The Affordable Care Act and Adolescents. Endnotes


1 American Community Survey 2011. Accessed June 2013 at:

2 Summary Health Statistics for U.S. Children: National Health Interview Survey, 2011. Virtual and Health Statistics. 10(254), December 2012.

3 National Conference of State Legislatures. The Affordable Care Act: Implications for Adolescents and Young Adults. October 2011. Accessed August 2013 at:

4Adolescent Health. U.S. Department of Health and Human Services, 2013. Accessed at:

5 Lindsey Jeanne Leininger and Marguerite E. Burns, “Why are Low-Income Teens More Likely to Lack Health Insurance Than Their Younger Peers?,” Inquiry 48 (2011): 123-137; Marguerite E. Burns and Lindsey Jeanne Leininger, “Understanding the Gap in Primary Care Access and Use Between Teens and Younger Children,” Medical Care Research Review 69 (2012): 581-601.

6 ASPE tabulations from the CY 2011 ACS Public Use Microdata Sample were adjusted to exclude estimated undocumented persons based on imputations of immigrant legal status in ASPE's TRIM3 microsimulation model. Includes currently eligible but not enrolled and those newly eligible in 2014.

7 Section 2002 provides for an income disregard of 5 percent of Federal Poverty Guidelines, raising the effective income limit to 138 percent.

8 National Survey on Drug Use, 2010-2011. Accessed August 2013 at:

9 Based on parental reporting. National Survey of Children’s Health, 2011-2012. Accessed August 2013 at:

10 Centers for Disease Control and Prevention. Unintended Pregnancy Prevention. Accessed August 2013 at:

11 ASPE Issue Brief. Number of Young Adults Gaining Insurance Due to the Affordable Care Act Now Tops 3 Million

 June 19, 2012. Accessed August 2013 at:

12 SAMHSA, Center for Behavioral Health Statistics and Quality, National Survey on Drug Use and Health, 2010 and 2011. Accessed August 2013 at:

13 HRSA, School-Based Health Centers. Accessed August 2013 at:

14 Hamilton BE, Mathews TJ, Ventura SJ. Declines in state teen birth rates by race and Latino origin. NCHS data brief, no 123. Hyattsville, MD: National Center for Health Statistics. 2013. Accessed August 2013 at:

15 Centers for Disease Control and Prevention, Data from 2007-2008 NHANES. Accessed August 2013 at:

16 Other than Grandfathered Plans.

17 Other than grandfathered individual market policies.

18 Other than for grandfathered plans, which may be subject to pre-ACA guaranteed issue requirements.

19 Non-grandfathered insurance plans in the individual and small group markets for plan or policy years beginning on or after January 1, 2014.

20 The complete prohibition on annual limits applies to all group health plans and insurance plans in the group health market for plan years beginning on or after January 1, 2014. Restrictions on annual limits on essential health benefits apply for group health plans and insurance plans in the group health market for plan years beginning on or after September 23, 2010.


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