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Affordable Care Act: Studying its Local Impact at Thresholds of Benefit Qualifications Yuwei Chen University of California, Davis March 17, 2017 2 Abstract The Affordable Care Act (ACA) is a national health care reform passed by Congress in 2010 and implemented in 2014. Several policies, including the individual health care mandate, subsidies on privately-purchased health care, Medicaid expansion, and the employee’s dependent’s coverage mandate, has profoundly impact people’s choices and financial status. In this paper, regression discontinuity design (RDD) is used to identify any impact occurring locally around the pre-determined benefit threshold. The analysis shows that mandates that impose fine if violated lead to an increase in healthcare coverage rate. Programs that offer a financial incentive are not as effective in encouraging individuals to obtain health care. General costs of out-of-pocket costs rise after the ACA, which contradicts its goal. The results give an insight into ...