.581

(0.041) (0.083) (0.131) (0.189) (0.271) (0.358) (0.482) (0.609) (0.728) (0.885)

Mean 4.864 11.483 19.687 30.147 44.186 62.212 83.199 106.718 132.774 161.350

All

0.061* 0.095 0.040 0.055 0.195 0.411 0.639* 0.776 0.896 1.177

(0.033) (0.069) (0.104) (0.160) (0.226) (0.282) (0.372) (0.480) (0.591) (0.715)

Mean 4.538 10.642 18.144 27.758 40.914 57.794 77.387 99.237 123.231 149.245

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Contemporaneous Wage Income ($000)

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Cumulative Wage Income ($000)

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous wage income indicates wagesearned at a given age, obtained from Form W-2, adjusted to 2011 dollars and censored at $10 million. Cumulative wage income indicates wage incomeearned by a given age, starting at age 19. Coefficients for each age are obtained from separate reduced form regressions of wage income on simulatedyears eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample).

9

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2.5

Earn

ed

Inco

me

Tax

Cre

dit

(EIT

C)

Table OA.6: Contemporaneous and Cumulative EITC ($000)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Contemporaneous EITC ($000)Female

-0.006*** -0.013*** -0.017*** -0.023*** -0.026*** -0.030*** -0.037*** -0.040*** -0.039*** -0.033***(0.002) (0.003) (0.005) (0.006) (0.006) (0.007) (0.008) (0.009) (0.010) (0.010)

Mean 0.095 0.170 0.248 0.319 0.388 0.453 0.538 0.600 0.660 0.717

Male-0.003*** -0.006*** -0.008*** -0.009*** -0.012*** -0.010*** -0.015*** -0.017*** -0.015** -0.009(0.001) (0.002) (0.002) (0.003) (0.004) (0.004) (0.005) (0.005) (0.006) (0.006)

Mean 0.039 0.070 0.105 0.137 0.167 0.197 0.257 0.292 0.326 0.357

All-0.005*** -0.009*** -0.012*** -0.016*** -0.019*** -0.020*** -0.026*** -0.028*** -0.026*** -0.021***(0.001) (0.002) (0.003) (0.004) (0.005) (0.005) (0.006) (0.007) (0.007) (0.008)

Mean 0.066 0.119 0.175 0.226 0.275 0.323 0.395 0.443 0.489 0.533

Female-0.006*** -0.019*** -0.036*** -0.059*** -0.084*** -0.114*** -0.151*** -0.191*** -0.230*** -0.263***(0.002) (0.005) (0.009) (0.015) (0.022) (0.028) (0.035) (0.044) (0.053) (0.063)

Mean 0.095 0.264 0.512 0.831 1.219 1.672 2.210 2.810 3.470 4.188

Male-0.003*** -0.009*** -0.017*** -0.026*** -0.037*** -0.048*** -0.063*** -0.080*** -0.094*** -0.103***(0.001) (0.003) (0.005) (0.008) (0.011) (0.015) (0.018) (0.023) (0.029) (0.034)

Mean 0.039 0.109 0.214 0.351 0.519 0.716 0.973 1.265 1.591 1.948

All-0.005*** -0.014*** -0.026*** -0.042*** -0.061*** -0.080*** -0.106*** -0.135*** -0.161*** -0.182***(0.001) (0.004) (0.007) (0.011) (0.016) (0.020) (0.026) (0.032) (0.039) (0.046)

Mean 0.066 0.185 0.360 0.586 0.861 1.184 1.578 2.021 2.510 3.044

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Cumulative EITC ($000)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous EITC indicates EITC earned at agiven age, obtained from Form 1040, adjusted to 2011 dollars. Cumulative EITC indicates EITC earned by a given age, starting at age 19. Coefficientsfor each age are obtained from separate reduced form regressions of EITC on simulated years eligible, ages 0–18. The specification includes fixed effectsfor birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).

10

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2.6

Tota

lT

axes

Table OA.7: Contemporaneous and Cumulative Total Taxes ($000)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Contemporaneous Total Taxes ($000)Female

0.013*** 0.021*** 0.025** 0.042*** 0.066*** 0.087*** 0.110*** 0.116*** 0.093** 0.115**(0.004) (0.007) (0.010) (0.014) (0.018) (0.024) (0.030) (0.038) (0.042) (0.047)

Mean 0.391 0.483 0.574 0.815 1.408 2.057 2.513 2.948 3.286 3.640

Male0.010* 0.011 0.007 0.010 0.031 0.053* 0.074** 0.074* 0.049 0.061(0.006) (0.007) (0.009) (0.011) (0.019) (0.031) (0.035) (0.038) (0.039) (0.051)

Mean 0.555 0.758 0.952 1.271 1.864 2.591 3.110 3.594 3.967 4.364

All0.012** 0.016** 0.016* 0.026** 0.048*** 0.070*** 0.092*** 0.094** 0.071* 0.088*(0.005) (0.007) (0.009) (0.012) (0.017) (0.026) (0.031) (0.037) (0.039) (0.048)

Mean 0.475 0.623 0.767 1.048 1.641 2.330 2.818 3.278 3.634 4.010

Female0.013*** 0.034*** 0.059*** 0.101*** 0.167*** 0.255*** 0.365*** 0.481*** 0.574*** 0.689***(0.004) (0.011) (0.021) (0.034) (0.050) (0.068) (0.093) (0.125) (0.160) (0.200)

Mean 0.391 0.874 1.447 2.263 3.671 5.728 8.241 11.189 14.475 18.115

Male0.010* 0.021* 0.028 0.039 0.069 0.122* 0.196** 0.270** 0.319** 0.380*(0.006) (0.012) (0.020) (0.029) (0.042) (0.063) (0.092) (0.125) (0.157) (0.200)

Mean 0.555 1.313 2.264 3.535 5.399 7.989 11.100 14.693 18.661 23.025

All0.012** 0.028** 0.044** 0.069** 0.118*** 0.187*** 0.279*** 0.374*** 0.445*** 0.533***(0.005) (0.011) (0.020) (0.031) (0.044) (0.061) (0.087) (0.119) (0.152) (0.192)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Cumulative Total Taxes ($000)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous total taxes indicate taxes paid ata given age, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Cumulative total taxesindicate taxes paid by a given age, starting at age 19. Coefficients for each age are obtained from separate reduced form regressions of total taxes onsimulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngestage at which we observe all individuals in our sample).

11

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Ap

pen

dix

3M

ain

IVR

esu

ltsT

ab

les

3.1

Colle

ge

Enro

llment

Table OA.8: Cumulative College Enrollment (%): IV Results and Main Results

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

IV Results

Female

1.358* 1.135** 0.943** 0.876** 0.846** 0.802** 0.656* 0.587 0.509 0.493

(0.731) (0.540) (0.457) (0.435) (0.413) (0.392) (0.376) (0.361) (0.335) (0.314)

Mean 62.209 68.004 71.339 73.562 75.161 76.539 77.788 78.944 79.982 80.888

Male

1.381* 1.054* 0.865 0.851* 0.849* 0.839* 0.780* 0.669 0.609 0.550

(0.763) (0.619) (0.531) (0.507) (0.481) (0.453) (0.441) (0.415) (0.399) (0.378)

Mean 51.593 57.531 60.727 62.858 64.315 65.524 66.641 67.663 68.623 69.501

All

1.367* 1.091* 0.900* 0.860* 0.844* 0.817* 0.717* 0.626 0.557 0.519

(0.745) (0.578) (0.494) (0.471) (0.446) (0.421) (0.407) (0.388) (0.366) (0.344)

Mean 56.785 62.654 65.917 68.094 69.620 70.911 72.093 73.181 74.179 75.070

Main Results

Female

1.261** 1.054** 0.876** 0.813** 0.785** 0.744** 0.609* 0.545* 0.473 0.458

(0.608) (0.452) (0.394) (0.380) (0.360) (0.342) (0.331) (0.319) (0.298) (0.278)

Mean 62.209 68.004 71.339 73.562 75.161 76.539 77.788 78.944 79.982 80.888

Male

1.305* 0.996* 0.817* 0.805* 0.802* 0.792* 0.737* 0.632* 0.576 0.519

(0.652) (0.541) (0.471) (0.450) (0.425) (0.399) (0.389) (0.370) (0.357) (0.339)

Mean 51.593 57.531 60.727 62.858 64.315 65.524 66.641 67.663 68.623 69.501

All

1.281** 1.022** 0.843* 0.806* 0.791** 0.766** 0.672* 0.586* 0.522 0.486

(0.629) (0.495) (0.433) (0.415) (0.392) (0.369) (0.359) (0.344) (0.326) (0.307)

Mean 56.785 62.654 65.917 68.094 69.620 70.911 72.093 73.181 74.179 75.070

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Cumulative College (Ever Enrolled; %)

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative college enrollment indicatesever having enrolled in college by a given age, starting at age 19. Coefficients are obtained from an IV regression of college enrollment onyears eligible, ages 0–18. The instrument represents simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort bymonth and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.2 presents this table graphically.

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3.2

Fertility

Table OA.9: Cumulative Fertility (%): IV Results and Main Results

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

IV Results

Female

-0.551** -0.692** -0.842** -0.937** -0.961** -1.022** -1.097** -1.107** -1.199** -1.267***

(0.249) (0.299) (0.361) (0.413) (0.431) (0.463) (0.478) (0.474) (0.479) (0.454)

Mean 15.863 20.572 24.792 28.763 32.489 36.143 39.854 43.559 47.279 50.573

Male

-0.198 -0.252 -0.365* -0.410* -0.462* -0.557* -0.598* -0.660* -0.687* -0.763**

(0.134) (0.177) (0.215) (0.243) (0.274) (0.308) (0.329) (0.350) (0.352) (0.354)

Mean 8.572 11.407 14.364 17.442 20.575 23.752 26.932 30.088 33.250 36.103

All

-0.371** -0.467** -0.598** -0.668** -0.706** -0.785** -0.843** -0.880** -0.939** -1.012**

(0.185) (0.230) (0.279) (0.318) (0.341) (0.375) (0.392) (0.401) (0.403) (0.391)

Mean 12.138 15.890 19.465 22.979 26.402 29.812 33.252 36.677 40.112 43.180

Main Results

Female

-0.512** -0.642** -0.781** -0.870** -0.892** -0.949** -1.019** -1.028** -1.114*** -1.177***

(0.212) (0.250) (0.300) (0.344) (0.362) (0.391) (0.400) (0.399) (0.399) (0.374)

Mean 15.863 20.572 24.792 28.763 32.489 36.143 39.854 43.559 47.279 50.573

Male

-0.187 -0.238 -0.345* -0.387* -0.436* -0.526* -0.566* -0.624* -0.649** -0.721**

(0.119) (0.157) (0.189) (0.215) (0.245) (0.274) (0.293) (0.313) (0.313) (0.313)

Mean 8.572 11.407 14.364 17.442 20.575 23.752 26.932 30.088 33.250 36.103

All

-0.348** -0.438** -0.560** -0.625** -0.662** -0.736** -0.790** -0.825** -0.880** -0.948***

(0.159) (0.196) (0.237) (0.271) (0.293) (0.322) (0.336) (0.346) (0.345) (0.332)

Mean 12.138 15.890 19.465 22.979 26.402 29.812 33.252 36.677 40.112 43.180

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Cumulative Fertility (Dependent Child Ever Born; %)

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative fertility indicates if a dependentchild is ever born by a given age, starting at age 19. If an individual ever claims a dependent child on a Form 1040, SSA records yield age at birth.Coefficients are obtained from an IV regression of fertility on years eligible, ages 0–18. The instrument represents simulated years eligible, ages 0–18.The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample). Figure OA.3 presents this table graphically.

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Table OA.10: Cumulative Fertility (%): IV Results and Main Results

(1) (2) (3) (4)Age 15 Age 16 Age 17 Age 18

IV ResultsFemale

-0.040 -0.128 -0.212* -0.423**(-0.038) (-0.079) (-0.113) (-0.192)

Mean 2.523 4.330 7.135 11.015

Male-0.044 -0.060 -0.079 -0.144

(-0.033) (-0.038) (-0.058) (-0.094)Mean 2.048 2.912 4.202 6.084

All-0.043 -0.094* -0.144* -0.280**

(-0.029) (-0.050) (-0.080) (-0.137)Mean 2.280 3.606 5.637 8.496

Main ResultsFemale

-0.038 -0.117* -0.197* -0.393**(-0.035) (-0.069) (-0.099) (-0.163)

Mean 2.523 4.330 7.135 11.015

Male-0.042 -0.056 -0.075 -0.136

(-0.032) (-0.034) (-0.052) (-0.083)Mean 2.048 2.912 4.202 6.084

All-0.040 -0.087* -0.135* -0.263**

(-0.027) (-0.044) (-0.071) (-0.118)Mean 2.280 3.606 5.637 8.496

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162

Cumulative Fertility (Dependent Child Ever Born; %)

Simulated Years Eligible, Age 0-18

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative fertilityindicates if a dependent child is ever born by a given age, starting at age 15. If an individual ever claims a dependent child ona Form 1040, SSA records yield age at birth. Coefficients are obtained from an IV regression of fertility on years eligible. Theinstrument is defined as simulated years eligible. We measure Medicaid eligibility and simulated Medicaid through the givenage. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age atwhich we observe all individuals in our sample). Figure OA.3 presents this table graphically.

14

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3.3

Morta

lity

Table OA.11: Cumulative Mortality (%): IV Results and Main Results

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

IV Results

Female

-0.003 -0.001 -0.005 -0.011 -0.012 -0.013 -0.018* -0.018* -0.016* -0.010

(0.003) (0.004) (0.007) (0.007) (0.008) (0.009) (0.010) (0.009) (0.010) (0.011)

Mean 0.037 0.074 0.112 0.152 0.191 0.232 0.274 0.320 0.367 0.417

Male

-0.001 0.003 0.002 0.008 -0.002 -0.016 -0.016 -0.018 -0.023 -0.032*

(0.004) (0.007) (0.008) (0.010) (0.011) (0.013) (0.013) (0.014) (0.015) (0.019)

Mean 0.098 0.209 0.329 0.454 0.579 0.707 0.831 0.951 1.070 1.191

All

-0.002 0.001 -0.002 -0.001 -0.007 -0.014* -0.016* -0.018** -0.020** -0.021*

(0.003) (0.004) (0.005) (0.006) (0.007) (0.008) (0.009) (0.008) (0.009) (0.012)

Mean 0.068 0.143 0.223 0.306 0.389 0.475 0.559 0.643 0.726 0.812

Main Results

Female

-0.003 -0.001 -0.005 -0.011 -0.012 -0.013 -0.018* -0.018* -0.016* -0.010

(0.003) (0.004) (0.007) (0.007) (0.008) (0.009) (0.010) (0.009) (0.010) (0.011)

Mean 0.037 0.074 0.112 0.152 0.191 0.232 0.274 0.320 0.367 0.417

Male

-0.001 0.003 0.002 0.008 -0.002 -0.016 -0.016 -0.018 -0.023 -0.032*

(0.004) (0.007) (0.008) (0.010) (0.011) (0.013) (0.013) (0.014) (0.015) (0.019)

Mean 0.098 0.209 0.329 0.454 0.579 0.707 0.831 0.951 1.070 1.191

All

-0.002 0.001 -0.002 -0.001 -0.007 -0.014* -0.016* -0.018** -0.020** -0.021*

(0.003) (0.004) (0.005) (0.006) (0.007) (0.008) (0.009) (0.008) (0.009) (0.012)

Mean 0.068 0.143 0.223 0.306 0.389 0.475 0.559 0.643 0.726 0.812

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Cumulative Mortality (%)

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative mortality indicates mor-tality by a given age, starting at age 19, measured using SSA death records. Coefficients are obtained from an IV regression of mortality onyears eligible, ages 0–18. The instrument represents simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort bymonth and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.4 presents this table graphically.

15

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3.4

Wage

Inco

me

Table OA.12: Cumulative Wage Income ($000): IV Results and Main Results

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

IV Results

Female

0.064* 0.112 0.082 0.164 0.394 0.723** 1.002** 1.226** 1.475** 1.921**

(0.034) (0.074) (0.103) (0.160) (0.236) (0.301) (0.380) (0.487) (0.614) (0.760)

Mean 4.198 9.763 16.532 25.262 37.496 53.180 71.316 91.422 113.264 136.600

Male

0.065 0.090 0.004 -0.045 0.029 0.166 0.375 0.445 0.457 0.615

(0.045) (0.091) (0.139) (0.199) (0.287) (0.383) (0.520) (0.655) (0.780) (0.950)

Mean 4.864 11.483 19.687 30.147 44.186 62.212 83.199 106.718 132.774 161.350

All

0.065* 0.102 0.043 0.058 0.208 0.439 0.682 0.828 0.957 1.256

(0.036) (0.075) (0.112) (0.173) (0.248) (0.315) (0.417) (0.533) (0.651) (0.793)

Mean 4.538 10.642 18.144 27.758 40.914 57.794 77.387 99.237 123.231 149.245

Main Results

Female

0.059* 0.104 0.076 0.152 0.366* 0.672** 0.930*** 1.139*** 1.370** 1.784***

(0.031) (0.069) (0.094) (0.145) (0.206) (0.255) (0.324) (0.424) (0.539) (0.662)

Mean 4.198 9.763 16.532 25.262 37.496 53.180 71.316 91.422 113.264 136.600

Male

0.061 0.085 0.003 -0.042 0.027 0.157 0.354 0.420 0.432 0.581

(0.041) (0.083) (0.131) (0.189) (0.271) (0.358) (0.482) (0.609) (0.728) (0.885)

Mean 4.864 11.483 19.687 30.147 44.186 62.212 83.199 106.718 132.774 161.350

All

0.061* 0.095 0.040 0.055 0.195 0.411 0.639* 0.776 0.896 1.177

(0.033) (0.069) (0.104) (0.160) (0.226) (0.282) (0.372) (0.480) (0.591) (0.715)

Mean 4.538 10.642 18.144 27.758 40.914 57.794 77.387 99.237 123.231 149.245

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Cumulative Wage Income ($000)

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative wage income indicates wage incomeearned by a given age, starting at age 19, obtained from Form W-2, adjusted to 2011 dollars and censored at $10 million. Coefficients for each ageare obtained from separate IV regressions of wage income on years eligible, ages 0–18. The instrument is defined as simulated years eligible, ages0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample).Figure OA.5 presents this table graphically.

16

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3.5

Earn

ed

Inco

me

Tax

Cre

dit

(EIT

C)

Table OA.13: Cumulative EITC ($000): IV Results and Main Results

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

IV Results

Female

-0.007*** -0.018*** -0.032*** -0.052*** -0.075*** -0.104*** -0.133*** -0.165*** -0.200*** -0.240***

(0.001) (0.004) (0.008) (0.013) (0.019) (0.025) (0.033) (0.041) (0.051) (0.060)

Mean 0.095 0.264 0.512 0.831 1.219 1.672 2.210 2.810 3.470 4.188

Male

-0.003*** -0.007*** -0.015*** -0.024*** -0.036*** -0.048*** -0.060*** -0.074*** -0.087*** -0.105***

(0.001) (0.002) (0.004) (0.007) (0.010) (0.013) (0.018) (0.024) (0.030) (0.037)

Mean 0.039 0.109 0.214 0.351 0.519 0.716 0.973 1.265 1.591 1.948

All

-0.005*** -0.012*** -0.022*** -0.037*** -0.054*** -0.073*** -0.093*** -0.114*** -0.137*** -0.165***

(0.001) (0.003) (0.005) (0.009) (0.014) (0.018) (0.024) (0.031) (0.039) (0.047)

Mean 0.066 0.185 0.360 0.586 0.861 1.184 1.578 2.021 2.510 3.044

Main Results

Female

-0.006*** -0.019*** -0.036*** -0.059*** -0.084*** -0.114*** -0.151*** -0.191*** -0.230*** -0.263***

(0.002) (0.005) (0.009) (0.015) (0.022) (0.028) (0.035) (0.044) (0.053) (0.063)

Mean 0.095 0.264 0.512 0.831 1.219 1.672 2.210 2.810 3.470 4.188

Male

-0.003*** -0.009*** -0.017*** -0.026*** -0.037*** -0.048*** -0.063*** -0.080*** -0.094*** -0.103***

(0.001) (0.003) (0.005) (0.008) (0.011) (0.015) (0.018) (0.023) (0.029) (0.034)

Mean 0.039 0.109 0.214 0.351 0.519 0.716 0.973 1.265 1.591 1.948

All

-0.005*** -0.014*** -0.026*** -0.042*** -0.061*** -0.080*** -0.106*** -0.135*** -0.161*** -0.182***

(0.001) (0.004) (0.007) (0.011) (0.016) (0.020) (0.026) (0.032) (0.039) (0.046)

Mean 0.066 0.185 0.360 0.586 0.861 1.184 1.578 2.021 2.510 3.044

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Cumulative EITC ($000)

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative EITC indicates EITC earned by agiven age, starting at age 19, obtained from Form 1040, adjusted to 2011 dollars. Coefficients for each age are obtained from separate IV regressionsof EITC on years eligible, ages 0–18. The instrument is defined as simulated years eligible, ages 0–18. The specification includes fixed effects for birthcohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.6 presents thistable graphically.

17

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3.6

Tota

lT

axes

Table OA.14: Cumulative Total Taxes ($000): IV Results and Main Results

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

IV Results

Female

0.014*** 0.036*** 0.063** 0.108** 0.180*** 0.274*** 0.393*** 0.518*** 0.618*** 0.742***

(0.005) (0.013) (0.025) (0.041) (0.062) (0.086) (0.117) (0.157) (0.197) (0.243)

Mean 0.391 0.874 1.447 2.263 3.671 5.728 8.241 11.189 14.475 18.115

Male

0.011* 0.023 0.030 0.041 0.073 0.129* 0.208** 0.285** 0.337* 0.402*

(0.006) (0.014) (0.023) (0.033) (0.047) (0.070) (0.103) (0.139) (0.174) (0.219)

Mean 0.555 1.313 2.264 3.535 5.399 7.989 11.100 14.693 18.661 23.025

All

0.012** 0.029** 0.047** 0.074** 0.126** 0.200*** 0.298*** 0.399*** 0.475*** 0.568**

(0.005) (0.013) (0.023) (0.036) (0.052) (0.073) (0.103) (0.140) (0.177) (0.221)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623

Main Results

Female

0.013*** 0.034*** 0.059*** 0.101*** 0.167*** 0.255*** 0.365*** 0.481*** 0.574*** 0.689***

(0.004) (0.011) (0.021) (0.034) (0.050) (0.068) (0.093) (0.125) (0.160) (0.200)

Mean 0.391 0.874 1.447 2.263 3.671 5.728 8.241 11.189 14.475 18.115

Male

0.010* 0.021* 0.028 0.039 0.069 0.122* 0.196** 0.270** 0.319** 0.380*

(0.006) (0.012) (0.020) (0.029) (0.042) (0.063) (0.092) (0.125) (0.157) (0.200)

Mean 0.555 1.313 2.264 3.535 5.399 7.989 11.100 14.693 18.661 23.025

All

0.012** 0.028** 0.044** 0.069** 0.118*** 0.187*** 0.279*** 0.374*** 0.445*** 0.533***

(0.005) (0.011) (0.020) (0.031) (0.044) (0.061) (0.087) (0.119) (0.152) (0.192)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Cumulative Total Taxes ($000)

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxes indicate taxes paid by agiven age, starting at age 19, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars.Coefficients for each age are obtained from separate IV regressions of total taxes on years eligible, ages 0–18. The instrument is defined as simulatedyears eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age atwhich we observe all individuals in our sample). Figure OA.7 presents this table graphically.

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Appendix 4 Main IV Results Figures

4.1 College Enrollment

Figure OA.2: Cumulative College Enrollment (%): IV Results0

.51

1.5

22.

5IV

Coe

ffici

ents

(%

)

19 22 25 28

Female

0.5

11.

52

2.5

19 22 25 28Age

Male

0.5

11.

52

2.5

19 22 25 28

All

020

4060

80M

eans

(%

)

19 22 25 28

020

4060

80

19 22 25 28Age

020

4060

80

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative college enrollment indicates ever having enrolled in college by a given age, starting at age 19, observedthrough Form 1098-T, filed by educational institutions. Coefficients for each age are obtained from separate IV regressions ofcollege enrollment on years eligible, ages 0–18. The instrument is defined as simulated years eligible, ages 0–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.8contains corresponding results.

19

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4.2 Fertility

Figure OA.3: Cumulative Fertility (%): IV Results

-2-1

.5-1

-.5

0IV

Coe

ffici

ents

(%

)

14 16 18 20 22 24 26 28

Female

-2-1

.5-1

-.5

0

14 16 18 20 22 24 26 28Age

Male

-2-1

.5-1

-.5

0

14 16 18 20 22 24 26 28

All0

1020

3040

50M

eans

(%

)

14 16 18 20 22 24 26 28

010

2030

4050

14 16 18 20 22 24 26 28Age

010

2030

4050

14 16 18 20 22 24 26 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative fertility indicates if a dependent child is ever born by a given age, starting at age 15. If an individual everclaims a dependent child on a Form 1040, SSA records yield age at birth. Coefficients for each age are obtained from separate IVregressions of fertility on years eligible. The instrument is defined as simulated years eligible. We measure Medicaid eligibilityand simulated Medicaid through the given age or through age 18, whichever is younger. The specification includes fixed effectsfor birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in oursample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.9 and Table OA.10contain corresponding results.

20

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4.3 Mortality

Figure OA.4: Cumulative Mortality (%): IV Results

-.1

-.05

0.0

5IV

Coe

ffici

ents

(%

)

19 22 25 28

Female

-.1

-.05

0.0

5

19 22 25 28Age

Male

-.1

-.05

0.0

5

19 22 25 28

All0

.51

1.5

Mea

ns (

%)

19 22 25 28

0.5

11.

5

19 22 25 28Age

0.5

11.

5

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative mortality indicates mortality by a given age, starting at age 19, measured using SSA death records. Co-efficients for each age are obtained from separate IV regressions of mortality on years eligible, ages 0–18. The instrument isdefined as simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for stateof residence at age 15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered bystate. Dashed lines show 95% confidence intervals. Table OA.11 contains corresponding results.

21

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4.4 Wage Income

Figure OA.5: Cumulative Wage Income ($000): IV Results

-10

12

34

IV C

oeffi

cien

ts

19 22 25 28

Female

-10

12

34

19 22 25 28

Age

Male

-10

12

34

19 22 25 28

All0

5010

015

0M

eans

19 22 25 28

050

100

150

19 22 25 28Age

050

100

150

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative wage income indicates wage income earned by a given age, starting at age 19, obtained from Form W-2,adjusted to 2011 dollars and censored at $10 million. Coefficients for each age are obtained from separate IV regressions ofwage income on years eligible, ages 0–18. The instrument is defined as simulated years eligible, ages 0–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.12contains corresponding results.

22

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4.5 Earned Income Tax Credit (EITC)

Figure OA.6: Cumulative EITC ($000): IV Results

-.4

-.3

-.2

-.1

0IV

Coe

ffici

ents

19 22 25 28

Female

-.4

-.3

-.2

-.1

0

19 22 25 28Age

Male

-.4

-.3

-.2

-.1

0

19 22 25 28

All0

12

34

Mea

ns

19 22 25 28

01

23

4

19 22 25 28Age

01

23

4

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative EITC indicates EITC earned by a given age, starting at age 19, obtained from Form 1040, adjusted to 2011dollars. Coefficients for each age are obtained from separate IV regressions of EITC on years eligible, ages 0–18. The instrumentis defined as simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for stateof residence at age 15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered bystate. Dashed lines show 95% confidence intervals. Table OA.13 contains corresponding results.

23

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4.6 Total Taxes

Figure OA.7: Cumulative Total Taxes ($000): IV Results

0.5

11.

5IV

Coe

ffici

ents

19 22 25 28

Female

0.5

11.

5

19 22 25 28Age

Male

0.5

11.

5

19 22 25 28

All0

510

1520

25M

eans

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative total taxes indicate taxes paid by a given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients for each age are obtained from separateIV regressions of total taxes on years eligible, ages 0–18. The instrument is defined as simulated years eligible, ages 0–18. Thespecification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals.Table OA.14 contains corresponding results.

24

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Appendix 5 Supplemental College Enrollment Results

5.1 Supplemental College Enrollment Results Figure

Figure OA.8: Contemporaneous College Enrollment, Including at Least Half-Time (%)

0.5

11.

52

Coe

ffici

ents

(%

)

19 22 25 28

Female

0.5

11.

52

19 22 25 28

Age

Male

0.5

11.

52

19 22 25 28

All

Currently Enrolled Currently Enrolled, at Least Half-Time

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

1020

3040

5060

Mea

ns (

%)

19 22 25 28

1020

3040

5060

19 22 25 28Age

1020

3040

5060

19 22 25 28Age

Currently Enrolled Currently Enrolled, at Least Half-Time

Contemporaneous College Enrollment (%)

Note. Contemporaneous college enrollment indicates if Form 1098-T was returned by any educational institution for the taxyear corresponding to each age. Contemporaneous college enrollment, at least half time, indicates whether a Form 1098-Twas returned with the “at least half-time” box checked. Coefficients for each age are obtained from separate reduced formregressions of the given outcome on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohortby month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Standarderrors are clustered by state. Table OA.15 contains corresponding results.

25

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5.2

Supple

menta

lC

olle

ge

Enro

llment

Resu

ltsT

ab

le

Table OA.15: Contemporaneous College Enrollment, at Least Half-Time (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female1.374** 0.479 0.688 0.911* 0.471 0.225 0.068 0.279 0.172 -0.042(0.652) (0.606) (0.449) (0.462) (0.331) (0.181) (0.165) (0.171) (0.161) (0.154)

Mean 53.014 52.820 49.703 44.127 31.571 23.171 20.166 18.565 17.326 16.121

Male1.216* 0.410 0.735* 0.820** 0.259 0.022 -0.051 0.067 0.052 -0.111(0.672) (0.611) (0.388) (0.404) (0.284) (0.160) (0.162) (0.144) (0.174) (0.153)

Mean 43.588 43.431 40.090 35.656 26.776 18.667 15.163 13.473 12.458 11.692

All1.291* 0.442 0.710* 0.862** 0.361 0.119 0.005 0.169 0.108 -0.079(0.660) (0.603) (0.408) (0.426) (0.299) (0.161) (0.156) (0.151) (0.163) (0.147)

Mean 48.198 48.023 44.792 39.799 29.121 20.870 17.610 15.964 14.839 13.859

Female1.750*** 1.171** 0.767 0.718 0.583 0.655*** 0.285 0.270* 0.073 -0.026(0.539) (0.489) (0.476) (0.435) (0.438) (0.228) (0.245) (0.161) (0.166) (0.157)

Mean 57.617 57.535 55.003 50.040 38.253 30.240 26.617 24.229 22.150 20.062

Male1.637*** 0.945* 0.644* 0.646* 0.382 0.292 0.099 0.094 -0.034 -0.092(0.568) (0.484) (0.379) (0.342) (0.354) (0.223) (0.241) (0.145) (0.158) (0.154)

Mean 47.684 47.512 44.558 40.454 31.936 23.910 19.793 17.472 15.848 14.461

All1.690*** 1.053** 0.701* 0.678* 0.479 0.466** 0.187 0.177 0.016 -0.062(0.549) (0.476) (0.418) (0.384) (0.392) (0.221) (0.236) (0.146) (0.154) (0.143)

Mean 52.542 52.414 49.667 45.143 35.025 27.006 23.130 20.777 18.930 17.201

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Contemporaneous College (Currently Enrolled, at Least Half Time; %)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Contemporaneous College (Currently Enrolled, %)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous college enrollmentindicates if Form 1098-T was returned by any educational institution for the tax year corresponding to each age. Contemporaneous collegeenrollment, at least half time, indicates whether a Form 1098-T was returned with the “at least half-time” box checked. Coefficients for eachage are obtained from separate reduced form regressions of the given outcome on simulated years eligible, ages 0–18. The specification includesfixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).Figure OA.8 presents this table graphically.

26

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Appendix 6 Supplemental Mortality Results

6.1 Mortality Results in Surviving Sample

Figure OA.9: Contemporaneous Mortality in Surviving Sample (%)

-.02

-.01

0.0

1.0

2 C

oeffi

cien

ts (

%)

19 22 25 28

Female

-.02

-.01

0.0

1.0

2

19 22 25 28Age

Male

-.02

-.01

0.0

1.0

2

19 22 25 28

All

0.0

5.1

.15

Mea

ns (

%)

19 22 25 28

0.0

5.1

.15

19 22 25 28Age

0.0

5.1

.15

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous mortality indicates mortality at a given age, measured using SSA death records. Whereas our mainsample conditions on surviving only until age 18, the surviving sample conditions on surviving until the given age of the outcome.Coefficients for each age are obtained from separate reduced form regressions of mortality on simulated years eligible, ages 0–18.The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals.Table OA.16 contains corresponding results.

27

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Table OA.16: Contemporaneous Mortality in Surviving Sample (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female-0.003 0.001 -0.004 -0.005** -0.001 -0.001 -0.005 0.000 0.001 0.006*(0.003) (0.003) (0.004) (0.002) (0.003) (0.004) (0.003) (0.003) (0.004) (0.003)

Mean 0.037 0.037 0.038 0.040 0.039 0.041 0.042 0.046 0.046 0.051

Male-0.001 0.004 -0.001 0.006 -0.009** -0.013** 0.001 -0.002 -0.005 -0.009(0.004) (0.005) (0.004) (0.005) (0.004) (0.005) (0.004) (0.005) (0.005) (0.006)

Mean 0.098 0.111 0.120 0.125 0.126 0.129 0.125 0.121 0.120 0.121

All-0.002 0.003 -0.003 0.000 -0.005* -0.007** -0.002 -0.001 -0.002 -0.001(0.003) (0.003) (0.002) (0.003) (0.003) (0.003) (0.003) (0.003) (0.004) (0.004)

Mean 0.068 0.075 0.080 0.084 0.083 0.086 0.084 0.084 0.084 0.087

Female Observations 4,913,139 4,911,340 4,909,502 4,907,631 4,905,658 4,903,748 4,901,740 4,899,659 4,897,398 4,895,129Male Observations 5,132,023 5,126,990 5,121,313 5,115,146 5,108,739 5,102,313 5,095,729 5,089,380 5,083,208 5,077,093All Observations 10,045,162 10,038,330 10,030,815 10,022,777 10,014,397 10,006,061 9,997,469 9,989,039 9,980,606 9,972,222

Contemporaneous Mortality (%)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous mortality indicates mortality ata given age, measured using SSA death records. Whereas our main sample conditions on surviving only until age 18, the surviving sample conditionson surviving until the given age of the outcome. Coefficients for each age are obtained from separate reduced form regressions of mortality on simulatedyears eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age atwhich we observe all individuals in our sample). Figure OA.9 presents this table graphically.

28

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6.2 Mortality at Younger Ages

Examining the impact of Medicaid on mortality at ages younger than 19 would require

expanding our sample to include children who died during childhood, which would necessitate

changes to our instrument and specification because of data limitations.20 Therefore, because

we are interested in making comparisons by age across several outcomes holding the sample

and specification constant, we do not present impacts of Medicaid on mortality before the

age of 19. However, we do observe the Social Security Administration (SSA) date of death

for all children with a social security number (SSN), so we do report mean mortality by age

at ages younger than 19 to provide context for our results.

We present mean morality by age in Figure OA.10 and in Table OA.17. These mortality

rates are consistent with rates reported in SSA death tables. However, they understate

mortality from birth to age 1, which occurs before many children have an SSN. As shown,

there are very few deaths until age 12 or so, and then mortality rates increase dramatically

into adulthood.

Figure OA.10: Contemporaneous Mortality Over a Wide Age Range

Female Male All

0.0

5.1

.15

Mea

ns (

%)

0 4 8 12 16 20 24 28

0.0

5.1

.15

0 4 8 12 16 20 24 28Age

0.0

5.1

.15

0 4 8 12 16 20 24 28

Note. Contemporaneous mortality indicates mortality at a given age, measured using SSA death records. The sample differsfrom our main sample because we do not condition on survival until age 18. As in our main sample, the sample includes thedeceased so that it remains constant across all ages. Table OA.17 contains corresponding results.

20We never observe the linked parental tax records of children that died before 1996. Therefore, we cannotobserve several of the variables that we need to construct our instrument and covariates for children whodied before 1996, such as state of residence during childhood.

29

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Table OA.17: Contemporaneous Mortality Over a Wide Age Range

(1) (2) (3) (4) (5) (6) (7) (8)Age 0 Age 1 Age 2 Age 3 Age 4 Age 5 Age 6 Age 7

Female Mean 0.028 0.017 0.013 0.012 0.012 0.012 0.013 0.013.Male Mean 0.034 0.020 0.017 0.015 0.015 0.016 0.017 0.017

All Mean 0.031 0.019 0.015 0.014 0.014 0.014 0.015 0.015

(9) (10) (11) (12) (13) (14) (15) (16)Age 8 Age 9 Age 10 Age 11 Age 12 Age 13 Age 14 Age 15

Female Mean 0.012 0.012 0.011 0.013 0.015 0.017 0.021 0.026

Male Mean 0.018 0.017 0.018 0.020 0.023 0.030 0.037 0.049

All Mean 0.015 0.015 0.015 0.016 0.019 0.023 0.030 0.038

(17) (18) (19) (20) (21) (22) (23) (24)Age 16 Age 17 Age 18 Age 19 Age 20 Age 21 Age 22 Age 23

Female Mean 0.037 0.040 0.043 0.043 0.044 0.045 0.046 0.046

Male Mean 0.071 0.088 0.112 0.129 0.130 0.142 0.142 0.140

All Mean 0.054 0.064 0.078 0.086 0.087 0.094 0.094 0.094

(25) (26) (27) (28) (29) (-) (-) (-)Age 24 Age 25 Age 26 Age 27 Age 28 - - -

Female Mean 0.050 0.050 0.054 0.055 0.061

Male Mean 0.140 0.136 0.132 0.131 0.136 - - -

All Mean 0.095 0.093 0.093 0.093 0.099

Female Observations 7,642,798 7,642,798 7,642,798 7,642,798 7,642,798 7,642,798 7,642,798 7,642,798Male Observations 7,831,277 7,831,277 7,831,277 7,831,277 7,831,277 7,831,277 7,831,277 7,831,277All Observations 15,474,075 15,474,075 15,474,075 15,474,075 15,474,075 15,474,075 15,474,075 15,474,075

Contemporaneous Mortality (%)

Note. Contemporaneous mortality indicates mortality at a given age, measured using SSA death records. The sample differsfrom our main sample because we do not condition on survival until age 18. As in our main sample, the sample includes thedeceased so that it remains constant across all ages. Figure OA.10 presents this table graphically.

30

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Appendix 7 Supplemental Wage Income Results

7.1 Self-employment Results Figure

Figure OA.11: Self-employment (%)

-.3

-.2

-.1

0.1

.2 C

oeffi

cien

ts

19 22 25 28

Female

-.3

-.2

-.1

0.1

.2

19 22 25 28Age

Male

-.3

-.2

-.1

0.1

.2

19 22 25 28

All

02

46

8M

eans

19 22 25 28

02

46

8

19 22 25 28Age

02

46

8

19 22 25 28

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Self-employment indicates earning self-employment income contemporaneously at a given age, observed using ScheduleSE. Coefficients for each age are obtained from separate reduced form regressions of self-employment on simulated years eligible,ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngestage at which we observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidenceintervals. Table OA.18 contains corresponding results.

31

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7.2

Self-e

mplo

ym

ent

Resu

ltsT

able

Table OA.18: Self-employment (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Self-employed (%)Female

-0.001 -0.009 0.004 0.025 -0.030 -0.023 -0.087 -0.126* -0.120 -0.072(0.036) (0.044) (0.060) (0.061) (0.048) (0.050) (0.068) (0.075) (0.072) (0.085)

Mean 1.419 1.949 2.549 3.334 4.109 4.750 5.345 5.894 6.394 6.889

Male-0.075* -0.029 -0.078 -0.041 -0.049 -0.039 -0.051 -0.025 -0.004 -0.031(0.038) (0.050) (0.053) (0.054) (0.065) (0.070) (0.073) (0.075) (0.076) (0.056)

Mean 2.159 2.698 3.263 4.085 4.976 5.678 6.214 6.635 6.947 7.308

All-0.038 -0.019 -0.038 -0.009 -0.039 -0.031 -0.068 -0.074 -0.060 -0.050(0.031) (0.043) (0.051) (0.053) (0.052) (0.053) (0.062) (0.068) (0.067) (0.058)

Mean 1.797 2.332 2.914 3.718 4.552 5.224 5.789 6.273 6.676 7.103

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Self-employment indicates earning self-employment incomecontemporaneously at a given age, observed using Schedule SE. Coefficients for each age are obtained from separate reduced form regressions of self-employment onsimulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample). Figure OA.11 presents this table graphically.

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7.3 Log of Wage Income Results Figure

Figure OA.12: Log of Contemporaneous and Cumulative Wage Income

-.02

-.01

0.0

1.0

2.0

3 C

oeffi

cien

ts

19 22 25 28

Female

-.02

-.01

0.0

1.0

2.0

3

19 22 25 28Age

Male

-.02

-.01

0.0

1.0

2.0

3

19 22 25 28

All

02

46

810

Mea

ns

19 22 25 28

02

46

810

19 22 25 28Age

02

46

810

19 22 25 28

Contemporaneous Log of Wage Income

-.01

0.0

1.0

2.0

3 C

oeffi

cien

ts

19 22 25 28

Female

-.01

0.0

1.0

2.0

3

19 22 25 28Age

Male

-.01

0.0

1.0

2.0

3

19 22 25 28

All

05

1015

Mea

ns

19 22 25 28

05

1015

19 22 25 28Age

05

1015

19 22 25 28

Cumulative Log of Wage Income

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Log of contemporaneous wage income indicates the log of wages earned at a given age, obtained from Form W-2, adjustedto 2011 dollars and censored at $10 million. Log of cumulative wage income indicates the log of cumulative wage income earnedby a given age, starting at age 19. Individuals with zero wage income are excluded. Coefficients for each age are obtained fromseparate reduced form regressions of log of wage income on simulated years eligible, ages 0–18. The specification includes fixedeffects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individualsin our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.19 containscorresponding results.

33

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7.4

Log

of

Wage

Inco

me

Resu

ltsT

able

Table OA.19: Log of Contemporaneous and Cumulative Wage Income

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Log of Contemporaneous Wage Income

Female

0.010 0.001 -0.002 0.004 0.009* 0.011 0.003 0.002 0.005 0.005

(0.007) (0.006) (0.005) (0.005) (0.005) (0.006) (0.008) (0.008) (0.007) (0.006)

Mean 8.022 8.290 8.486 8.766 9.117 9.380 9.540 9.655 9.750 9.827

Observations 4,296,498 4,335,999 4,319,558 4,328,621 4,333,409 4,309,312 4,240,579 4,165,911 4,086,575 4,012,090

Male

0.010 0.004 -0.005 -0.004 -0.000 0.001 0.006 0.004 -0.000 -0.001

(0.008) (0.006) (0.005) (0.005) (0.007) (0.009) (0.009) (0.009) (0.007) (0.006)

Mean 8.156 8.462 8.677 8.934 9.248 9.518 9.684 9.804 9.909 10.005

Observations 4,391,523 4,412,714 4,420,788 4,448,912 4,468,202 4,463,929 4,403,088 4,339,380 4,282,934 4,240,077

All

0.010 0.002 -0.003 0.000 0.004 0.006 0.005 0.003 0.002 0.002

(0.007) (0.006) (0.005) (0.005) (0.006) (0.007) (0.008) (0.008) (0.007) (0.006)

Mean 8.090 8.377 8.583 8.851 9.183 9.451 9.613 9.731 9.831 9.919

Observations 8,688,021 8,748,713 8,740,346 8,777,533 8,801,611 8,773,241 8,643,667 8,505,291 8,369,509 8,252,167

Log of Cumulative Wage Income

Female

0.010 0.006 0.003 0.004 0.006 0.008* 0.009* 0.009 0.009 0.010

(0.007) (0.007) (0.007) (0.006) (0.006) (0.005) (0.005) (0.006) (0.006) (0.007)

Mean 8.022 8.798 9.312 9.755 10.177 10.541 10.834 11.076 11.280 11.453

Observations 4,296,498 4,610,984 4,723,766 4,784,337 4,819,101 4,839,134 4,850,907 4,858,830 4,864,073 4,868,092

Male

0.010 0.005 -0.000 -0.002 -0.001 -0.000 0.002 0.003 0.003 0.002

(0.008) (0.008) (0.007) (0.006) (0.005) (0.005) (0.005) (0.005) (0.005) (0.005)

Mean 8.156 8.932 9.451 9.883 10.285 10.643 10.937 11.180 11.388 11.570

Observations 4,391,523 4,749,414 4,886,041 4,960,541 5,004,965 5,032,195 5,048,486 5,059,544 5,067,718 5,074,117

All

0.010 0.006 0.001 0.001 0.002 0.004 0.006 0.006 0.006 0.006

(0.007) (0.007) (0.006) (0.006) (0.005) (0.004) (0.005) (0.005) (0.005) (0.005)

Mean 8.090 8.866 9.383 9.820 10.232 10.593 10.886 11.129 11.335 11.513

Observations 8,688,021 9,360,398 9,609,807 9,744,878 9,824,066 9,871,329 9,899,393 9,918,374 9,931,791 9,942,209

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Log of contemporaneous wage income indicates thelog of wages earned at a given age, obtained from Form W-2, adjusted to 2011 dollars and censored at $10 million. Log of cumulative wage incomeindicates the log of cumulative wage income earned by a given age, starting at age 19. Individuals with zero wage income are excluded. Coefficients foreach age are obtained from separate reduced form regressions of log of wage income on simulated years eligible, ages 0–18. The specification includesfixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).Figure OA.19 presents this table graphically.

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Appendix 8 Supplemental EITC Results

8.1 Any EITC

Figure OA.13: Contemporaneous and Cumulative Any EITC (%)

-1.5

-1-.

50

.5 C

oeffi

cien

ts

19 22 25 28

Female

-1.5

-1-.

50

.5

19 22 25 28Age

Male

-1.5

-1-.

50

.5

19 22 25 28

All0

1020

30M

eans

19 22 25 28

0

1020

30

19 22 25 28Age

010

2030

19 22 25 28

Contemporaneous Any EITC

-2-1

.5-1

-.5

0 C

oeffi

cien

ts

19 22 25 28

Female

-2-1

.5-1

-.5

0

19 22 25 28Age

Male

-2-1

.5-1

-.5

0

19 22 25 28

All

010

2030

4050

Mea

ns

19 22 25 28

010

2030

4050

19 22 25 28Age

010

2030

4050

19 22 25 28

Cumulative Any EITC

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous EITC indicates whether the individual earned any EITC at a given age, obtained from Form 1040.Cumulative EITC indicates whether the individual earned any EITC by a given age, starting at age 19. Coefficients for eachage are obtained from separate reduced form regressions of any EITC on simulated years eligible, ages 0–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.20contains corresponding results.

35

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Table OA.20: Log of Contemporaneous and Cumulative Any EITC (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Contemporaneous Any EITC (%)Female

-0.215* -0.508*** -0.604*** -0.705*** -0.722*** -0.779*** -0.855*** -0.792*** -0.728*** -0.671**(0.114) (0.152) (0.189) (0.253) (0.256) (0.242) (0.221) (0.258) (0.254) (0.264)

Mean 6.233 10.239 13.893 16.714 18.922 20.641 29.436 29.706 29.698 29.697

Male-0.096* -0.179** -0.248** -0.238* -0.289* -0.231 -0.496** -0.491** -0.396* -0.212(0.056) (0.079) (0.108) (0.139) (0.159) (0.173) (0.234) (0.218) (0.226) (0.239)

Mean 2.368 4.132 5.910 7.364 8.575 9.571 21.221 21.335 21.075 20.794

All-0.155* -0.341*** -0.424*** -0.469** -0.503** -0.501** -0.673*** -0.640*** -0.561** -0.438*(0.080) (0.108) (0.140) (0.187) (0.195) (0.193) (0.214) (0.224) (0.232) (0.241)

Mean 4.259 7.119 9.815 11.937 13.636 14.985 25.239 25.429 25.293 25.149

Cumulative Any EITC (%)

-0.215* -0.536*** -0.751*** -0.908*** -1.013*** -1.106*** -1.061*** -0.929*** -0.787** -0.748**(0.114) (0.172) (0.227) (0.293) (0.338) (0.356) (0.318) (0.321) (0.313) (0.316)

Mean 6.233 11.542 16.666 21.215 25.218 28.743 38.498 43.878 47.754 50.760

Male-0.096* -0.220** -0.359** -0.455** -0.523** -0.580** -0.737** -0.788** -0.716** -0.635*(0.056) (0.098) (0.142) (0.182) (0.223) (0.244) (0.278) (0.315) (0.342) (0.342)

Mean 2.368 4.880 7.729 10.622 13.476 16.223 28.634 35.615 40.571 44.352

All-0.155* -0.376*** -0.553*** -0.679*** -0.765*** -0.840*** -0.898*** -0.859*** -0.753** -0.692**(0.080) (0.127) (0.175) (0.229) (0.271) (0.289) (0.287) (0.309) (0.321) (0.323)

Mean 4.259 8.138 12.100 15.803 19.219 22.346 33.459 39.656 44.084 47.486

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous EITC indicates whether theindividual earned any EITC at a given age, obtained from Form 1040. Cumulative EITC indicates whether the individual earned any EITC by agiven age, starting at age 19. Coefficients for each age are obtained from separate reduced form regressions of any EITC on simulated years eligible,ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which weobserve all individuals in our sample). Figure OA.13 presents this table graphically.

36

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Ap

pen

dix

9S

up

ple

menta

lT

ota

lT

axes

Resu

lts

9.1

Com

ponents

of

Tota

lT

axes:

Tab

les

Table OA.21: Contemporaneous Total Tax Components ($000)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

FemaleEITC

-0.006*** -0.013*** -0.017*** -0.023*** -0.026*** -0.030*** -0.037*** -0.040*** -0.039*** -0.033***(0.002) (0.003) (0.005) (0.006) (0.006) (0.007) (0.008) (0.009) (0.010) (0.010)

Mean 0.095 0.170 0.248 0.319 0.388 0.453 0.538 0.600 0.660 0.717% Change in Total Taxes 46% 62% 68% 55% 39% 34% 34% 34% 42% 29%

Payroll Taxes0.002 0.000 -0.001 0.006 0.016*** 0.023*** 0.020** 0.017 -0.004 -0.003

(0.002) (0.002) (0.003) (0.004) (0.005) (0.007) (0.009) (0.010) (0.011) (0.010)Mean 0.310 0.413 0.508 0.665 0.936 1.203 1.394 1.549 1.584 1.583% Change in Total Taxes 15% 0% - 4% 14% 24% 26% 18% 15% - 4% - 3%

Income Taxes + EITC0.004 0.008** 0.009** 0.013** 0.025** 0.035** 0.053*** 0.059** 0.059** 0.085**

(0.003) (0.004) (0.005) (0.006) (0.010) (0.015) (0.018) (0.023) (0.026) (0.032)Mean 0.175 0.240 0.314 0.469 0.859 1.308 1.657 1.999 2.361 2.775% Change in Total Taxes 31% 38% 36% 31% 38% 40% 48% 51% 63% 74%

MaleEITC

-0.003*** -0.006*** -0.008*** -0.009*** -0.012*** -0.010*** -0.015*** -0.017*** -0.015** -0.009(0.001) (0.002) (0.002) (0.003) (0.004) (0.004) (0.005) (0.005) (0.006) (0.006)

Mean 0.039 0.070 0.105 0.137 0.167 0.197 0.257 0.292 0.326 0.357% Change in Total Taxes 30% 55% 114% 90% 39% 19% 20% 23% 31% 15%

Payroll Taxes0.003 -0.001 -0.005 -0.005 0.001 0.008 0.011 0.009 -0.008 -0.010

(0.003) (0.003) (0.004) (0.005) (0.007) (0.010) (0.012) (0.012) (0.010) (0.011)Mean 0.362 0.499 0.626 0.806 1.082 1.392 1.624 1.818 1.882 1.915% Change in Total Taxes 30% - 9% - 71% - 50% 3% 15% 15% 12% - 16% - 16%

Income Taxes + EITC0.004 0.006 0.004 0.006 0.018 0.034* 0.048** 0.048** 0.043 0.062*

(0.003) (0.004) (0.005) (0.006) (0.011) (0.019) (0.021) (0.023) (0.026) (0.037)Mean 0.231 0.329 0.431 0.601 0.949 1.395 1.744 2.067 2.411 2.807% Change in Total Taxes 40% 55% 57% 60% 58% 64% 65% 65% 88% 102%

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous EITC indicates EITC earned at a givenage, obtained from Form 1040, adjusted to 2011 dollars. Contemporaneous payroll taxes indicate payroll taxes earned at a given age, defined as employeeportion of payroll taxes reported on Form W-2 across employers, only for the individuals of interest, and the taxes reported on Schedule SE for the selfemployed, both adjusted to 2011 dollars. Contemporaneous income taxes are defined as household federal tax payments less EITC at a given age, adjustedto 2011 dollars. Coefficients for each age are obtained from separate reduced form regressions of the given outcome on simulated years eligible, ages 0–18.The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals inour sample). Observation counts are reported in Table OA.22. The “% change in total taxes” due to each component is calculated as the ratio between thepoint estimate for the given component and the point estimate for total taxes at each age, adjusted by a factor of (-1) for the EITC component, which entersnegatively into the decomposition. For example, for women at age 28, 30% (=(-1)*(-0.041)/0.135) of the increase in contemporaneous total taxes due to anadditional year of Medicaid eligibility is due to a decrease in EITC. Figure OA.14 presents this table graphically.

37

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Table OA.22: Contemporaneous Total Tax Components ($000), continued

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

AllEITC

-0.005*** -0.009*** -0.012*** -0.016*** -0.019*** -0.020*** -0.026*** -0.028*** -0.026*** -0.021***(0.001) (0.002) (0.003) (0.004) (0.005) (0.005) (0.006) (0.007) (0.007) (0.008)

Mean 0.066 0.119 0.175 0.226 0.275 0.323 0.395 0.443 0.489 0.533% Change in Total Taxes 42% 56% 75% 62% 40% 29% 28% 30% 37% 24%

Payroll Taxes0.003 -0.000 -0.003 0.000 0.008 0.015* 0.016 0.013 -0.006 -0.006

(0.002) (0.003) (0.003) (0.004) (0.005) (0.008) (0.010) (0.011) (0.010) (0.010)Mean 0.337 0.457 0.568 0.737 1.011 1.300 1.511 1.687 1.736 1.752% Change in Total Taxes 25% 0% - 19% 0% 17% 21% 17% 14% - 8% - 7%

Income Taxes + EITC0.004 0.007* 0.007 0.010 0.021** 0.035** 0.050** 0.053** 0.051* 0.073**

(0.003) (0.004) (0.004) (0.006) (0.010) (0.016) (0.019) (0.022) (0.026) (0.034)Mean 0.204 0.286 0.373 0.537 0.905 1.353 1.701 2.034 2.387 2.791% Change in Total Taxes 33% 44% 44% 38% 44% 50% 54% 56% 72% 83%

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Contemporaneous EITC indicates EITC earned ata given age, obtained from Form 1040, adjusted to 2011 dollars. Contemporaneous payroll taxes indicate payroll taxes earned at a given age, defined asemployee portion of payroll taxes reported on Form W-2 across employers, only for the individuals of interest, and the taxes reported on Schedule SEfor the self employed, both adjusted to 2011 dollars. Contemporaneous income taxes are defined as household federal tax payments less EITC at a givenage, adjusted to 2011 dollars. Coefficients for each age are obtained from separate reduced form regressions of the given outcome on simulated yearseligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which weobserve all individuals in our sample). The “% change in total taxes” due to each component is calculated as the ratio between the point estimate forthe given component and the point estimate for total taxes at each age, adjusted by a factor of (-1) for the EITC component, which enters negativelyinto the decomposition. For example, at age 28 in the full sample, 27% (=(-1)*(-0.030)/0.110) of the increase in contemporaneous total taxes due to anadditional year of Medicaid eligibility is due to decreases in EITC. Figure OA.14 presents this table graphically.

38

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Table OA.23: Cumulative Total Tax Components ($000)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

FemaleEITC

-0.006*** -0.019*** -0.036*** -0.059*** -0.084*** -0.114*** -0.151*** -0.191*** -0.230*** -0.263***(0.002) (0.005) (0.009) (0.015) (0.022) (0.028) (0.035) (0.044) (0.053) (0.063)

Mean 0.095 0.264 0.512 0.831 1.219 1.672 2.210 2.810 3.470 4.188% Change in Total Taxes 46% 56% 61% 58% 50% 45% 41% 40% 40% 38%

Payroll Taxes0.002 0.002 0.002 0.007 0.023 0.046** 0.067*** 0.083** 0.079** 0.076*

(0.002) (0.004) (0.007) (0.011) (0.016) (0.019) (0.025) (0.032) (0.037) (0.042)Mean 0.310 0.722 1.230 1.895 2.832 4.034 5.428 6.977 8.562 10.144% Change in Total Taxes 15% 6% 3% 7% 14% 18% 18% 17% 14% 11%

Income Taxes + EITC0.004 0.012** 0.021** 0.035** 0.059** 0.094*** 0.147*** 0.206*** 0.265*** 0.350***

(0.003) (0.006) (0.010) (0.015) (0.023) (0.035) (0.051) (0.070) (0.092) (0.119)Mean 0.175 0.416 0.729 1.199 2.058 3.366 5.023 7.022 9.384 12.159% Change in Total Taxes 31% 35% 36% 35% 35% 37% 40% 43% 46% 51%

MaleEITC

-0.003*** -0.009*** -0.017*** -0.026*** -0.037*** -0.048*** -0.063*** -0.080*** -0.094*** -0.103***(0.001) (0.003) (0.005) (0.008) (0.011) (0.015) (0.018) (0.023) (0.029) (0.034)

Mean 0.039 0.109 0.214 0.351 0.519 0.716 0.973 1.265 1.591 1.948% Change in Total Taxes 30% 43% 61% 67% 54% 39% 32% 30% 29% 27%

Payroll Taxes0.003 0.003 -0.003 -0.008 -0.006 0.001 0.013 0.022 0.014 0.004

(0.003) (0.006) (0.009) (0.012) (0.017) (0.023) (0.031) (0.041) (0.047) (0.052)Mean 0.362 0.861 1.487 2.294 3.376 4.768 6.392 8.211 10.092 12.007% Change in Total Taxes 30% 14% - 11% - 21% - 9% 1% 7% 8% 4% 1%

Income Taxes + EITC0.004 0.010 0.015 0.021 0.038 0.073* 0.121** 0.168** 0.211** 0.273**

(0.003) (0.007) (0.011) (0.016) (0.024) (0.039) (0.058) (0.078) (0.100) (0.132)Mean 0.231 0.561 0.991 1.593 2.542 3.937 5.681 7.748 10.159 12.966% Change in Total Taxes 40% 48% 54% 54% 55% 60% 62% 62% 66% 72%

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative EITC indicates EITC earned by agiven age starting at age 19, obtained from Form 1040, adjusted to 2011 dollars. Cumulative payroll taxes indicate payroll taxes earned by a given agestarting at age 19, defined as employee portion of payroll taxes reported on Form W-2 across employers, only for the individuals of interest, and the taxesreported on Schedule SE for the self employed, both adjusted to 2011 dollars. Cumulative income taxes are defined as household federal tax paymentsless EITC by a given age starting at age 19, adjusted to 2011 dollars. Coefficients for each age are obtained from separate reduced form regressions ofthe given outcome on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residenceat age 15 (the youngest age at which we observe all individuals in our sample). Observation counts are reported in Table OA.24. The “% change intotal taxes” due to each component is calculated as the ratio between the point estimate for the given component and the point estimate for total taxesat each age, adjusted by a factor of (-1) for the EITC component, which enters negatively into the decomposition. For example, for women by age28, 40% (=(-1)*(-0.244)/0.603) of the increase in cumulative total taxes due to an additional year of Medicaid eligibility is due to decreases in EITC.Figure OA.14 presents this table graphically.

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Table OA.24: Cumulative Total Tax Components ($000), continued

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

AllEITC

-0.005*** -0.014*** -0.026*** -0.042*** -0.061*** -0.080*** -0.106*** -0.135*** -0.161*** -0.182***(0.001) (0.004) (0.007) (0.011) (0.016) (0.020) (0.026) (0.032) (0.039) (0.046)

Mean 0.066 0.185 0.360 0.586 0.861 1.184 1.578 2.021 2.510 3.044% Change in Total Taxes 42% 50% 59% 61% 52% 43% 38% 36% 36% 34%

Payroll Taxes0.003 0.002 -0.001 -0.000 0.008 0.024 0.039 0.052 0.046 0.040

(0.002) (0.005) (0.008) (0.011) (0.015) (0.019) (0.026) (0.034) (0.039) (0.044)Mean 0.337 0.793 1.361 2.099 3.110 4.409 5.921 7.607 9.344 11.096% Change in Total Taxes 25% 7% - 2% 0% 7% 13% 14% 14% 10% 8%

Income Taxes + EITC0.004 0.011* 0.018* 0.028* 0.049** 0.083** 0.134** 0.187** 0.238** 0.311**

(0.003) (0.006) (0.010) (0.015) (0.023) (0.035) (0.053) (0.072) (0.094) (0.123)Mean 0.204 0.490 0.863 1.400 2.305 3.658 5.359 7.393 9.780 12.571% Change in Total Taxes 33% 39% 41% 41% 42% 44% 48% 50% 53% 58%

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative EITC indicates EITC earned by agiven age starting at age 19, obtained from Form 1040, adjusted to 2011 dollars. Cumulative payroll taxes indicate payroll taxes earned by a given agestarting at age 19, defined as employee portion of payroll taxes reported on Form W-2 across employers, only for the individuals of interest, and the taxesreported on Schedule SE for the self employed, both adjusted to 2011 dollars. Cumulative income taxes are defined as household federal tax paymentsless EITC by a given age starting at age 19, adjusted to 2011 dollars. Coefficients for each age are obtained from separate reduced form regressions ofthe given outcome on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence atage 15 (the youngest age at which we observe all individuals in our sample). The “% change in total taxes” due to each component is calculated as theratio between the point estimate for the given component and the point estimate for total taxes at each age, adjusted by a factor of (-1) for the EITCcomponent, which enters negatively into the decomposition. For example, by age 28 in the full sample, 37% (=(-1)*(-0.176)/0.471) of the increase incumulative total taxes due to an additional year of Medicaid eligibility is due to decreases in EITC. Figure OA.14 presents this table graphically.

40

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9.2 Components of Total Taxes: Combined Figures

Figure OA.14: Contemporaneous and Cumulative Total Taxes and Total Tax Components ($000)

-.05

0.0

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Coe

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ents

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Female

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Total Taxes (Payroll+Income Taxes) EITC Payroll Taxes Income Taxes+EITC

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

01

23

4M

eans

19 22 25 28

01

23

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Total Taxes (Payroll+Income Taxes) EITC Payroll Taxes Income Taxes+EITC

Contemporaneous Total Taxes and Total Tax Components ($000)

-.2

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oeffi

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Female

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All

Total Taxes (Payroll+Income Taxes) EITC Payroll Taxes Income Taxes+EITC

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

05

1015

2025

Mea

ns

19 22 25 28

05

1015

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19 22 25 28Age

05

1015

2025

19 22 25 28

Total Taxes (Payroll+Income Taxes) EITC Payroll Taxes Income Taxes+EITC

Cumulative Total Taxes and Total Tax Components ($000)

Note. Contemporaneous outcomes are measured at a given age, and cumulative outcomes are measured by a given age, startingat age 19. EITC was obtained from Form 1040, adjusted to 2011 dollars. Payroll taxes are defined as employee portion ofpayroll taxes reported on Form W-2 across employers, only for the individuals of interest, and the taxes reported on ScheduleSE for the self employed, both adjusted to 2011 dollars. Income taxes are defined as household federal tax payments lessEITC, adjusted to 2011 dollars. Coefficients for each age are obtained from separate reduced form regressions of the givenoutcome on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for stateof residence at age 15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered bystate. Tables OA.21, OA.22, OA.23, OA.24 contain corresponding results.

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9.3 Components of Total Taxes: Separate Figures

Figure OA.15: Contemporaneous and Cumulative EITC ($000)

-.06

-.04

-.02

0 C

oeffi

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ts

19 22 25 28

Female

-.06

-.04

-.02

0

19 22 25 28Age

Male

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All

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eans

19 22 25 28

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19 22 25 28Age

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19 22 25 28

Contemporaneous EITC ($000)

-.3

-.2

-.1

0 C

oeffi

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Female

-.3

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0

19 22 25 28Age

Male-.

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2-.

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19 22 25 28

All

01

23

4M

eans

19 22 25 28

01

23

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19 22 25 28Age

01

23

4

19 22 25 28

Cumulative EITC ($000)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. We also present this figure as Figure 2e. Contemporaneous EITC indicates EITC earned at a given age, obtained fromForm 1040, adjusted to 2011 dollars. Cumulative EITC indicates EITC earned by a given age, starting at age 19. Coefficients foreach age are obtained from separate reduced form regressions of EITC on simulated years eligible, ages 0–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Table OA.6contains corresponding results.

42

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Figure OA.16: Contemporaneous and Cumulative Payroll Taxes ($000)

-.01

0.0

1.0

2.0

3.0

4 C

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ts

19 22 25 28

Female

-.01

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11.

52

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11.

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Contemporaneous Payroll Taxes ($000)

-.1

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.2 C

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All

05

1015

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ns

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05

1015

19 22 25 28Age

05

1015

19 22 25 28

Cumulative Payroll Taxes ($000)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous payroll taxes indicate payroll taxes earned at a given age, defined as employee portion of payroll taxesreported on Form W-2 across employers, only for the individuals of interest, and the taxes reported on Schedule SE for theself employed, both adjusted to 2011 dollars. Cumulative payroll taxes indicate payroll taxes earned by a given age, startingat age 19. Coefficients for each age are obtained from separate reduced form regressions of payroll taxes on simulated yearseligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (theyoungest age at which we observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95%confidence intervals. Tables OA.21, OA.22, OA.23, OA.24 contain corresponding results.

43

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Figure OA.17: Contemporaneous and Cumulative Income Taxes + EITC ($000)

0.0

5.1

.15

Coe

ffici

ents

19 22 25 28

Female

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Contemporaneous Income Taxes + EITC ($000)

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19 22 25 28

Cumulative Income Taxes + EITC ($000)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Contemporaneous income taxes are defined as household federal tax payments less EITC at a given age, adjusted to 2011dollars. Cumulative income taxes indicate income taxes earned by a given age, starting at age 19. Coefficients for each ageare obtained from separate reduced form regressions of income taxes on simulated years eligible, ages 0–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe allindividuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals. Tables OA.21,OA.22, OA.23, OA.24 contain corresponding results.

44

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Appendix 10 Heterogeneous Effects by Childhood Household FPL

10.1 College Enrollment

Figure OA.18: Cumulative College Enrollment (%) by Family FPL at Ages 15–18

01

23

4C

oeffi

cien

ts (

%)

19 22 25 28

Female

01

23

4

19 22 25 28Age

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01

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All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

2040

6080

100

Mea

ns (

%)

19 22 25 28

2040

6080

100

19 22 25 28Age

2040

6080

100

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Cumulative Mortality

Note. Cumulative college enrollment indicates ever having enrolled in college by a given age, starting at age 19, observedthrough Form 1098-T, filed by educational institutions. Children are assigned to an % FPL bin if their household remainedin that bin at every age from 15–18. We exclude children with heterogeneity in their observed % FPL bin (32.2% of thesample). Coefficients for each age are obtained from separate reduced form regressions of college enrollment on simulated yearseligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (theyoungest age at which we observe all individuals in our sample). Standard errors are clustered by state. Table OA.25 containscorresponding results.

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Table OA.25: Cumulative College Enrollment (%) by Family FPL at Ages 15–18

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Cumulative College (Ever Enrolled; %)High Impact Sample (< 200% FPL)

Female3.632*** 3.491*** 3.183*** 2.992*** 2.834*** 2.649*** 2.310*** 2.106*** 1.896*** 1.843***(0.765) (0.730) (0.703) (0.674) (0.644) (0.611) (0.570) (0.551) (0.520) (0.496)

Mean 44.417 51.237 55.584 58.696 61.052 63.116 65.017 66.779 68.380 69.769Observations 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145

Male3.743*** 3.668*** 3.344*** 3.297*** 3.221*** 3.161*** 2.971*** 2.715*** 2.576*** 2.482***(0.738) (0.733) (0.692) (0.681) (0.665) (0.639) (0.619) (0.589) (0.566) (0.548)

Mean 33.389 39.394 42.992 45.547 47.392 48.959 50.439 51.837 53.166 54.375Observations 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738

All3.675*** 3.565*** 3.247*** 3.128*** 3.011*** 2.888*** 2.624*** 2.393*** 2.218*** 2.145***(0.745) (0.721) (0.687) (0.668) (0.647) (0.617) (0.588) (0.565) (0.535) (0.514)

Mean 38.827 45.234 49.202 52.031 54.128 55.940 57.628 59.206 60.669 61.967Observations 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883

Female2.782*** 2.056*** 1.609*** 1.524*** 1.517*** 1.421*** 1.208*** 1.121*** 1.053*** 1.039***(0.437) (0.321) (0.320) (0.354) (0.320) (0.301) (0.282) (0.279) (0.270) (0.256)

Mean 72.139 77.517 80.319 82.045 83.212 84.187 85.059 85.871 86.573 87.188Observations 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380

Male3.338*** 2.519*** 2.134*** 2.040*** 2.006*** 1.948*** 1.867*** 1.749*** 1.646*** 1.584***(0.558) (0.464) (0.464) (0.481) (0.453) (0.426) (0.408) (0.399) (0.375) (0.360)

Mean 60.462 66.574 69.637 71.564 72.836 73.877 74.830 75.676 76.450 77.166Observations 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587

All3.069*** 2.294*** 1.879*** 1.790*** 1.769*** 1.691*** 1.546*** 1.444*** 1.358*** 1.319***(0.478) (0.376) (0.380) (0.411) (0.379) (0.355) (0.335) (0.328) (0.311) (0.296)

Mean 66.127 71.883 74.819 76.649 77.870 78.879 79.792 80.621 81.361 82.028Observations 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967

Female1.044*** 0.616*** 0.439*** 0.307** 0.306** 0.293** 0.246* 0.216* 0.207* 0.239**(0.275) (0.203) (0.144) (0.135) (0.132) (0.137) (0.127) (0.128) (0.123) (0.113)

Mean 89.482 92.902 94.412 95.104 95.493 95.784 96.022 96.242 96.424 96.584Observations 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259

Male0.856*** 0.602*** 0.477** 0.443** 0.440** 0.511*** 0.432** 0.363* 0.288 0.279(0.280) (0.216) (0.195) (0.191) (0.187) (0.185) (0.183) (0.186) (0.175) (0.168)

Mean 83.360 88.151 90.130 91.170 91.740 92.176 92.523 92.814 93.082 93.337Observations 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637

All0.936*** 0.601*** 0.452*** 0.370** 0.369** 0.399*** 0.336** 0.286** 0.244* 0.256**(0.261) (0.191) (0.152) (0.149) (0.144) (0.146) (0.142) (0.142) (0.133) (0.126)

Mean 86.360 90.479 92.228 93.098 93.579 93.944 94.238 94.494 94.720 94.928Observations 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Intermediate Impact Sample (200%-500% FPL)

Low Impact Sample (> 500% FPL)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulativecollege enrollment indicates ever having enrolled in college by a given age, starting at age 19, observed throughForm 1098-T, filed by educational institutions. Children are assigned to an % FPL bin if their household remainedin that bin at every age from 15–18. We exclude children with heterogeneity in their observed % FPL bin (32.2%of the sample). Coefficients for each age are obtained from separate reduced form regressions of college enrollmenton simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and forstate of residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.18presents this table graphically.

46

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10.2 Fertility

Figure OA.19: Cumulative Fertility (%) by Family FPL at Ages 15–18-2

.5-2

-1.5

-1-.

50

Coe

ffici

ents

(%

)

19 22 25 28

Female

-2.5

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Male

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All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

020

4060

Mea

ns (

%)

19 22 25 28

020

4060

19 22 25 28Age

020

4060

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Note. Cumulative fertility indicates if a dependent child is ever born by a given age, starting at age 19. If an individual everclaims a dependent child on a Form 1040, SSA records yield age at birth. Children are assigned to an % FPL bin if theirhousehold remained in that bin at every age from 15–18. We exclude children with heterogeneity in their observed % FPL bin(32.2% of the sample). Coefficients for each age are obtained from separate reduced form regressions of fertility on simulatedyears eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered by state. Table OA.26contains corresponding results.

47

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Table OA.26: Cumulative Fertility (%) by Family FPL at Ages 15–18

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

High Impact Sample (< 200% FPL)Female

-1.837*** -2.151*** -2.426*** -2.508*** -2.470*** -2.486*** -2.467*** -2.269*** -2.092*** -2.125***(0.349) (0.392) (0.410) (0.446) (0.479) (0.489) (0.491) (0.486) (0.467) (0.429)

Mean 24.642 31.138 36.611 41.425 45.534 49.214 52.577 55.599 58.353 60.579Observations 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145

Male-0.904*** -1.082*** -1.363*** -1.415*** -1.471*** -1.501*** -1.544*** -1.436*** -1.330*** -1.454***(0.200) (0.230) (0.271) (0.319) (0.351) (0.379) (0.391) (0.400) (0.389) (0.394)

Mean 13.247 17.263 21.276 25.227 29.014 32.557 35.785 38.668 41.274 43.414Observations 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738

All-1.380*** -1.627*** -1.907*** -1.975*** -1.985*** -2.009*** -2.022*** -1.871*** -1.731*** -1.811***(0.260) (0.293) (0.325) (0.368) (0.395) (0.414) (0.424) (0.424) (0.405) (0.389)

Mean 18.866 24.105 28.838 33.215 37.161 40.771 44.066 47.017 49.696 51.879Observations 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883

Female-0.699*** -1.041*** -1.320*** -1.566*** -1.768*** -1.856*** -1.988*** -2.087*** -2.224*** -2.219***(0.187) (0.244) (0.306) (0.341) (0.387) (0.408) (0.432) (0.444) (0.451) (0.491)

Mean 10.742 14.638 18.357 22.083 25.887 29.835 34.075 38.410 42.857 46.804Observations 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380

Male-0.235* -0.364** -0.574*** -0.735*** -0.843*** -1.021*** -1.148*** -1.258*** -1.307*** -1.273***(0.118) (0.142) (0.175) (0.205) (0.266) (0.322) (0.348) (0.375) (0.374) (0.343)

Mean 6.053 8.358 10.869 13.626 16.594 19.747 23.111 26.638 30.281 33.618Observations 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587

All-0.461*** -0.695*** -0.938*** -1.140*** -1.293*** -1.428*** -1.556*** -1.660*** -1.751*** -1.730***(0.143) (0.184) (0.229) (0.260) (0.314) (0.352) (0.376) (0.398) (0.399) (0.401)

Mean 8.327 11.404 14.502 17.729 21.102 24.641 28.430 32.349 36.382 40.015Observations 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967

Female-0.167 -0.262* -0.367* -0.456* -0.516* -0.655** -0.682** -0.811** -0.882** -0.908**(0.110) (0.153) (0.191) (0.252) (0.264) (0.290) (0.335) (0.385) (0.433) (0.443)

Mean 3.675 5.119 6.628 8.347 10.331 12.767 15.759 19.500 23.970 28.572Observations 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259

Male-0.078 -0.125 0.024 -0.023 -0.114 -0.277 -0.477** -0.578** -0.680*** -0.811***(0.083) (0.110) (0.120) (0.136) (0.169) (0.188) (0.196) (0.228) (0.242) (0.255)

Mean 2.196 3.023 4.001 5.162 6.568 8.335 10.491 13.124 16.327 19.781Observations 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637

All-0.120 -0.191* -0.167 -0.234 -0.310* -0.460** -0.575** -0.691** -0.780*** -0.860***(0.075) (0.105) (0.127) (0.160) (0.180) (0.203) (0.235) (0.265) (0.282) (0.304)

Mean 2.920 4.051 5.289 6.723 8.412 10.507 13.073 16.248 20.072 24.089Observations 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Low Impact Sample (> 500% FPL)

Simulated Years Eligible, Age 0-18

Cumulative Fertility (Dependent Child Ever Born; %)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Intermediate Impact Sample (200%-500% FPL)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulativefertility indicates if a dependent child is ever born by a given age, starting at age 19. If an individual ever claimsa dependent child on a Form 1040, SSA records yield age at birth. Children are assigned to an % FPL bin iftheir household remained in that bin at every age from 15–18. We exclude children with heterogeneity in theirobserved % FPL bin (32.2% of the sample). Coefficients for each age are obtained from separate reduced formregressions of fertility on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohortby month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).Figure OA.19 presents this table graphically.

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10.3 Mortality

Figure OA.20: Cumulative Mortality (%) by Family FPL at Ages 15–18-.

1-.

050

.05

.1C

oeffi

cien

ts (

%)

19 22 25 28

Female

-.1

-.05

0.0

5.1

19 22 25 28

Age

Male

-.1

-.05

0.0

5.1

19 22 25 28

All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

0.5

11.

5M

eans

(%

)

19 22 25 28

0.5

11.

5

19 22 25 28Age

0.5

11.

5

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Cumulative Mortality

Note. Cumulative mortality indicates mortality by a given age, starting at age 19, measured using SSA death records. Childrenare assigned to an % FPL bin if their household remained in that bin at every age from 15–18. We exclude children withheterogeneity in their observed % FPL bin (32.2% of the sample). Coefficients for each age are obtained from separate reducedform regressions of mortality on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort bymonth and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Standarderrors are clustered by state. Table OA.27 contains corresponding results.

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Table OA.27: Cumulative Mortality (%) by Family FPL at Ages 15–18

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Cumulative Mortality (%)High Impact Sample (< 200% FPL)

Female-0.014** -0.019*** -0.018 -0.024** -0.022 -0.026 -0.026 -0.028 -0.016 -0.006(0.006) (0.006) (0.011) (0.012) (0.014) (0.017) (0.017) (0.018) (0.020) (0.022)

Mean 0.040 0.081 0.126 0.171 0.216 0.265 0.316 0.374 0.427 0.490Observations 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145

Male-0.005 -0.001 -0.002 -0.010 -0.032* -0.057*** -0.060** -0.069*** -0.089*** -0.100***(0.008) (0.010) (0.011) (0.013) (0.016) (0.020) (0.023) (0.023) (0.025) (0.027)

Mean 0.112 0.240 0.377 0.523 0.669 0.820 0.967 1.109 1.254 1.393Observations 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738

All-0.009* -0.009 -0.010 -0.017** -0.026** -0.041*** -0.042*** -0.047*** -0.051*** -0.052***(0.005) (0.006) (0.008) (0.008) (0.011) (0.012) (0.014) (0.013) (0.014) (0.017)

Mean 0.076 0.162 0.253 0.349 0.446 0.546 0.646 0.746 0.846 0.948Observations 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883

Female0.003 0.007 -0.001 -0.006 -0.004 -0.016 -0.020 -0.026* -0.031* -0.022

(0.007) (0.009) (0.011) (0.012) (0.013) (0.014) (0.015) (0.014) (0.016) (0.016)Mean 0.036 0.070 0.104 0.142 0.178 0.212 0.251 0.293 0.336 0.379

Observations 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380

Male0.002 -0.010 -0.017 -0.015 -0.014 -0.031 -0.036 -0.030 -0.031 -0.048

(0.007) (0.015) (0.015) (0.021) (0.026) (0.030) (0.028) (0.032) (0.028) (0.033)Mean 0.091 0.191 0.302 0.414 0.528 0.641 0.750 0.855 0.959 1.066

Observations 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587

All0.003 -0.002 -0.009 -0.010 -0.009 -0.023 -0.028 -0.028 -0.031** -0.035**

(0.003) (0.009) (0.009) (0.011) (0.015) (0.018) (0.018) (0.019) (0.014) (0.017)Mean 0.065 0.132 0.206 0.282 0.358 0.433 0.508 0.582 0.657 0.733

Observations 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967

Female-0.000 0.012 0.002 -0.012 -0.006 -0.002 -0.001 -0.010 -0.014 -0.018(0.010) (0.012) (0.011) (0.013) (0.016) (0.019) (0.019) (0.017) (0.018) (0.016)

Mean 0.026 0.052 0.081 0.111 0.142 0.170 0.199 0.225 0.258 0.290Observations 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259

Male0.002 -0.001 -0.003 0.021 0.027 0.028 0.064** 0.081*** 0.068* 0.061

(0.009) (0.013) (0.015) (0.020) (0.025) (0.029) (0.028) (0.030) (0.035) (0.041)Mean 0.071 0.156 0.252 0.341 0.429 0.524 0.612 0.704 0.786 0.873

Observations 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637

All0.001 0.005 -0.001 0.005 0.011 0.013 0.032** 0.037** 0.028 0.023

(0.006) (0.008) (0.009) (0.013) (0.015) (0.017) (0.015) (0.017) (0.021) (0.023)Mean 0.049 0.105 0.168 0.228 0.288 0.351 0.410 0.469 0.527 0.587

Observations 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Intermediate Impact Sample (200%-500% FPL)

Low Impact Sample (> 500% FPL)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulativemortality indicates mortality by a given age, starting at age 19, measured using SSA death records. Children areassigned to an % FPL bin if their household remained in that bin at every age from 15–18. We exclude childrenwith heterogeneity in their observed % FPL bin (32.2% of the sample). Coefficients for each age are obtained fromseparate reduced form regressions of mortality on simulated years eligible, ages 0–18. The specification includesfixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observeall individuals in our sample). Figure OA.20 presents this table graphically.

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10.4 Wage Income

Figure OA.21: Cumulative Wage Income ($000) by Family FPL at Ages 15–18-2

02

46

Coe

ffici

ents

19 22 25 28

Female

-20

24

6

19 22 25 28Age

Male

-20

24

6

19 22 25 28

All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

050

100

150

200

Mea

ns

19 22 25 28

050

100

150

200

19 22 25 28Age

050

100

150

200

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Cumulative Wage Income ($000)

Note. Cumulative wage income indicates wages earned by a given age, starting at age 19, obtained from Form W-2, adjustedto 2011 dollars and censored at $10 million. Children are assigned to an % FPL bin if their household remained in that bin atevery age from 15–18. We exclude children with heterogeneity in their observed % FPL bin (32.2% of the sample). Coefficientsfor each age are obtained from separate reduced form regressions of wage income on simulated years eligible, ages 0–18. Thespecification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which weobserve all individuals in our sample). Standard errors are clustered by state. Table OA.28 contains corresponding results.

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Table OA.28: Cumulative Wage Income ($000) by Family FPL at Ages 15–18

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

High Impact Sample (< 200% FPL)Female

0.109 0.174 0.259 0.433 0.866** 1.559*** 2.308*** 3.014*** 3.773*** 4.711***(0.065) (0.122) (0.177) (0.258) (0.363) (0.471) (0.632) (0.843) (1.084) (1.319)

Mean 4.170 9.717 16.488 24.820 35.459 48.444 63.113 79.029 96.003 113.940Observations 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145

Male0.088 0.194 0.241 0.425 0.822** 1.536*** 2.424*** 3.288*** 4.215*** 5.274***

(0.064) (0.141) (0.207) (0.297) (0.399) (0.477) (0.622) (0.814) (1.060) (1.304)Mean 4.777 11.303 19.391 29.478 42.186 57.661 75.070 94.030 114.566 136.712

Observations 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738

All0.099 0.186 0.254 0.436 0.854** 1.562*** 2.383*** 3.170*** 4.018*** 5.025***

(0.061) (0.125) (0.186) (0.270) (0.366) (0.446) (0.588) (0.778) (1.012) (1.240)Mean 4.478 10.520 17.960 27.181 38.869 53.116 69.173 86.633 105.412 125.482

Observations 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883

Female-0.034 -0.096 -0.347** -0.343 0.073 0.758*** 1.417*** 2.077*** 2.891*** 4.130***(0.031) (0.084) (0.144) (0.212) (0.250) (0.269) (0.349) (0.497) (0.682) (0.921)

Mean 4.476 10.454 17.668 27.047 40.391 57.643 77.704 99.970 124.189 150.053Observations 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380

Male-0.016 -0.146 -0.466* -0.780* -0.784 -0.554 -0.034 0.286 0.492 1.214(0.050) (0.125) (0.262) (0.400) (0.510) (0.612) (0.797) (1.019) (1.212) (1.418)

Mean 5.240 12.408 21.293 32.630 47.869 67.529 90.509 116.326 145.002 176.423Observations 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587

All-0.025 -0.122 -0.408** -0.570* -0.371 0.080 0.669 1.154* 1.653* 2.624**(0.039) (0.085) (0.190) (0.295) (0.361) (0.406) (0.522) (0.683) (0.848) (1.040)

Mean 4.869 11.460 19.534 29.921 44.241 62.734 84.297 108.392 134.906 163.631Observations 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967

Female-0.037 -0.024 -0.175 -0.166 0.177 0.606* 0.620 0.544 0.550 1.226(0.037) (0.090) (0.137) (0.212) (0.263) (0.349) (0.482) (0.642) (0.812) (0.923)

Mean 3.029 6.975 11.856 19.568 33.665 53.620 77.522 105.020 135.968 170.040Observations 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259

Male0.010 -0.087 -0.285** -0.415** 0.023 0.458 0.537 -0.133 -0.089 1.044

(0.039) (0.075) (0.118) (0.164) (0.213) (0.377) (0.536) (0.635) (0.841) (1.428)Mean 3.515 8.235 14.191 22.773 37.249 58.566 84.958 116.023 152.031 193.235

Observations 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637

All-0.013 -0.056 -0.230** -0.292* 0.099 0.533* 0.584 0.214 0.250 1.174(0.035) (0.068) (0.108) (0.161) (0.200) (0.300) (0.416) (0.507) (0.629) (0.850)

Mean 3.277 7.618 13.046 21.202 35.492 56.142 81.314 110.631 144.159 181.868Observations 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Low Impact Sample (> 500% FPL)

Simulated Years Eligible, Age 0-18

Cumulative Wage Income ($000)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Intermediate Impact Sample (200%-500% FPL)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulativewage income indicates wages earned by a given age, starting at age 19, obtained from Form W-2, adjusted to2011 dollars and censored at $10 million. Children are assigned to an % FPL bin if their household remained inthat bin at every age from 15–18. We exclude children with heterogeneity in their observed % FPL bin (32.2%of the sample). Coefficients for each age are obtained from separate reduced form regressions of wage income onsimulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for stateof residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.21 presentsthis table graphically.

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10.5 Earned Income Tax Credit (EITC)

Figure OA.22: Cumulative EITC ($000) by Family FPL at Ages 15–18-.

8-.

6-.

4-.

20

Coe

ffici

ents

19 22 25 28

Female

-.8

-.6

-.4

-.2

0

19 22 25 28Age

Male

-.8

-.6

-.4

-.2

0

19 22 25 28

All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

02

46

8M

eans

19 22 25 28

02

46

8

19 22 25 28Age

02

46

8

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Cumulative Mortality

Note. Cumulative EITC indicates EITC earned by a given age, starting at age 19, obtained from Form 1040, adjusted to 2011dollars. Children are assigned to an % FPL bin if their household remained in that bin at every age from 15–18. We excludechildren with heterogeneity in their observed % FPL bin (32.2% of the sample). Coefficients for each age are obtained fromseparate reduced form regressions of EITC on simulated years eligible, ages 0–18. The specification includes fixed effects forbirth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).Standard errors are clustered by state. Table OA.29 contains corresponding results.

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Table OA.29: Cumulative EITC ($000) by Family FPL at Ages 15–18

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

High Impact Sample (< 200% FPL)Female

-0.019*** -0.057*** -0.109*** -0.176*** -0.255*** -0.344*** -0.444*** -0.550*** -0.658*** -0.767***(0.004) (0.011) (0.021) (0.034) (0.047) (0.061) (0.075) (0.092) (0.111) (0.130)

Mean 0.159 0.438 0.840 1.352 1.970 2.688 3.524 4.451 5.465 6.563Observations 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145

Male-0.010*** -0.030*** -0.059*** -0.093*** -0.133*** -0.173*** -0.218*** -0.264*** -0.309*** -0.349***(0.002) (0.007) (0.013) (0.019) (0.025) (0.032) (0.038) (0.047) (0.057) (0.064)

Mean 0.071 0.196 0.379 0.612 0.890 1.213 1.611 2.055 2.546 3.076Observations 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738

All-0.015*** -0.044*** -0.085*** -0.136*** -0.196*** -0.260*** -0.333*** -0.410*** -0.487*** -0.562***(0.003) (0.009) (0.017) (0.026) (0.036) (0.046) (0.056) (0.069) (0.083) (0.095)

Mean 0.114 0.316 0.606 0.977 1.423 1.941 2.554 3.236 3.985 4.796Observations 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883

Female-0.009*** -0.027*** -0.048*** -0.078*** -0.117*** -0.164*** -0.225*** -0.289*** -0.350*** -0.399***(0.002) (0.005) (0.010) (0.016) (0.023) (0.031) (0.041) (0.053) (0.066) (0.078)

Mean 0.054 0.157 0.315 0.524 0.783 1.089 1.463 1.884 2.349 2.859Observations 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380

Male-0.004*** -0.012*** -0.022*** -0.031*** -0.044*** -0.060*** -0.088*** -0.117*** -0.146*** -0.168***(0.001) (0.003) (0.005) (0.008) (0.012) (0.017) (0.023) (0.030) (0.036) (0.043)

Mean 0.019 0.057 0.118 0.201 0.306 0.435 0.617 0.828 1.067 1.333Observations 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587

All-0.007*** -0.019*** -0.034*** -0.054*** -0.079*** -0.110*** -0.154*** -0.200*** -0.244*** -0.280***(0.001) (0.004) (0.007) (0.011) (0.017) (0.023) (0.031) (0.040) (0.049) (0.059)

Mean 0.036 0.106 0.213 0.358 0.537 0.752 1.027 1.340 1.689 2.073Observations 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967

Female-0.001* -0.006*** -0.010*** -0.017*** -0.027*** -0.038*** -0.052*** -0.067*** -0.083*** -0.099***(0.001) (0.002) (0.003) (0.005) (0.008) (0.011) (0.015) (0.019) (0.024) (0.028)

Mean 0.013 0.038 0.080 0.138 0.214 0.305 0.434 0.581 0.746 0.928Observations 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259

Male-0.001* -0.002* -0.003 -0.003 -0.006 -0.009* -0.014** -0.025*** -0.035*** -0.043***(0.000) (0.001) (0.002) (0.003) (0.003) (0.005) (0.007) (0.008) (0.010) (0.011)

Mean 0.004 0.013 0.029 0.052 0.083 0.123 0.199 0.286 0.384 0.494Observations 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637

All-0.001** -0.004*** -0.006*** -0.010** -0.016*** -0.023*** -0.033*** -0.045*** -0.059*** -0.070***(0.001) (0.001) (0.002) (0.004) (0.005) (0.007) (0.009) (0.012) (0.015) (0.017)

Mean 0.008 0.026 0.054 0.094 0.147 0.212 0.314 0.431 0.561 0.706Observations 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Low Impact Sample (> 500% FPL)

Simulated Years Eligible, Age 0-18

Cumulative EITC ($000)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Intermediate Impact Sample (200%-500% FPL)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. CumulativeEITC indicates EITC earned by a given age, starting at age 19, obtained from Form 1040, adjusted to 2011 dollars.Children are assigned to an % FPL bin if their household remained in that bin at every age from 15–18. Weexclude children with heterogeneity in their observed % FPL bin (32.2% of the sample). Coefficients for eachage are obtained from separate reduced form regressions of EITC on simulated years eligible, ages 0–18. Thespecification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest ageat which we observe all individuals in our sample). Figure OA.22 presents this table graphically.

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10.6 Total Taxes

Figure OA.23: Cumulative Total Taxes ($000) by Family FPL at Ages 15–180

.51

1.5

2C

oeffi

cien

ts

19 22 25 28

Female

0.5

11.

52

19 22 25 28

Age

Male

0.5

11.

52

19 22 25 28

All

<200% FPL 200% - 500% FPL >500% FPL

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

010

2030

40M

eans

19 22 25 28

010

2030

40

19 22 25 28Age

010

2030

40

19 22 25 28

<200% FPL 200% - 500% FPL >500% FPL

Cumulative Total Taxes ($000)

Note. We also present this figure as Figure 3. Cumulative total taxes indicate taxes paid by a given age, starting at age 19,defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Childrenare assigned to an % FPL bin if their household remained in that bin at every age from 15–18. We exclude children withheterogeneity in their observed % FPL bin (32.2% of the sample). Coefficients for each age are obtained from separate reducedform regressions of total taxes on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohortby month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Standarderrors are clustered by state. Table OA.30 contains corresponding results.

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Table OA.30: Cumulative Total Taxes ($000) by Family FPL at Ages 15–18

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

High Impact Sample (< 200% FPL)Female

0.027*** 0.079*** 0.156*** 0.268*** 0.443*** 0.696*** 1.004*** 1.338*** 1.679*** 2.068***(0.009) (0.024) (0.043) (0.069) (0.102) (0.146) (0.201) (0.272) (0.353) (0.435)

Mean 0.302 0.646 1.015 1.490 2.233 3.285 4.491 5.817 7.174 8.588Observations 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145 1,711,145

Male0.020* 0.057** 0.110*** 0.186*** 0.304*** 0.492*** 0.719*** 0.960*** 1.198*** 1.473***(0.011) (0.024) (0.040) (0.057) (0.077) (0.107) (0.147) (0.204) (0.272) (0.343)

Mean 0.487 1.143 1.952 2.994 4.399 6.222 8.286 10.561 12.947 15.471Observations 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738 1,758,738

All0.024** 0.069*** 0.135*** 0.229*** 0.377*** 0.598*** 0.866*** 1.155*** 1.446*** 1.779***(0.010) (0.024) (0.042) (0.063) (0.089) (0.125) (0.171) (0.234) (0.308) (0.383)

Mean 0.396 0.898 1.490 2.252 3.331 4.774 6.414 8.222 10.100 12.076Observations 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883 3,469,883

Female0.011** 0.028** 0.039* 0.082** 0.204*** 0.397*** 0.647*** 0.920*** 1.186*** 1.551***(0.004) (0.011) (0.020) (0.031) (0.046) (0.067) (0.102) (0.153) (0.214) (0.295)

Mean 0.472 1.085 1.840 2.912 4.710 7.308 10.495 14.233 18.407 23.006Observations 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380 1,176,380

Male0.003 0.001 -0.020 -0.035 0.005 0.118 0.304** 0.498*** 0.695*** 0.974***

(0.008) (0.018) (0.033) (0.049) (0.065) (0.084) (0.119) (0.163) (0.212) (0.274)Mean 0.632 1.513 2.631 4.121 6.287 9.287 12.907 17.096 21.739 26.835

Observations 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587 1,248,587

All0.007 0.014 0.009 0.021 0.101** 0.252*** 0.470*** 0.702*** 0.932*** 1.253***

(0.006) (0.013) (0.023) (0.037) (0.049) (0.067) (0.101) (0.146) (0.200) (0.270)Mean 0.554 1.305 2.247 3.534 5.522 8.327 11.737 15.707 20.123 24.978

Observations 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967 2,424,967

Female-0.012** -0.008 0.002 0.046* 0.180*** 0.302*** 0.350*** 0.384** 0.470** 0.690***(0.005) (0.009) (0.016) (0.027) (0.044) (0.075) (0.107) (0.145) (0.183) (0.243)

Mean 0.369 0.825 1.408 2.456 4.793 8.460 13.145 18.922 25.755 33.781Observations 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259 452,259

Male-0.014*** -0.023** -0.035** -0.028 0.068 0.175** 0.224** 0.257* 0.370* 0.620**(0.005) (0.009) (0.015) (0.023) (0.045) (0.081) (0.111) (0.144) (0.191) (0.273)

Mean 0.457 1.057 1.838 3.047 5.378 9.134 13.966 19.859 26.752 34.786Observations 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637 470,637

All-0.013** -0.016* -0.017 0.009 0.123*** 0.238*** 0.287*** 0.321** 0.420** 0.656***(0.005) (0.008) (0.014) (0.022) (0.040) (0.071) (0.098) (0.127) (0.159) (0.220)

Mean 0.414 0.943 1.627 2.757 5.091 8.804 13.564 19.400 26.263 34.294Observations 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896 922,896

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Low Impact Sample (> 500% FPL)

Simulated Years Eligible, Age 0-18

Cumulative Total Taxes ($000)

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Intermediate Impact Sample (200%-500% FPL)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulativetotal taxes indicate taxes paid by a given age, starting at age 19, defined as household federal tax payments plusindividual payroll tax payments less EITC, adjusted to 2011 dollars. Children are assigned to an % FPL bin iftheir household remained in that bin at every age from 15–18. We exclude children with heterogeneity in theirobserved % FPL bin (32.2% of the sample). Coefficients for each age are obtained from separate reduced formregressions of total taxes on simulated years eligible, ages 0–18. The specification includes fixed effects for birthcohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in oursample). Figure 3 presents this table graphically.

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10.7 Heterogeneous Effects by Parental Filing Status

The means in Figure OA.24 and Table OA.31 show that children whose parents file jointly pay

more taxes in adulthood, consistent with inter-generational persistence in income. However,

the coefficients show that children whose parents who do not file jointly experience impacts

of Medicaid that are almost twice as large. For each additional year of Medicaid eligibility

during childhood, cumulative total taxes by age 28 increase by $651 for children whose

parents do not file jointly, compared to $350 for children whose parents file jointly.

Figure OA.24: Cumulative Total Taxes ($000) by Parental Filing Status

0.2

.4.6

.8C

oeffi

cien

ts

19 22 25 28

Female0

.2.4

.6.8

19 22 25 28

Male

0.2

.4.6

.8

19 22 25 28

All

Main Results Parents Filing Jointly Parents Not Filing Jointly

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28

05

1015

2025

19 22 25 28

Main Results Parents Filing Jointly Parents Not Filing Jointly

Note. Cumulative total taxes indicate taxes paid by a given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. We proxy for household structure using filing status,separately considering children with “parents filing jointly” at age 15—only those whose parents file as “married, filing jointly”—and all other children. Coefficients for each age are obtained from separate reduced form regressions of total taxes on simulatedyears eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age15 (the youngest age at which we observe all individuals in our sample). Standard errors are clustered by state. Table OA.31contains corresponding results.

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Table OA.31: Cumulative Total Taxes ($000) by Parental Filing Status

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Joint Filing ParentsFemale

0.009** 0.025** 0.040** 0.065** 0.112** 0.173** 0.251*** 0.337** 0.399** 0.481**(0.004) (0.011) (0.019) (0.031) (0.048) (0.067) (0.093) (0.127) (0.162) (0.200)

Mean 0.436 0.996 1.684 2.680 4.407 6.929 10.028 13.686 17.801 22.396Observations 3,526,168 3,526,168 3,526,168 3,526,168 3,526,168 3,526,168 3,526,168 3,526,168 3,526,168 3,526,168

Male0.009 0.016 0.015 0.013 0.030 0.065 0.117 0.166 0.192 0.222

(0.006) (0.013) (0.020) (0.030) (0.046) (0.072) (0.107) (0.143) (0.180) (0.226)Mean 0.595 1.416 2.458 3.865 5.967 8.924 12.508 16.677 21.316 26.452

Observations 3,715,369 3,715,369 3,715,369 3,715,369 3,715,369 3,715,369 3,715,369 3,715,369 3,715,369 3,715,369

All0.009* 0.021* 0.027 0.039 0.071 0.119* 0.184* 0.251* 0.295* 0.350*(0.005) (0.011) (0.019) (0.030) (0.044) (0.065) (0.095) (0.130) (0.166) (0.207)

Mean 0.517 1.211 2.081 3.288 5.207 7.953 11.300 15.220 19.605 24.477Observations 7,241,537 7,241,537 7,241,537 7,241,537 7,241,537 7,241,537 7,241,537 7,241,537 7,241,537 7,241,537

Non-joint Filing ParentsFemale

0.020*** 0.050*** 0.097*** 0.168*** 0.254*** 0.367*** 0.507*** 0.639*** 0.743*** 0.854***(0.006) (0.015) (0.027) (0.044) (0.063) (0.088) (0.115) (0.148) (0.183) (0.229)

Mean 0.276 0.563 0.847 1.203 1.799 2.675 3.698 4.843 6.019 7.234Observations 1,386,971 1,386,971 1,386,971 1,386,971 1,386,971 1,386,971 1,386,971 1,386,971 1,386,971 1,386,971

Male0.012** 0.030** 0.053** 0.084** 0.124*** 0.181*** 0.265*** 0.348*** 0.396*** 0.459***(0.005) (0.013) (0.023) (0.033) (0.045) (0.064) (0.084) (0.105) (0.128) (0.163)

Mean 0.451 1.043 1.756 2.669 3.908 5.537 7.407 9.491 11.696 14.036Observations 1,416,654 1,416,654 1,416,654 1,416,654 1,416,654 1,416,654 1,416,654 1,416,654 1,416,654 1,416,654

All0.016*** 0.040*** 0.074*** 0.125*** 0.188*** 0.272*** 0.383*** 0.490*** 0.565*** 0.651***(0.005) (0.013) (0.024) (0.037) (0.052) (0.072) (0.094) (0.119) (0.146) (0.183)

Mean 0.364 0.805 1.306 1.944 2.865 4.121 5.572 7.192 8.888 10.671Observations 2,803,625 2,803,625 2,803,625 2,803,625 2,803,625 2,803,625 2,803,625 2,803,625 2,803,625 2,803,625

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxes indicate taxes paid by agiven age, starting at age 19, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars.We proxy for household structure using filing status, separately considering children with “parents filing jointly” at age 15—only those whose parentsfile as “married, filing jointly”—and all other children. Coefficients for each age are obtained from separate reduced form regressions of total taxeson simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (theyoungest age at which we observe all individuals in our sample). Standard errors are clustered by state. Figure OA.24 presents this table graphically.

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Appendix 11 Heterogeneous Distributional Effects in the High

Impact Sample

Table OA.32: Heterogeneous Distributional Effects Within the High Impact Sample

(1)

Below Q1

%

(2)

Q1 to Q2

%

(3)

Q2 to Q3

%

(4)

Above Q3

%

Cumulative Total Taxes by Age 28

Female

-3.295** 0.475* 1.228** 1.593**

(0.676) (0.204) (0.283) (0.478)

Mean 43.917 21.532 19.723 14.829

Male

-2.384** -0.074 0.793** 1.665**

(0.475) (0.208) (0.185) (0.494)

Mean 27.531 30.501 23.574 18.393

All

-2.854** 0.209 1.011** 1.634**

(0.561) (0.179) (0.215) (0.479)

Mean 35.612 26.078 21.675 16.635

Cumulative Wage Income by Age 28

Female

-1.461* -0.283 0.155 1.589**

(0.567) (0.153) (0.288) (0.388)

Mean 33.081 28.588 23.186 15.146

Male

-1.504** -0.182 0.241 1.444**

(0.398) (0.175) (0.176) (0.415)

Mean 29.439 23.977 22.962 23.622

All-1.480*** -0.239* 0.193 1.526***

(0.470) (0.142) (0.211) (0.390)

Mean 31.235 26.251 23.072 19.442

Female Observations 1,711,145 1,711,145 1,711,145 1,711,145

Male Observations 1,758,738 1,758,738 1,758,738 1,758,738

All Observations 3,469,883 3,469,883 3,469,883 3,469,883

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. The outcomeis an indicator for being in the given quartile of the cumulative total taxes or wage income distribution for the fullsample at age 28. Cumulative total taxes indicate taxes paid by age 28 starting at age 19, defined as householdfederal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Cumulative wageincome indicates wages earned by age 28 starting at age 19, obtained from Form W-2, adjusted to 2011 dollarsand censored at $10 million. Coefficients are obtained from a reduced form regression of the outcome on simulatedyears eligible, ages 0–18, within the sample of children below 200% of the FPL from ages 15–18. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which weobserve all individuals in our sample).

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Appendix 12 Heterogeneous Effects of Medicaid Eligibility at Dif-

ferent Ages

Figure OA.25: Heterogeneous Effects of Medicaid Eligibility at Different AgesCumulative Total Taxes ($000)

-.5

0.5

11.

5C

oeffi

cien

ts

19 22 25 28Age

05

1015

20M

eans

19 22 25 28Age

Ages 0-3 Ages 4-7 Ages 8-14 Ages 15-18

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Simulated Cumulative Eligibility:

Note. Cumulative total taxes indicate taxes paid by the given age, starting at age 19, defined as household federaltax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients for each agerange are obtained from a single reduced form regression of cumulative total taxes on the given vector of simulatedeligibility variables. The specification includes fixed effects for birth cohort by month and for state of residence atage 15 (the youngest age at which we observe all individuals in our sample). Table OA.33 contains correspondingresults.

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Table OA.33: Heterogeneous Effects of Medicaid Eligibility at Different AgesCumulative Total Taxes ($000)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Main Specification0.012** 0.028** 0.044** 0.069** 0.118*** 0.187*** 0.279*** 0.374*** 0.445*** 0.533***(0.005) (0.011) (0.020) (0.031) (0.044) (0.061) (0.087) (0.119) (0.152) (0.192)

Exposure throughout childhood-0.015 -0.080 -0.164 -0.204 -0.125 0.095 0.361 0.570 0.827 1.299*(0.021) (0.052) (0.108) (0.152) (0.161) (0.217) (0.340) (0.437) (0.515) (0.653)0.044* 0.112** 0.170** 0.210 0.199 0.137 0.166 0.260 0.257 0.104(0.024) (0.051) (0.084) (0.130) (0.178) (0.226) (0.286) (0.340) (0.403) (0.551)0.004 0.016 0.027 0.037 0.056 0.079 0.114 0.156 0.184 0.217

(0.007) (0.015) (0.027) (0.044) (0.064) (0.083) (0.100) (0.113) (0.121) (0.137)0.019** 0.042*** 0.069** 0.115*** 0.195*** 0.309*** 0.446*** 0.581*** 0.683*** 0.810***(0.007) (0.016) (0.026) (0.042) (0.064) (0.090) (0.123) (0.160) (0.195) (0.236)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-3Simulated Years Eligible, Age 4-7Simulated Years Eligible, Age 8-14Simulated Years Eligible, Age 15-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxes indicate taxes paid by the given age, starting atage 19, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients for each age range in “ChildhoodEligibility by Age” are obtained from a single reduced form regression of cumulative total taxes on the given vector of simulated eligibility variables. The specificationincludes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.25presents this table graphically.

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Appendix 13 Robustness to Gender as an Outcome: Falsification

Exercise

Table OA.34: Robustness to Gender as an Outcome

Female (%)-0.030(0.065)

Mean 48.911

Observations 10,045,162

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Coefficients are obtainedfrom a reduced form regression of an indicator for gender on simulated years eligible, ages 0–18. The specification includes fixedeffects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals inour sample).

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Appendix 14 Robustness to Assumptions in Early Childhood

14.1 Robustness to Simulated Eligibility in the CPS

Figure OA.26: Robustness to Simulated Eligibility in the CPSCumulative Total Taxes ($000)

0.2

5.5

.75

11.

25C

oeffi

cien

ts

19 22 25 28

Female

0.2

5.5

.75

11.

25

19 22 25 28Age

Male

0.2

5.5

.75

11.

25

19 22 25 28

All

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

Simulated Years Eligible, age 0-18 Simulated Years Eligible using CPS, age 0-18

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative total taxes indicate taxes paid by the given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reduced formregressions of cumulative total taxes on simulated years eligible, ages 0–18, calculated in our main data and in the CPS sample.The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals.

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Table OA.35: Cumulative Total Taxes ($000): Robustness to Simulated Eligibility in the CPS

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female0.015*** 0.039*** 0.068*** 0.114*** 0.184*** 0.275*** 0.391*** 0.512*** 0.609*** 0.731***(0.005) (0.013) (0.024) (0.039) (0.056) (0.077) (0.103) (0.137) (0.174) (0.216)

Mean 0.391 0.874 1.447 2.263 3.671 5.728 8.241 11.189 14.475 18.115

Male0.012* 0.025* 0.034 0.045 0.077 0.129* 0.206* 0.282** 0.332* 0.395*(0.006) (0.014) (0.022) (0.033) (0.047) (0.072) (0.104) (0.139) (0.173) (0.220)

Mean 0.555 1.313 2.264 3.535 5.399 7.989 11.100 14.693 18.661 23.025

All0.014** 0.032** 0.051** 0.079** 0.130** 0.201*** 0.297*** 0.395*** 0.469*** 0.560***(0.005) (0.013) (0.022) (0.035) (0.049) (0.069) (0.097) (0.130) (0.165) (0.208)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623

Female0.013*** 0.034*** 0.059*** 0.101*** 0.167*** 0.255*** 0.365*** 0.481*** 0.574*** 0.689***(0.004) (0.011) (0.021) (0.034) (0.050) (0.068) (0.093) (0.125) (0.160) (0.200)

Mean 0.391 0.874 1.447 2.263 3.671 5.728 8.241 11.189 14.475 18.115

Male0.010* 0.021* 0.028 0.039 0.069 0.122* 0.196** 0.270** 0.319** 0.380*(0.006) (0.012) (0.020) (0.029) (0.042) (0.063) (0.092) (0.125) (0.157) (0.200)

Mean 0.555 1.313 2.264 3.535 5.399 7.989 11.100 14.693 18.661 23.025

All0.012** 0.028** 0.044** 0.069** 0.118*** 0.187*** 0.279*** 0.374*** 0.445*** 0.533***(0.005) (0.011) (0.020) (0.031) (0.044) (0.061) (0.087) (0.119) (0.152) (0.192)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Cumulative Total Taxes ($000)

Simulated Years Eligible using CPS, Age 0-18

Simulated Years Eligible using CPS, Age 0-18

Simulated Years Eligible using CPS, Age 0-18

Cumulative Total Taxes ($000)

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxes indicate taxes paid by the given age, starting atage 19, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reducedform regressions of cumulative total taxes on simulated years eligible, ages 0–18, calculated in our main data and in the CPS sample. The specification includes fixed effectsfor birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Figure OA.26 presents this table graphically.

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14.2 Robustness to Restricting Variation in State of Residence

Figure OA.27: Robustness to Restricting Variation in State of ResidenceCumulative Total Taxes ($000)

0.2

.4.6

.81

Coe

ffici

ents

19 22 25 28

Female

0.2

.4.6

.81

19 22 25 28

Male

0.2

.4.6

.81

19 22 25 28

All

Main Results >1 States of Residence Constant State of Residence

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28

05

1015

2025

19 22 25 28

Main Results >1 States of Residence Constant State of Residence

Note. Cumulative total taxes indicate taxes paid by the given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reduced formregressions of cumulative total taxes on simulated years eligible, ages 0–18, for those who lived in more than one state betweenages 15–18 (“>1 States of Residence”), for those who did not (“Constant State of Residence”), and for the full sample (“MainResults”). The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngestage at which we observe all individuals in our sample). Standard errors are clustered by state.

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Table OA.36: Cumulative Total Taxes ($000): Robustness to Restricting Variation in State of Residence

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female0.013** 0.031** 0.048* 0.078** 0.127** 0.190** 0.268*** 0.334*** 0.350** 0.376**(0.006) (0.014) (0.025) (0.038) (0.054) (0.072) (0.094) (0.122) (0.148) (0.172)

Mean 0.392 0.877 1.453 2.274 3.691 5.764 8.296 11.268 14.582 18.254Observations 187,631 187,631 187,631 187,631 187,631 187,631 187,631 187,631 187,631 187,631

Male0.015* 0.030* 0.036 0.040 0.057 0.089 0.138 0.173 0.168 0.164(0.008) (0.016) (0.025) (0.035) (0.050) (0.071) (0.098) (0.126) (0.151) (0.180)

Mean 0.556 1.316 2.271 3.547 5.419 8.023 11.151 14.767 18.760 23.153Observations 195,520 195,520 195,520 195,520 195,520 195,520 195,520 195,520 195,520 195,520

All0.014** 0.031** 0.043* 0.059 0.092* 0.139** 0.202** 0.253** 0.258* 0.269(0.007) (0.015) (0.024) (0.036) (0.050) (0.066) (0.089) (0.117) (0.142) (0.167)

Mean 0.476 1.101 1.871 2.924 4.574 6.918 9.755 13.056 16.717 20.757Observations 383,151 383,151 383,151 383,151 383,151 383,151 383,151 383,151 383,151 383,151

Female0.012*** 0.039*** 0.079*** 0.138*** 0.219*** 0.325*** 0.441*** 0.583*** 0.750*** 0.943***(0.003) (0.006) (0.010) (0.017) (0.028) (0.039) (0.055) (0.075) (0.102) (0.133)

Mean 0.362 0.798 1.296 1.985 3.151 4.831 6.858 9.208 11.777 14.625Observations 4,725,508 4,725,508 4,725,508 4,725,508 4,725,508 4,725,508 4,725,508 4,725,508 4,725,508 4,725,508

Male0.001 0.007 0.016 0.037* 0.074** 0.130*** 0.197*** 0.278*** 0.352*** 0.452***

(0.003) (0.007) (0.013) (0.019) (0.029) (0.039) (0.052) (0.067) (0.086) (0.110)Mean 0.526 1.230 2.098 3.240 4.883 7.133 9.791 12.834 16.152 19.789

Observations 4,936,503 4,936,503 4,936,503 4,936,503 4,936,503 4,936,503 4,936,503 4,936,503 4,936,503 4,936,503

All0.006** 0.022*** 0.046*** 0.085*** 0.143*** 0.224*** 0.314*** 0.424*** 0.543*** 0.688***(0.003) (0.006) (0.010) (0.016) (0.024) (0.032) (0.043) (0.059) (0.079) (0.105)

Mean 0.446 1.019 1.705 2.626 4.035 6.005 8.355 11.058 14.010 17.260Observations 9,662,011 9,662,011 9,662,011 9,662,011 9,662,011 9,662,011 9,662,011 9,662,011 9,662,011 9,662,011

Constant State of Residence

> 1 State of Residence

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxes indicate taxes paid by the given age, starting atage 19, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reducedform regressions of cumulative total taxes on simulated years eligible, ages 0–18, for those who lived in more than one state between ages 15–18 (“>1 States of Residence”)and for those who did not (“Constant State of Residence”). The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngestage at which we observe all individuals in our sample). Figure OA.27 presents this table graphically.

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Appendix 15 Robustness to Sibling Controls and Family Fixed

Effects

Figure OA.28: Robustness to Sibling Controls and Family Fixed Effectsfor Cumulative Total Taxes ($000)

-.5

0.5

1C

oeffi

cien

ts

19 22 25 28

Main Specification

-.5

0.5

1

19 22 25 28Age

Sibling Controls

-.5

0.5

1

19 22 25 28

Family FEs

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

05

1015

20M

eans

19 22 25 28

05

1015

20

19 22 25 28Age

05

1015

20

19 22 25 28

Note. Cumulative total taxes indicate taxes paid by the given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reduced formregressions of cumulative total taxes on simulated years eligible, ages 0–18, using the sample of households with two children.The “Sibling Controls” specification controls for the sibling’s tax outcome at the age equal to the age of the specificationoutcome. The “Family FEs” specification includes fixed effects for the household that claims both children. Standard errorsare clustered by state. Dashed lines show 95% confidence intervals.

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Figure OA.29: Robustness to Size of Household for Cumulative Total Taxes ($000)

-.5

0.5

1C

oeffi

cien

ts

19 22 25 28

One Child

-.5

0.5

1

19 22 25 28Age

Two Children

-.5

0.5

1

19 22 25 28

≥ Three Children

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

05

1015

20M

eans

19 22 25 28

05

1015

20

19 22 25 28Age

05

1015

20

19 22 25 28

Note. Cumulative total taxes indicate taxes paid by the given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reduced formregressions of cumulative total taxes on simulated years eligible, ages 0–18. Standard errors are clustered by state. Dashedlines show 95% confidence intervals.

68

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Appendix 16 Robustness to Sample Selection

Figure OA.30: Robustness to Sample SelectionCumulative Total Taxes ($000)

0.2

.4.6

.8C

oeffi

cien

ts

19 22 25 28

Female

0.2

.4.6

.8

19 22 25 28

Male

0.2

.4.6

.8

19 22 25 28

All

Main Results Non-filers

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28

05

1015

2025

19 22 25 28

Main Results Non-filers

Note. Cumulative total taxes indicate taxes paid by the given age, starting at age 19, defined as household federal tax paymentsplus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtained from separate reduced formregressions of cumulative total taxes on simulated years eligible, ages 0–18. Children in the non-filers sample were claimed bya parent in 1997 who did not file taxes at some point between the first observed age and 18. The specification includes fixedeffects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals inour sample). In the non-filers sample, we impute state at age 15, number of siblings at age 15, and family income at age 15 byusing values from the closest available filing year, and we include a control for non-filing. Table OA.37 contains correspondingresults. Standard errors are clustered by state.

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Table OA.37: Cumulative Total Taxes ($000): Robustness to Sample Selection

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Non-Filers

Female

0.015*** 0.039*** 0.066*** 0.109*** 0.174*** 0.262*** 0.373*** 0.486*** 0.570*** 0.669***

(0.005) (0.013) (0.023) (0.036) (0.052) (0.069) (0.092) (0.121) (0.149) (0.184)

Mean 0.369 0.821 1.352 2.102 3.389 5.263 7.530 10.178 13.114 16.365

Observations 6,308,122 6,308,122 6,308,122 6,308,122 6,308,122 6,308,122 6,308,122 6,308,122 6,308,122 6,308,122

Male

0.012** 0.024* 0.031 0.038 0.065 0.113* 0.179* 0.244** 0.279* 0.322*

(0.006) (0.013) (0.021) (0.030) (0.041) (0.063) (0.091) (0.121) (0.149) (0.188)

Mean 0.538 1.271 2.192 3.419 5.199 7.648 10.558 13.900 17.573 21.612

Observations 6,544,866 6,544,866 6,544,866 6,544,866 6,544,866 6,544,866 6,544,866 6,544,866 6,544,866 6,544,866

All

0.013** 0.031** 0.048** 0.074** 0.119*** 0.187*** 0.275*** 0.364*** 0.424*** 0.494***

(0.005) (0.012) (0.022) (0.032) (0.044) (0.061) (0.085) (0.114) (0.141) (0.176)

Mean 0.455 1.050 1.780 2.773 4.311 6.477 9.072 12.074 15.385 19.037

Observations 12,852,988 12,852,988 12,852,988 12,852,988 12,852,988 12,852,988 12,852,988 12,852,988 12,852,988 12,852,988

Female

0.013*** 0.034*** 0.059*** 0.101*** 0.167*** 0.255*** 0.365*** 0.481*** 0.574*** 0.689***

(0.004) (0.011) (0.021) (0.034) (0.050) (0.068) (0.093) (0.125) (0.160) (0.200)

Mean 0.391 0.874 1.447 2.263 3.671 5.728 8.241 11.189 14.475 18.115

Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male

0.010* 0.021* 0.028 0.039 0.069 0.122* 0.196** 0.270** 0.319** 0.380*

(0.006) (0.012) (0.020) (0.029) (0.042) (0.063) (0.092) (0.125) (0.157) (0.200)

Mean 0.555 1.313 2.264 3.535 5.399 7.989 11.100 14.693 18.661 23.025

Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All

0.012** 0.028** 0.044** 0.069** 0.118*** 0.187*** 0.279*** 0.374*** 0.445*** 0.533***

(0.005) (0.011) (0.020) (0.031) (0.044) (0.061) (0.087) (0.119) (0.152) (0.192)

Mean 0.475 1.098 1.865 2.913 4.554 6.883 9.701 12.980 16.613 20.623

Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Main Results

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxes indicate taxes paid by the given age,starting at age 19, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Coefficients are obtainedfrom separate reduced form regressions of cumulative total taxes on simulated years eligible, ages 0–18. Children in the non-filers sample were claimed by a parentin 1997 who did not file taxes at some point between the first observed age and 18. The specification includes fixed effects for birth cohort by month and for stateof residence at age 15 (the youngest age at which we observe all individuals in our sample). In the non-filers sample, we impute state at age 15, number of siblingsat age 15, and family income at age 15 by using values from the closest available filing year, and we include a control for non-filing. Figure OA.30 presents this table graphically.

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Appendix 17 Robustness to OLS, IV, and Income Controls

17.1 OLS, IV, and Income Controls

Figure OA.31: OLS and IV Results, Without and With Income ControlsCumulative Total Taxes ($000)

-1.5

-1.2

-.9

-.6

-.3

0 C

oeffi

cien

ts

19 22 25 28

Female

-1.5

-1.2

-.9

-.6

-.3

0

19 22 25 28Age

Male

-1.5

-1.2

-.9

-.6

-.3

0

19 22 25 28

All

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

OLS without Income Controls

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

-1.5

-1.2

-.9

-.6

-.3

0 C

oeffi

cien

ts

19 22 25 28

Female-1

.5-1

.2-.

9-.

6-.

30

19 22 25 28Age

Male

-1.5

-1.2

-.9

-.6

-.3

0

19 22 25 28

All

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

OLS with Income Controls

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

0.3

.6.9

1.2

1.5

C

oeffi

cien

ts

19 22 25 28

Female

0.3

.6.9

1.2

1.5

19 22 25 28Age

Male0

.3.6

.91.

21.

5

19 22 25 28

All

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

IV without Income Controls

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

0.3

.6.9

1.2

1.5

C

oeffi

cien

ts

19 22 25 28

Female

0.3

.6.9

1.2

1.5

19 22 25 28Age

Male

0.3

.6.9

1.2

1.5

19 22 25 28

All

05

1015

2025

Mea

ns

19 22 25 28

05

1015

2025

19 22 25 28Age

05

1015

2025

19 22 25 28

IV with Income Controls

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative total taxes indicate taxes paid by a given age, starting at age 19. Coefficients for each age are obtained fromthe given regression of total taxes on the respective measure of eligibility. All specifications includes fixed effects for birth cohortby month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). Standarderrors are clustered by state. Where indicated, specifications include “income controls”: birth year fixed effects interactedwith linear splines of total positive household income at age 15 on the parents’ tax return with knots at deciles of the sampledistribution, re-estimated for every sample. Standard errors are clustered by state. Dashed lines show 95% confidence intervals.

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Figure OA.32: Main Results (Reduced Form), Without and With Income ControlsCumulative Total Taxes ($000)

0.2

.4.6

.81

  Coefficients

19 22 25 28 

Female

0.2

.4.6

.81

 

19 22 25 28Age

Male

0.2

.4.6

.81

 

19 22 25 28 

All

05

1015

2025

Means

19 22 25 28 

 

05

1015

2025

 

19 22 25 28Age

 

05

1015

2025

 

19 22 25 28 

 

Cumulative Total Taxes ($000) without Income Controls

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

­.2

0.2

.4.6

.8  C

oefficients

19 22 25 28 

Female

­.2

0.2

.4.6

.8 

19 22 25 28Age

Male

­.2

0.2

.4.6

.8 

19 22 25 28 

All

05

1015

2025

Means

19 22 25 28 

 

05

1015

2025

 

19 22 25 28Age

 

05

1015

2025

 

19 22 25 28 

 

Cumulative Total Taxes ($000) with Income Controls

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Cumulative total taxes indicate taxes paid by a given age, starting at age 19. Coefficients for each age are obtained fromseparate reduced form regressions of total taxes on simulated years eligible, ages 0–18. Both specifications include fixed effectsfor birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in oursample). Where indicated, specifications include “income controls”: birth year fixed effects interacted with linear splines of totalpositive household income at age 15 on the parents’ tax return with knots at deciles of the sample distribution, re-estimatedfor every sample. Standard errors are clustered by state. Dashed lines show 95% confidence intervals.

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17.2 OLS, IV, and Income Controls: Table at Age 28

Table OA.38: Total Taxes ($000) by Age 28 across Income Control Sets and Specification

(1) (2)

Female Male All Female Male AllOLS

Years Eligible, Age 0-18 -1.352*** -1.068*** -1.211*** -0.149** -0.114** -0.133**(0.063) (0.050) (0.056) (0.032) (0.026) (0.029)

IVYears Eligible, Age 0-18 0.742*** 0.402* 0.568** 0.420* 0.191 0.303*

-0.243 -0.219 -0.221 (0.159) (0.172) (0.159)Reduced Form

0.689*** 0.380* 0.533*** 0.451* 0.207 0.326*(0.200) (0.200) (0.192) (0.170) (0.187) (0.172)

Mean 18.115 23.025 20.623 18.115 23.025 20.623Observations 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162

No Income Controls Income Controls

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxesindicate taxes paid by a given age, starting at age 19. Coefficients are obtained from the given regression of cumulative totaltaxes by age 28 on the respective measure of eligibility. All specifications include fixed effects for birth cohort by month andfor state of residence at age 15 (the youngest age at which we observe all individuals in our sample). The specifications withincome controls incorporate the interaction of birth year with a linear spline of total positive household income at age 15 onthe parents’ tax return with knots at deciles of the sample distribution. The specification titled “Ages 15–18 Income Splines”incorporates the interaction of birth year with separate linear splines of total positive household income at ages 15–18 on theparents’ tax return with knots at deciles of the sample distribution, re-estimated for every sample.

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17.3 Robustness to Richer Income Controls

Table OA.39: Robustness to Richer Income Controls Using Results for Cumulative Total Taxes($000)

(1) (2) (3)

Female Male All Female Male All Female Male AllReduced Form

0.689*** 0.380* 0.533*** 0.451* 0.207 0.326* 0.406** 0.171 0.286(0.200) (0.200) (0.192) (0.170) (0.187) (0.172) (0.173) (0.187) (0.173)

Mean 18.115 23.025 20.623 18.115 23.025 20.623 18.115 23.025 20.623Observations 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162 4,913,139 5,132,023 10,045,162

No Income Controls Age 15 Income Splines Age 15-18 Income Splines

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative total taxesindicate taxes paid by a given age, starting at age 19. Coefficients are obtained from a reduced form regression of cumulativetotal taxes by age 28 on simulated years eligible, ages 0–18. All specifications include fixed effects for birth cohort by monthand for state of residence at age 15 (the youngest age at which we observe all individuals in our sample). The specificationtitled “Age 15 Income Splines” incorporates the interaction of birth year with a linear spline of total positive household incomeat age 15 on the parents’ tax return with knots at deciles of the sample distribution, re-estimated for every sample.. Thespecification titled “Ages 15–18 Income Splines” incorporates the interaction of birth year with separate linear splines of totalpositive household income at ages 15–18 on the parents’ tax return with knots at deciles of the sample distribution, re-estimatedfor every sample.

Appendix 18 Forecast of Fiscal Return on Investment

Through a simple comparison of coefficients, we find that the government recoups 67 cents

of each dollar that it spends on childhood Medicaid by age 28. To determine the fiscal return

on investment at older ages, we forecast how total taxes evolve due to childhood Medicaid

later in adulthood. As in Section 3.6, we divide total taxes into three components—EITC,

payroll taxes, and income taxes plus EITC (gross income taxes). These components evolve

and respond differently to childhood Medicaid from ages 19–28, as shown in Figure OA.14.

Therefore, we allow them to evolve and respond differently at age 29 and older. Using

a random 1% sample of individuals with any connection to the tax system since 1996, we

estimate how these components evolve over the life cycle by calculating average EITC, payroll

taxes, and gross income taxes for individuals at each age from 29–60 in 2013, including zeros

for individuals who do not file in 2013, discounted to birth at 0%, 1%, 2%, and 3% rates.

We report the means of each component by age in Table OA.40.

Next, we calculate the contemporaneous percent change in each component due to Med-

icaid at age 28, the oldest age at which we observe all individuals in our main sample. As

implied by the IV coefficients and means in Table OA.41, at a 0% discount rate, each addi-

tional year of Medicaid eligibility results in a 4.1% (=0.022/0.533) decrease in EITC, a 0.4%

(=-(-0.007/1.752)) decrease in payroll taxes, and a 2.8% (=0.078/2.791) increase in gross

income taxes at age 28. We assume that the percent change in each component due to Med-

icaid is the same at older ages as it is at age 28. We then calculate the implied cumulative

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increase in total taxes due to Medicaid at each age, including the cumulative increase from

19–28. Finally, we compare the increase in taxes to the increase in spending to forecast the

fiscal return on investment.21

The results in Table OA.42, show that Medicaid delivers a positive return at all reported

discount rates at age 32, delivering an 3.18% return at a 3% discount rate. The returns at

age 32 are not surprising, given that the discounted fiscal return on investment is already

quite large at age 28. The returns are much larger at older ages, although we place little

emphasis on them because the forecast likely becomes less accurate at older ages.

21For example, consider the undiscounted fiscal ROI forecast at age 29. At age 29, as shown in TableOA.40, mean EITC is $585, so the implied 4.1% decrease is $24; mean payroll taxes are $1,831, so theimplied 0.4% decrease is $7, and mean gross income taxes is $2,738, so the implied 2.1% increase is $77.Across these components, the implied increase in total taxes at age 29 is $94 (=24-7+77). Therefore, thecumulative increase in total taxes through age 29 is $662 (=94 + 568, from the total taxes IV coefficientfrom ages 19–28), and the undiscounted ROI at age 29 is 4% (=(662-636)/636), as reported in Table OA.42.

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Table OA.40: Mean Discounted Components of Total Taxes ($000): Age 29–60

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10) (11) (12)

EITC

($000)

Payroll

Taxes

($000)

Income Taxes

+ EITC

($000)

EITC

($000)

Payroll

Taxes

($000)

Income Taxes

+ EITC

($000)

EITC

($000)

Payroll

Taxes

($000)

Income Taxes

+ EITC

($000)

EITC

($000)

Payroll

Taxes

($000)

Income Taxes

+ EITC

($000)

Age 29 0.585 1.831 2.738 0.438 1.372 2.052 0.329 1.031 1.542 0.248 0.777 1.162

Age 30 0.609 1.881 3.125 0.452 1.396 2.319 0.336 1.039 1.725 0.251 0.775 1.288

Age 31 0.612 1.933 3.359 0.449 1.420 2.468 0.331 1.046 1.818 0.245 0.773 1.344

Age 32 0.610 2.018 3.708 0.443 1.468 2.697 0.323 1.071 1.968 0.237 0.784 1.440

Age 33 0.568 2.112 3.977 0.409 1.521 2.864 0.295 1.099 2.069 0.214 0.796 1.499

Age 34 0.589 2.121 4.134 0.420 1.512 2.947 0.301 1.082 2.108 0.216 0.776 1.513

Age 35 0.589 2.128 4.320 0.416 1.502 3.050 0.295 1.064 2.160 0.209 0.756 1.535

Age 36 0.554 2.240 4.926 0.388 1.566 3.443 0.272 1.098 2.415 0.191 0.773 1.700

Age 37 0.568 2.281 5.214 0.393 1.578 3.608 0.273 1.096 2.506 0.190 0.764 1.747

Age 38 0.533 2.299 5.401 0.366 1.575 3.700 0.251 1.083 2.545 0.174 0.748 1.756

Age 39 0.553 2.347 5.738 0.375 1.592 3.892 0.256 1.084 2.651 0.175 0.741 1.812

Age 40 0.534 2.441 5.877 0.359 1.640 3.947 0.242 1.106 2.661 0.164 0.748 1.801

Age 41 0.487 2.469 6.532 0.324 1.642 4.344 0.216 1.096 2.900 0.145 0.735 1.944

Age 42 0.483 2.420 5.957 0.318 1.593 3.922 0.210 1.053 2.593 0.140 0.699 1.721

Age 43 0.416 2.539 6.744 0.271 1.655 4.396 0.178 1.083 2.878 0.117 0.712 1.892

Age 44 0.406 2.496 6.950 0.262 1.611 4.486 0.170 1.044 2.908 0.111 0.680 1.893

Age 45 0.404 2.475 6.792 0.258 1.582 4.340 0.166 1.015 2.786 0.107 0.655 1.796

Age 46 0.380 2.532 7.204 0.241 1.602 4.558 0.153 1.018 2.897 0.098 0.650 1.850

Age 47 0.366 2.496 7.231 0.229 1.564 4.530 0.144 0.984 2.851 0.091 0.622 1.802

Age 48 0.350 2.446 6.878 0.217 1.517 4.266 0.135 0.945 2.659 0.085 0.592 1.665

Age 49 0.306 2.408 6.794 0.188 1.479 4.172 0.116 0.912 2.574 0.072 0.566 1.596

Age 50 0.277 2.403 6.965 0.168 1.461 4.235 0.103 0.893 2.588 0.063 0.548 1.589

Age 51 0.285 2.428 7.350 0.172 1.461 4.425 0.104 0.884 2.677 0.063 0.538 1.628

Age 52 0.246 2.377 7.648 0.147 1.417 4.559 0.088 0.849 2.731 0.053 0.511 1.644

Age 53 0.214 2.457 7.602 0.126 1.450 4.486 0.075 0.860 2.661 0.045 0.513 1.587

Age 54 0.203 2.375 7.452 0.119 1.388 4.354 0.070 0.815 2.558 0.041 0.481 1.510

Age 55 0.171 2.291 7.736 0.099 1.325 4.475 0.057 0.771 2.603 0.034 0.451 1.522

Age 56 0.166 2.364 7.641 0.095 1.354 4.377 0.055 0.780 2.521 0.032 0.452 1.460

Age 57 0.147 2.240 7.336 0.084 1.271 4.160 0.048 0.725 2.373 0.027 0.416 1.361

Age 58 0.124 2.169 7.655 0.069 1.218 4.298 0.039 0.688 2.427 0.022 0.391 1.378

Age 59 0.120 2.122 7.135 0.067 1.180 3.967 0.037 0.660 2.218 0.021 0.371 1.247

Age 60 0.093 2.100 7.736 0.051 1.156 4.258 0.028 0.640 2.358 0.016 0.356 1.313

Discount rate = 0% Discount rate = 1% Discount rate = 2% Discount rate = 3%

Note. EITC was obtained from Form 1040, adjusted to 2011 dollars. Payroll taxes are defined as employee portion of payrolltaxes reported on Form W-2 across employers, only for the individuals of interest, and the taxes reported on Schedule SE for theself employed, both adjusted to 2011 dollars. Income taxes are defined as household federal tax payments less EITC, adjustedto 2011 dollars. We estimate mean EITC, payroll taxes, and income taxes plus EITC using a random 1% sample of individualswith any connection to the tax system since 1996. From this sample, we present average outcomes by age, including zeros forindividuals who do not file in 2013. We discount all data to birth using the given discount rate.

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Table OA.41: Discounted Spending, Total Taxes, and Total Tax Components ($000)

(1) (2) (3) (4) (5)

Medicaid Spending ($000)

Total Taxes ($000)

EITC ($000)

Payroll Taxes ($000)

Income Taxes + EITC ($000)

Age 0-18 Age 19-28 Age 28 Age 28 Age 28

Discount rate = 0%0.636*** 0.568** 0.022** -0.007 0.078**(0.059) (0.221) (0.009) (0.011) (0.037)

Mean 1.804 20.623 0.533 1.752 2.791 Discount rate = 1%

0.558*** 0.430** 0.017** -0.005 0.059**(0.051) (0.167) (0.007) (0.008) (0.028)

Mean 1.584 15.609 0.404 1.326 2.112Discount rate = 2%

0.491*** 0.326** 0.013** -0.004 0.045**(0.045) (0.127) (0.005) (0.006) (0.021)

Mean 1.396 11.846 0.306 1.006 1.603Discount rate = 3%

0.433*** 0.248** 0.010** -0.003 0.034**(0.040) (0.096) (0.004) (0.005) (0.016)

Mean 1.234 9.014 0.233 0.766 1.220

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Years Eligible, Age 0-18

Cumulative Contemporaneous

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Cumulative Medicaidtakeup and spending for ages 0–18 are estimated in the full sample using administrative data from the Medicaid StatisticalInformation System (MSIS), adjusted to 2011 dollars. Cumulative total taxes indicate taxes paid in the full sample from ages19–28, defined as household federal tax payments plus individual payroll tax payments less EITC, adjusted to 2011 dollars. Alltotal tax components (EITC, payroll taxes, and income taxes plus EITC) are measured at age 28. EITC was obtained fromForm 1040, adjusted to 2011 dollars. Payroll taxes are defined as employee portion of payroll taxes reported on Form W-2 acrossemployers, only for the individuals of interest, and the taxes reported on Schedule SE for the self employed, both adjusted to2011 dollars. Income taxes are defined as household federal tax payments less EITC, adjusted to 2011 dollars. Coefficients areobtained from an IV regression of the given outcome on years eligible, ages 0–18. The specification includes fixed effects forbirth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individuals in our sample).We discount all data to birth using the given discount rate.

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Table OA.42: Forecast of Fiscal Return on Investment in Medicaid (%)

(1)Discount rate = 0%

(2)Discount rate = 1%

(3)Discount rate = 2%

(4)Discount rate = 3%

Age 19-29 4.06 -8.00 -18.68 -28.13Age 19-30 20.67 6.06 -6.79 -18.07Age 19-31 38.30 20.82 5.58 -7.72Age 19-32 57.39 36.66 18.72 3.18Age 19-33 77.35 53.05 32.18 14.23Age 19-34 98.13 69.95 45.93 25.41Age 19-35 119.72 87.34 59.93 36.69Age 19-36 143.69 106.45 75.16 48.84Age 19-37 168.99 126.41 90.93 61.29Age 19-38 194.88 146.65 106.75 73.66Age 19-39 222.35 167.91 123.21 86.41Age 19-40 250.26 189.28 139.59 98.98Age 19-41 280.73 212.40 157.14 112.31Age 19-42 308.67 233.38 172.91 124.17Age 19-43 339.57 256.35 190.01 136.91Age 19-44 371.33 279.74 207.24 149.62Age 19-45 402.40 302.39 223.77 161.69Age 19-46 435.10 325.99 240.82 174.03Age 19-47 467.84 349.38 257.56 186.02Age 19-48 498.96 371.39 273.16 197.08Age 19-49 529.43 392.74 288.13 207.60Age 19-50 560.48 414.27 303.09 218.01Age 19-51 593.27 436.79 318.58 228.68Age 19-52 627.14 459.81 334.26 239.38Age 19-53 660.54 482.30 349.43 249.63Age 19-54 693.27 504.11 363.99 259.37Age 19-55 727.09 526.43 378.75 269.15Age 19-56 760.41 548.20 393.00 278.51Age 19-57 792.35 568.86 406.40 287.21Age 19-58 825.57 590.14 420.06 296.00Age 19-59 856.52 609.76 432.53 303.95Age 19-60 889.95 630.75 445.75 312.29

Note. As an example of the ROI calculation, consider the undiscounted fiscal ROI forecast at age 29. We assume that the totaltax components at ages beyond age 28 have the same percentage change due to Medicaid as at age 28. For example, considerthe undiscounted fiscal ROI forecast at age 29. At age 29, as shown in Table OA.40, mean EITC is $585, so the implied 4.1%decrease is $24; mean payroll taxes are $1,831, so the implied 0.4% decrease is $7, and mean gross income taxes is $2,738, sothe implied 2.1% increase is $77. Across these components, the implied increase in total taxes at age 29 is $94 (=24-7+77).Therefore, the cumulative increase in total taxes through age 29 is $662 (=94 + 568, from the total taxes IV coefficient fromages 19–28), and the undiscounted ROI at age 29 is 4% (=(662-636)/636), as reported in Table OA.42. We discount all datato birth using the given discount rate.

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Appendix 19 First Stage Results

Table OA.43: First Stage Results

Years Eligible for Medicaid, Age 0-18

Female Male All

0.929*** 0.945*** 0.937***

(0.075) (0.079) (0.077)

Observations 4,913,139 5,132,023 10,045,162

Simulated Years Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Coefficients are obtainedfrom a regression of years eligible for Medicaid, ages 0–18, on simulated years eligible, ages 0–18. The specification includesfixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at which we observe all individualsin our sample).

Appendix 20 Filing and Marriage Results

Although the impact of Medicaid on marriage is interesting and potentially consistent with

our fertility and college enrollment results, we do not include marriage alongside our six

main outcomes because our observation of marriage is conditional on filing status, while

our observation of other outcomes is not. For example, we observe income tax when an

individual files a Form 1040, but we know that non-filers pay zero income tax, and we can

observe payroll tax on the employer-filed Form W-2 regardless of whether the individual files.

In contrast, we only observe that an individual is married if an individual files a Form 1040

as “married, filing jointly” or “married, filing separately.” We consider individuals who file

a Form 1040 with another status to be unmarried, and we omit non-filers.

Before turning to our marriage results, we first investigate the relationship between Med-

icaid eligibility and filing by estimating (1) with an indicator for contemporaneous filing at

each age as the outcome. As shown in the means in Figure OA.33 and Table OA.44, rates

of filing are not stable across ages, so we could observe changes in marriage that are entirely

driven by changes in filing behavior. At age 19, 76% of females and 74% of males file taxes.

The mean filing rate increases to 90% of females and 84% of males by age 28.

As shown in the coefficients in Figure OA.33 and Table OA.44, we find small and imprecise

effects of Medicaid eligibility on the probability of filing. For women, the coefficient at age

19 suggests that an additional year of Medicaid eligibility decreases the probability of filing

by 0.49 percentage points on a base of 76.3%. The coefficient is negative and small by age

28 when 90.5% of females file.

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We present contemporaneous marriage coefficients and means in Figure OA.34. At age

19, an additional year of Medicaid eligibility reduces the likelihood of being married by 0.12

percentage points on a base of 4.2%. The negative effect of Medicaid on marriage increases

in magnitude until age 25, when it levels out at a reduction of around 0.80 percentage points

on a base of 24.0%.

20.1 Filing Results Figure

Figure OA.33: Filed a Tax Return (%)

­.5

0.5

11.5

  Coefficients (%)

19 22 25 28 

Female­.5

0.5

11.5

 

19 22 25 28Age

Male

­.5

0.5

11.5

 

19 22 25 28 

All

020

4060

80100

Means (%)

19 22 25 28 

 

020

4060

80100

 

19 22 25 28Age

 

020

4060

80100

 

19 22 25 28 

 

Cumulative Filed a Tax Return

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. The outcome represents an indicator function for whether or not an individual filed a tax return (Form 1040). Coefficientsfor each age are obtained from separate reduced form regressions of filing a tax return on simulated years eligible, ages 0–18.The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95% confidence intervals.Table OA.44 contains corresponding results.

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20.2

Filin

gR

esu

ltsT

able

Table OA.44: Filed a Tax Return (%)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Female

0.485 0.022 -0.042 0.011 -0.000 -0.043 -0.037 -0.021 -0.088 -0.108

(0.336) (0.262) (0.177) (0.114) (0.111) (0.112) (0.138) (0.146) (0.115) (0.099)

Mean 76.271 79.988 81.904 84.747 87.772 89.387 90.214 90.676 90.574 90.479

Male

0.491 0.040 -0.007 0.032 -0.054 0.015 0.024 0.173 0.103 0.152

(0.322) (0.268) (0.179) (0.139) (0.137) (0.156) (0.148) (0.178) (0.161) (0.148)

Mean 73.838 76.395 77.799 79.837 82.369 83.848 84.435 84.657 84.193 83.794

All

0.487 0.031 -0.025 0.021 -0.029 -0.014 -0.007 0.076 0.008 0.023

(0.325) (0.258) (0.166) (0.119) (0.116) (0.127) (0.134) (0.152) (0.131) (0.118)

Mean 75.028 78.152 79.807 82.239 85.012 86.557 87.262 87.601 87.314 87.064

Female Observations 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139 4,913,139

Male Observations 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023 5,132,023

All Observations 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162 10,045,162

Filed a Tax Return (%)

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Years Eligible,

Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. The outcome represents an indicator function for whether or notan individual filed a tax return (Form 1040) at a given age. Coefficients for each age are obtained from separate reduced form regressions of an indicator having fileda return on simulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngestage at which we observe all individuals in our sample). Figure OA.33 presents this table graphically.

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20.3 Marriage Results Figure

Figure OA.34: Marital Status (Indicated “Married” Status on Tax Return; %)

­1.5

­1­.5

0.5

  Coefficients(%

)

19 22 25 28 

Female

­1.5

­1­.5

0.5

 

19 22 25 28Age

Male

­1.5

­1­.5

0.5

 

19 22 25 28 

All

010

2030

4050

Means(%

)

19 22 25 28 

 

010

2030

4050

 

19 22 25 28Age

 

010

2030

4050

 

19 22 25 28 

 

Cumulative Marital Status (Indicated Married Status on Tax Return)

p<0.01 0.01<p<0.05 0.05<p<0.1 p>0.1

Note. Marital status indicates filing a tax return (Form 1040) using the filing status “married, filing jointly” or “married, filingseparately.” Coefficients for each age are obtained from separate reduced form regressions of marital status on simulated yearseligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (theyoungest age at which we observe all individuals in our sample). Standard errors are clustered by state. Dashed lines show 95%confidence intervals. Table OA.45 contains corresponding results.

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20.4

Marria

ge

Resu

ltsT

able

Table OA.45: Marital Status (Indicated “Married” Status on Tax Return; %)

(1) (2) (3) (4) (5) (6) (7) (8) (9) (10)

Age 19 Age 20 Age 21 Age 22 Age 23 Age 24 Age 25 Age 26 Age 27 Age 28

Marital Status (Indicated "Married'' Status on Tax Return; %)

Female

-0.207 -0.384* -0.468* -0.455 -0.623* -0.775** -0.918*** -0.952*** -0.778*** -0.710***

(0.133) (0.215) (0.254) (0.303) (0.315) (0.308) (0.298) (0.282) (0.257) (0.252)

Mean 6.215 9.992 14.072 18.508 23.167 27.966 32.579 36.908 40.882 44.438

Male

-0.019 -0.136 -0.198 -0.263 -0.342 -0.520* -0.674** -0.798*** -0.799*** -0.865***

(0.066) (0.121) (0.178) (0.234) (0.281) (0.288) (0.288) (0.269) (0.258) (0.263)

Mean 2.165 4.423 7.409 11.160 15.364 19.882 24.535 29.089 33.541 37.732

All

-0.115 -0.257 -0.329 -0.357 -0.480 -0.649** -0.800*** -0.881*** -0.795*** -0.794***

(0.095) (0.164) (0.212) (0.263) (0.290) (0.290) (0.283) (0.267) (0.250) (0.249)

Mean 4.179 7.210 10.754 14.864 19.304 23.965 28.603 33.048 37.266 41.140

Female Observations 3,747,295 3,929,942 4,024,060 4,163,759 4,312,369 4,391,714 4,432,335 4,455,032 4,450,005 4,445,362

Male Observations 3,789,366 3,920,591 3,992,642 4,097,273 4,227,178 4,303,099 4,333,243 4,344,629 4,320,794 4,300,334

All Observations 7,536,661 7,850,533 8,016,702 8,261,032 8,539,547 8,694,813 8,765,578 8,799,661 8,770,799 8,745,696

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Simulated Years

Eligible, Age 0-18

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors in parentheses are clustered by state. Marital status indicates filing a tax return (Form 1040) using thefiling status “married, filing jointly” or “married, filing separately.” Coefficients for each age are obtained from separate reduced form regressions of marital status onsimulated years eligible, ages 0–18. The specification includes fixed effects for birth cohort by month and for state of residence at age 15 (the youngest age at whichwe observe all individuals in our sample). Figure OA.34 presents this table graphically.

83

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Appendix 21 Regression Discontinuity Results

In the tradition of Card and Shore-Sheppard (2004), Wherry and Meyer (2016), and Wherry

et al. (2015), we estimate regression discontinuity specifications that harness variation in

Medicaid eligibility from the Omnibus Budget Reconciliation Act of 1990 (OBRA 90). This

federal policy reduced the Medicaid eligibility threshold to 100% of the federal poverty level

for children who were born after September 30, 1983. Variation from OBRA 90 is arguably

exogenous as it is unlikely that parents manipulated birth timing in 1983 in anticipation

of federal legislation passed in 1990. The OBRA 90 expansion differentially affected our

sample of children born from 1981 to 1984. As expected, we see a jump in average simulated

Medicaid eligibility and Medicaid eligibility by month of birth at the vertical line between

September and October 1983, as displayed in the first rows of Figures OA.35 and OA.36.

Figures OA.37–OA.42 in Online Appendix 21.1 present similar plots for each of our six

main outcomes. Because we measure most of our outcomes with respect to the tax year,

we see strong seasonal patterns by month of birth, especially in total taxes, presented in

Figure OA.42. This seasonality visually obscures a potential jump at the discontinuity that

would be captured in our main specification, which flexibly adjusts for seasonality using

birth month fixed effects. Mortality is our only main outcome that does not exhibit strong

seasonality, likely because we observe it continuously throughout the year using SSA death

records. However, as shown in the first row of Figure OA.39, we still cannot visually detect

a mortality change at the discontinuity absent any seasonal adjustment.

To address seasonality, we compute the mean outcome for each birth month of 1981,

and we subtract it from the mean outcome for the same birth month in later years.22 This

seasonal adjustment makes jumps around the discontinuity more visible, especially for total

taxes, as shown in the second row of Figure OA.42. However, we still see strong patterns by

calendar year of birth that are difficult to address in our regression discontinuity specification

because there are only three months after the discontinuity within the 1983 calendar year.

In our main specification, we do not need to estimate a trend across birth months, so we

simply incorporate year fixed effects.

To estimate the effect of OBRA 90 on a seasonally-adjusted cumulative outcome Yi, in

our regression discontinuity specification, we fit linear functions on both sides of September

30, 1983:

Yi = α01{ri ≥ 0}+ α1ri + α2ri1{ri ≥ 0}+ α3 + ηi, (OA.1)

22Our approach to seasonal adjustment differs from the approach used by Wherry et al. (2015) andWherry and Meyer (2016), who adjust their data using birth month fixed effects estimated before and afterthe discontinuity. In our sample, birth months are not balanced on either side of the discontinuity; the datacontain 33 cohorts before September 30, 1983 and only 15 afterward. Therefore, birth month fixed effectsestimated on the entire sample could capture some of the effect of OBRA 90.

84

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where we normalize the running variable ri, which represents birth month cohort, to be zero

in October 1983. Cohorts with ri ≥ 0 are treated by OBRA 90. We exclude birth month

cohorts from 1981, which we use for seasonal adjustment, and we include birth month cohorts

from January 1982 – December 1984, such that ri ∈ [−21, 14]. Since we address seasonality

outside of the specification, we present bootstrapped standard errors using 200 replications.

The first stage results in the first two columns of Table OA.46 show that OBRA 90 generated

around 0.60 to 0.70 years of eligibility across both sexes and across actual and simulated

Medicaid eligibility, although we obtain precise estimates for simulated eligibility only.

Table OA.46 also presents regression discontinuity coefficients for our six main outcomes.

The jumps at the discontinuity are imprecise across all outcomes, but they are broadly

consistent with the signs and magnitudes of our main estimates (which need not be the

case because both sets of estimates rely on different variation). At the discontinuity, we

see a jump of $135 in cumulative total taxes by age 28 in the full sample, implying that an

additional year of simulated eligibility increases taxes by $198 (=135/0.682), which is broadly

consistent with our main estimate of $471. For mortality by age 28, an additional year of

simulated eligibility from OBRA 90 decreases the rate by 0.025% (=-0.017/0.682), which is

consistent with our main estimate of 0.033%. Similarly, the results for college enrollment are

positive but smaller in magnitude, and the results for wage income are positive and larger in

magnitude than our main estimates. We find a negligible effect on EITC. Finally, departing

from our main estimate, we find suggestive evidence of a positive effect of OBRA 90 on

fertility.

85

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21.1 Regression Discontinuity Figures

Figure OA.35: Simulated Years Eligible for Medicaid, Age 0–18

23

45

6S

im. Y

ears

Elig

ible

, Age

0-1

8

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

23

45

6

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

23

45

6

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

0.5

11.

52

2.5

3S

im. Y

ears

Elig

ible

, Age

0-1

8

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

0.5

11.

52

2.5

3

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

0.5

11.

52

2.5

3

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for childrenborn after September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in thefigure. The first row graphs simulated eligibility for each birth month cohort from January 1981 – December 1984, withoutadjustments for seasonal variation. To adjust for seasonal variation, the second row subtracts from each birth month cohortthe mean simulated eligibility for the respective birth month in 1981.

86

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Figure OA.36: Years Eligible for Medicaid, Age 0–18

23

45

6Y

ears

Elig

ible

, Age

0-1

8

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

23

45

6

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

23

45

6

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

0.5

11.

52

2.5

Yea

rs E

ligib

le, A

ge 0

-18

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

0.5

11.

52

2.5

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

0.5

11.

52

2.5

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.The first row graphs eligibility for each birth month cohort from January 1981 – December 1984, without adjustments forseasonal variation. To adjust for seasonal variation, the second row subtracts from each birth month cohort the mean eligibilityfor the respective birth month in 1981.

87

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Figure OA.37: Cumulative College Enrollment (%) by Age 28

6070

8090

100

Cum

. Col

lege

Enr

ollm

ent (

%)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

6070

8090

100

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

6070

8090

100

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

-20

24

68

Cum

. Col

lege

Enr

ollm

ent (

%)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

-20

24

68

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

-20

24

68

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.Cumulative college enrollment indicates ever having enrolled in college by age 28, starting at age 19 and observed throughForm 1098-T filed by educational institutions. The first row graphs mean college enrollment for each birth month cohort fromJanuary 1981 – December 1984, without adjustments for seasonal variation. To adjust for seasonal variation, the second rowsubtracts from each birth month cohort the mean outcome for the respective birth month in 1981.

88

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Figure OA.38: Cumulative Fertility (%) by Age 28

2535

4555

6575

Cum

. Fer

tility

(%

)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

2535

4555

6575

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

2535

4555

6575

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

-15

-10

-50

510

Cum

. Fer

tility

(%

)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

-15

-10

-50

510

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

-15

-10

-50

510

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.Cumulative fertility indicates if a dependent child is ever born by age 28, starting at age 19. If an individual ever claims adependent child on a Form 1040, SSA records yield age at birth. The first row graphs mean fertility for each birth month cohortfrom January 1981 – December 1984, without adjustments for seasonal variation. To adjust for seasonal variation, the secondrow subtracts from each birth month cohort the mean outcome for the respective birth month in 1981.

89

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Figure OA.39: Cumulative Mortality (%) by Age 28

0.2

5.5

.75

11.

251.

5C

um. M

orta

lity

(%)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

0.2

5.5

.75

11.

251.

5

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

0.2

5.5

.75

11.

251.

5

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

-.3

-.2

-.1

0.1

.2C

um. M

orta

lity

(%)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

-.3

-.2

-.1

0.1

.2

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

-.3

-.2

-.1

0.1

.2

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.Cumulative mortality indicates mortality by age 28, starting at age 19 and measured using SSA death records. The first rowgraphs mean mortality for each birth month cohort from January 1981 – December 1984, without adjustments for seasonalvariation. To adjust for seasonal variation, the second row subtracts from each birth month cohort the mean outcome for therespective birth month in 1981.

90

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Figure OA.40: Cumulative Wage Income ($000) by Age 28

100

120

140

160

180

200

Cum

. Wag

e In

com

e ($

000)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

100

120

140

160

180

200

Ja

n-81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

100

120

140

160

180

200

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

05

1015

20C

um. W

age

Inco

me

($00

0)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

05

1015

20

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

05

1015

20

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.Cumulative wage income indicates wage income earned by age 28, starting at age 19 and adjusted to 2011 dollars. We obtainwage income from Form W-2, and we censor wage income earned at $10 million. The first row graphs wage income for eachbirth month cohort from January 1981 – December 1984, without adjustments for seasonal variation. To adjust for seasonalvariation, the second row subtracts from each birth month cohort the mean outcome for the respective birth month in 1981.

91

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Figure OA.41: Cumulative EITC ($000) by Age 28

01

23

45

Cum

. EIT

C (

$000

)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

01

23

45

Ja

n-81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

01

23

45

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

0.1

5.3

.45

.6.7

5C

um. E

ITC

($0

00)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

0.1

5.3

.45

.6.7

5

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

0.1

5.3

.45

.6.7

5

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.Obtained from Form 1040, cumulative EITC indicates EITC earned by age 28, starting at age 19, adjusted to 2011 dollars.The first row graphs EITC for each birth month cohort from January 1981 – December 1984, without adjustments for seasonalvariation. To adjust for seasonal variation, the second row subtracts from each birth month cohort the mean outcome for therespective birth month in 1981.

92

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Figure OA.42: Cumulative Total Taxes ($000) by Age 28

05

1015

2025

30C

um. T

otal

Tax

es (

$000

)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Female

05

1015

2025

30

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

Male

05

1015

2025

30

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

AllRaw Data

-1-.

50

.51

Cum

. Tot

al T

axes

($0

00)

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

-1-.

50

.51

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Birth Month Cohort

-1-.

50

.51

Jan-

81

Jan-

82

Jan-

83

Sep-8

3

Jan-

84

Dec-8

4

Detrended using 1981

Note. OBRA 90 reduced the eligibility threshold for Medicaid eligibility to 100% of the federal poverty level for children bornafter September 30, 1983. Cohorts that experienced this increase in eligibility are to the right of the vertical line in the figure.Cumulative total taxes indicate taxe s paid by age 28, starting at age 19, adjusted to 2011 dollars and defined as householdfederal tax payments plus individual payroll tax payments less EITC. The first row graphs total taxes for each birth monthcohort from January 1981 – December 1984, without adjustments for seasonal variation. To adjust for seasonal variation, thesecond row subtracts from each birth month cohort the mean outcome for the respective birth month in 1981.

93

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21.2

Regre

ssion

Disco

ntin

uity

Table

Table OA.46: Regression Discontinuity Results for Cumulative Outcomes by Age 28

(1) (2) (3) (4) (5) (6) (7) (8)

Simulated

Years Eligible,

Age 0-18

Years

Eligible,

Age 0-18

College

Enrollment

(%)

Fertility

(%)

Mortality

(%)

Wage

Income

($000)

EITC

($000)

Total

Taxes

($000)

Female

Treated by OBRA 90 0.684*** 0.586 0.255 0.246 0.002 0.806 0.030 0.108

(0.160) (0.546) (1.124) (1.468) (0.018) (2.656) (0.257) (1.007)

Birth Month Cohort 0.041*** 0.028 0.137*** -0.136** -0.000 0.289*** 0.011 -0.009

(0.008) (0.025) (0.054) (0.068) (0.001) (0.127) (0.012) (0.048)

Treated by OBRA 90 * Birth Month Cohort -0.007 0.002 -0.019 -0.307** -0.001 -0.065 -0.006 0.001

(0.016) (0.049) (0.087) (0.112) (0.002) (0.197) (0.021) (0.076)

Constant 1.305*** 0.947** 3.024*** -3.470*** -0.013 8.814*** 0.423*** -0.177

(0.116) (0.357) (0.811) (0.992) (0.013) (1.829) (0.180) (0.706)

Male

Treated by OBRA 90 0.681*** 0.607 0.276 0.102 -0.033 1.636 0.013 0.175

(0.156) (0.498) (1.338) (0.956) (0.036) (2.263) (0.115) (0.668)

Birth Month Cohort 0.041*** 0.029 0.145** -0.139*** 0.002 0.377*** 0.007 0.003

(0.009) (0.026) (0.072) (0.051) (0.002) (0.115) (0.006) (0.035)

Treated by OBRA 90 * Birth Month Cohort -0.007 -0.001 -0.019 -0.259*** -0.006** -0.121 -0.004 -0.001

(0.015) (0.052) (0.115) (0.083) (0.003) (0.193) (0.010) (0.058)

Constant 1.307*** 0.934** 3.418*** -3.720*** 0.010 10.334*** 0.235** 0.293

(0.114) (0.359) (1.010) (0.713) (0.025) (1.599) (0.084) (0.492)

All

Treated by OBRA 90 0.682*** 0.597* 0.281 0.193 -0.017 1.196 0.024 0.135

(0.118) (0.365) (1.020) (1.022) (0.038) (1.935) (0.158) (0.609)

Birth Month Cohort 0.041*** 0.029 0.140*** -0.139** 0.001 0.336*** 0.008 -0.002

(0.006) (0.019) (0.049) (0.053) (0.002) (0.105) (0.008) (0.032)

Treated by OBRA 90 * Birth Month Cohort -0.007 0.000 -0.019 -0.282*** -0.003 -0.095 -0.005 -0.001

(0.011) (0.034) (0.086) (0.084) (0.003) (0.166) (0.014) (0.052)

Constant 1.306*** 0.940*** 3.211*** -3.616*** -0.000 9.621*** 0.324*** 0.069

(0.085) (0.258) (0.747) (0.691) (0.026) (1.346) (0.110) (0.433)

Note. *** p < 0.01, ** p < 0.05, * p < 0.10. Standard errors were bootstrapped with 200 repetitions. Coefficients are obtained from a regression of the cumulativeoutcome by age 28 on an indicator for treatment by OBRA 90, birth month cohort centered around the OBRA 90 cutoff, and the interaction between the two. To adjustfor seasonal variation, we subtract from each birth month cohort the mean outcome for the respective birth month in 1981. Cumulative college enrollment indicates everhaving enrolled in college by age 28, starting at age 19 and observed through Form 1098-T filed by educational institutions. Cumulative fertility indicates if a dependentchild is ever born by age 28, starting at age 19. If an individual ever claims a dependent child on a Form 1040, SSA records yield age at birth. Cumulative mortalityindicates mortality by age 28, starting at age 19 and measured using SSA death records. Cumulative wage income indicates wage income earned by age 28, starting at age19 and adjusted to 2011 dollars. We obtain wage income from Form W-2, and we censor wage income earned at $10 million. Cumulative EITC indicates EITC earned byage 28, starting at age 19, adjusted to 2011 dollars. We observe EITC using Form 1040. Cumulative total taxes indicate taxes paid by age 28, starting at age 19, adjustedto 2011 dollars and defined as household federal tax payments plus individual payroll tax payments less EITC.

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References for the Online Appendix

Card, D. and L. D. Shore-Sheppard (2004). Using discontinuous eligibility rules to identify

the effects of the federal medicaid expansions on low-income children. The Review of

Economics and Statistics 86 (3), 752–766.

Wherry, L. R. and B. D. Meyer (2016). Saving teens: Using a policy discontinuity to estimate

the effects of medicaid eligibility. Journal of Human Resources 51 (3), 556 – 588.

Wherry, L. R., S. Miller, R. Kaestner, and B. D. Meyer (2015). Childhood medicaid coverage

and later life health care utilization. Review of Economics and Statistics (0).

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