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Infertility treatments, insurance ma...

Ruiz Nunez, Fernanda.

Infertility treatments, insurance mandates and birth rates in the United States.

Record Type:	Electronic resources : Monograph/item
Title/Author:	Infertility treatments, insurance mandates and birth rates in the United States.
Author:	Ruiz Nunez, Fernanda.
Description:	73 p.
Notes:	Adviser: Steven Levitt.
Notes:	Source: Dissertation Abstracts International, Volume: 67-05, Section: A, page: 1840.
Contained By:	Dissertation Abstracts International67-05A.
Subject:	Economics, General.
Online resource:	http://pqdd.sinica.edu.tw/twdaoapp/servlet/advanced?query=3219580
ISBN:	9780542711558

Infertility treatments, insurance mandates and birth rates in the United States.
Ruiz Nunez, Fernanda.

Infertility treatments, insurance mandates and birth rates in the United States. - 73 p.

Adviser: Steven Levitt.

Thesis (Ph.D.)--The University of Chicago, 2006.

Over the past decade, there has been an extraordinary expansion in fertility treatment choices available to infertile couples, and the question of whether it should be mandatory for health insurance to provide for fertility treatments is at the center of many debates. In this paper, I explore the impact of mandatory health insurance coverage for fertility services on aggregate birth rates and on the demand for fertility and adoption services in the United States. First, using Vital Statistics Detail Natality and CPS data, I exploit time and state variation in the legislation. I find that mandatory insurance coverage has a positive and significant effect on first birth rate and that the impact is larger for older women. I also find an important decline in higher order multiple birth rates, which is consistent with couples switching to safer technologies. Next, I use state variation in National Survey of Family Growth (NSFG) data to show that infertile women living in states that have introduced mandated insurance coverage legislation have a 12 percent higher probability of using high technology fertility treatments (AI-IVF). They are 44 percent more likely to have a baby and wait approximately 15 months less for the baby to be born. I also explore the effects on the child adoption market and find that reduction in fertility services costs significantly decreased the probability of adopting a non-related child.

ISBN: 9780542711558Subjects--Topical Terms:

212429
Economics, General.

Infertility treatments, insurance mandates and birth rates in the United States.
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520 # $a Over the past decade, there has been an extraordinary expansion in fertility treatment choices available to infertile couples, and the question of whether it should be mandatory for health insurance to provide for fertility treatments is at the center of many debates. In this paper, I explore the impact of mandatory health insurance coverage for fertility services on aggregate birth rates and on the demand for fertility and adoption services in the United States. First, using Vital Statistics Detail Natality and CPS data, I exploit time and state variation in the legislation. I find that mandatory insurance coverage has a positive and significant effect on first birth rate and that the impact is larger for older women. I also find an important decline in higher order multiple birth rates, which is consistent with couples switching to safer technologies. Next, I use state variation in National Survey of Family Growth (NSFG) data to show that infertile women living in states that have introduced mandated insurance coverage legislation have a 12 percent higher probability of using high technology fertility treatments (AI-IVF). They are 44 percent more likely to have a baby and wait approximately 15 months less for the baby to be born. I also explore the effects on the child adoption market and find that reduction in fertility services costs significantly decreased the probability of adopting a non-related child.
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