The Affordable Care Act

ACA provisions to help promote entreprenuerialism and self-employment

Traditionally, individuals considering leaving their job to strike out on their own have worried that they may be denied health insurance coverage because they have preexisting conditions, fear losing access to a trusted physician, or are unable to afford the premiums without an employer sharing the costs. This brief examines how provisions in the ACA will impact entrepreneurialism.

Key Findings

  • The number of self-employed Americans will be 1.5 million higher in 2014 because of the Affordable Care Act.

  • Access to high-quality, subsidized health insurance coverage will no longer be exclusively tied to employment, which could lead people to pursue their own businesses as self-employed entrepreneurs.

  • Evidence strongly suggests that the number of self-employed individuals in the United States will increase with full-implementation of the ACA.

This brief is a part of the Quick Strike Series, co-published online in May 2013 by the Urban Institute and Georgetown University's Center on Health Insurance Reforms.