Matt Hampton

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Doctor of Philosophy, University of Alabama, 2018

Discipline: Economics

Dissertation: Essays on Attention Deficit Hyperactivity Disorder

Bachelor of Science, Middle Tennessee State University, 2011

Major: Economics, Minor: Mathematics

Honors Thesis: Impacts of the Financial Crisis on Household Wealth

Research Interests

Health Economics, Labor Economics, Applied Microeconomics


"The Effect of the Affordable Care Act Preexisting Conditions Provision on Marriage"  (with Otto Lenhart ) 

Health Economics 2019 28(11), 1345-1355

This paper investigates the effect of the Affordable Care Act preexisting conditions provision on marriage. The policy was implemented to prevent insurers from denying insurance coverage to individuals with preexisting health conditions. We test whether the implementation of the provision led to decreases in marriage among affected adults. We add to earlier work on how marital behavior is influenced by spousal health insurance and examine for the presence of "marriage lock," a situation in which individuals remain married primarily for insurance. Using data from the Panel Study of Income Dynamics from 2009 to 2017 and estimating difference-in-differences models, we find that male household heads with preexisting conditions are 7.12 percentage points (8.9 percent) less likely to be married after the policy. Using information on insurance status prior to the policy change, we find significant reductions in marriage among individuals with preexisting conditions who were previously insured by spousal health insurance plans. The findings suggest that the inability to attain individual coverage and reliance on spousal insurance provided incentives to remain married before 2014.

"The Effect of the Affordable Care Act Medicaid Expansion on Marriage" (with Otto Lenhart )  

Economic Inquiry 2022 60(2), 568-591

This paper investigates the impact of the Affordable Care Act Medicaid expansions on marital behavior. We use data from the American Community Survey from 2008 to 2019 and estimate difference-in-differences models to test for effects on marriage and divorce outcomes. We find that expansions led to a 0.95 percent reduction in marriage stock and a 2.22 percent increase in the stock of divorced individuals, with effects being larger among those with low education. We believe that two factors play a role as underlying mechanisms: 1) reduced reliance on spousal health insurance coverage, and 2) deciding to forego marriage or get divorced to meet post-policy eligibility restrictions.

"Access to Health Care and Mental Health -- Evidence from the ACA Preexisting Conditions Provision" (with Otto Lenhart) Health Economics 2022 31(5), 760-783

This study evaluates the impact of the Affordable Care Act preexisting conditions provision on mental health. The 2014 policy ensured individuals with preexisting health conditions the right to obtain insurance coverage. Using longitudinal data from the Panel Study of Income Dynamics between 2009 and 2017 and estimating difference-in-differences models, our study provides evidence that the policy reduced severe mental distress by 1.38 percentage points among individuals with preexisting physical health conditions. Exploiting pre-ACA, state-level variation in policies providing insurance coverage options to people with preexisting conditions, we find that this improvement in mental well-being is highly associated with the presence of high-risk pools before 2014, which provided individuals with prior health conditions access to coverage. Specifically, we show that our main results are driven by individuals with preexisting health conditions living in the 16 states that did not have high-risk pools. Furthermore, gender-specific analysis shows that the reduction in mental distress is primarily observable among women. When examining a potential mechanism, our analysis provides evidence that reductions in financial strain related to health expenditures can explain the positive effects of the provisions on mental well-being.

Working Papers

"School Accountability and Hyperactivity" (with Susan E. Chen)

Revise and Resubmit

Attention Deficit Hyperactivity Disorder (ADHD) is the most commonly diagnosed mental health disorder among American children. In this paper, we examine whether continued school accountability policies in a post- No Child Left Behind period account for rises in ADHD prevalence. We estimate two-way fixed effects models that exploit variation across states and time in the introduction of school accountability laws to test for changes in mean ADHD diagnosis and prescription medication use. While we find no significant effects for consequential accountability laws, the results from our analysis suggest that the introduction of one specific policy instrument, state-level rewards given to high-performing schools, leads to a 1.9 percentage point increase in the probability of an ADHD diagnosis and a 1.0 percentage point increase in prescription medication use among children. We find that the effect is largest among children that are male, black, and covered by public insurance. Additionally, using a measure of state-level, per pupil spending on education, we find that the rewards policy is positive and significant for children in all quintiles of spending, except for those living in states among the bottom 20% of spenders. We believe that the rewards policy mechanism is a combination of both the presence of a financial incentive along with adequate resources devoted to schools by the state.

"The Impact of Educational Rewards on the Diagnosis of Autism Spectrum Disorder" (with Scott McNamara ) Revise and Resubmit

Autism spectrum disorder (ASD) is a complex neurodevelopmental disorder that affects social interactions and communication. ASD diagnostic prevalence has risen dramatically in recent years; however, the underlying factors leading to this rise are not clear. In this paper, we test whether changes in state-level educational policy that impacts school-level resources is associated with the rise in ASD. Early identification of ASD can improve an array of outcomes for children, and school systems play an important role with identification of the condition. It is plausible that children attending schools with better resources and support from state governments are more likely to receive ASD diagnosis and presumably appropriate services. We focus on one educational policy in particular, state-level rewards, which consist of a monetary transfer from state governments to school districts. Exploiting state-year variation in the policy, we find that children living in states implementing rewards policies between 2003 and 2011 are 8.9 percent more likely to receive an ASD diagnosis. In an analysis of policy heterogeneity, we find the children most impacted by the policy are those not in extreme poverty, with private insurance, and living in two-parent households. We estimate an additional model that allows the effect to vary across age and find that the policy has the largest impact among white children ages 6-17.

"Minimum Wages, Retirement Timing, and Labor Supply" (with Evan TottyRevise and Resubmit
Link to Census Bureau working paper
Media Coverage: Economic Policy Institute; Forbes; Market Watch

We find that minimum wage increases lead to increased employment, delayed permanent labor force exit, and delayed retirement benefit claiming for low-wage, retirement-age individuals. Own-wage elasticity estimates of the employment effect are larger than normal for the minimum wage literature but are consistent with recent evidence on labor supply effects of minimum wages and life-cycle models of labor supply. The delay in benefit claiming appears to be driven by an interaction between minimum wages and the Social Security earnings test. These results suggest that retirement-age individuals are very responsive to changes in labor market opportunities and that minimum wages may compliment Social Security incentives that encourage more work and delayed benefit claiming.

"Labor Mobility and the Affordable Care Act: Heterogeneous Impacts of the Preexisting Conditions Provision" (with Laura Connolly and Otto Lenhart) Revise and Resubmit

The Patient Protection and Affordable Care Act (ACA) preexisting conditions provision ensures that insurance companies can no longer deny coverage or charge higher premiums to individuals due to a preexisting health condition. In this paper, we evaluate the impact of the ACA provision on labor mobility in the United States. We use data from the Panel Study of Income Dynamics for years 2009 through 2019 and estimate difference-in-differences models to determine whether the provision reduced job lock for individuals with chronic conditions. We find that the ACA provision significantly improved labor mobility among male household heads. Male household heads are 25 percent more likely to start a new job or become employed in a different industry in the post-policy period. In contrast, we do not observe significant changes in labor mobility among females. Labor mobility improvements are largest among families with children and those with a relatively low level of education. The results are consistent with the policy change improving access to healthcare, and both mental and physical wellbeing, which ultimately increased labor market flexibility among men with prior health conditions. Our results highlight the heterogeneous impacts of the ACA's preexisting conditions provision on different subgroups of the population.

"Trends in Adolescent Suicide Behaviors in the State of Iowa" (with Lisa Hooper, Wei Schneider, and Sara Tomek) Under Review

Recent research has found that suicidality is increasing among Black American youths. In this paper, we test whether the reported increase in suicidality is evident in a sample of children living in the state of Iowa. Using data from the Youth Risk Behavior Surveillance System (YRBSS) over the period 1997-2019, we examine the trends in four measures of suicidal behavior among Iowa youth among sex and racial subsamples. We find that in general, suicidality among Iowa youth has been on the decline, except for one racial subcategory: Multiracial male adolescents. We find a concerning significant increase in suicidal ideation among this group, which suggests a new group of vulnerable youths. We conclude that some youth who identify as Multiracial males might suffer from feeling isolated due to sparse population and confusion in self-identification as adopting the dominant culture within society. Policymakers should take into consideration this particular subgroup within the state of Iowa when formulating strategies to combat mental illness and youth suicidality.

Work in Progress

"Understanding the Recent Rise in Autism Spectrum Disorder" (with Scott McNamara)

"Childhood Disability and Parental Labor Outcomes" (with Susan E. Chen)

"Understanding Trends in ADHD Prevalence: A Stochastic Dominance Approach" (with Susan E. Chen)

"Impacts of the Earned Income Tax Credit on Fertility" (with Otto Lenhart)

Teaching Experience

Assistant ProfessorAustin Peay State University, 2021-present

ECON 2100 Principles of Macroeconomics (both in person and online)

ECON 2200 Principles of Microeconomics

Assistant ProfessorUniversity of Northern Iowa, 2018-2021

ECON1031 Introduction to Economics (both Honors and Hybrid Format)

ECON 1021 Decision Analytics

ECON 2140 Health Economics

Instructor, University of Alabama, 2016-2018

EC 483/597 Health Care Economics

-Evaluations: 4.81/5 , 4.73/5

EC 308 Intermediate Microeconomics

-Evaluations: 4.67/5, 4.61/5

Instructor, Johns Hopkins Center for Talented Youth, Summer 2017

The Mathematics of Money

-Evaluations: 4.53/5 

Teaching Assistant, University of Alabama, 2013-2018

EC 308 Intermediate Microeconomics

LGS 200 Legal Environment of Business

EC 110 Principles of Microeconomics

Honors and Awards

CORE-Teagle Fellow, The CORE-Project,

Fall 2017

Economics, Finance, and Legal Studies Summer Research Grant, University of Alabama

Summer 2017

Nominated for Student Employee of the Year, University of Alabama

Spring 2017

Dean Recognition for Teaching Excellence, University of Alabama

Spring 2017

Summer Excellence in Research (SEiR) Grant, University of Alabama 

Summer 2016

Team Leader,  Peer-Led Team Learning


McNair Scholar, Ronald E. McNair Postbaccalaureate Achievement Program


Research Presentations

Middle Tennessee State University, Department of Economics and Finance Research Seminar, Expected Spring 2022

Public Choice Society 2022 Meeting, Nashville, TN, Expected Spring 2022

American Economic Association, ASSA 2022 Virtual Annual  Meeting, National Economic Association session, Winter 2022

Southern Economic Association Annual Meetings, Houston, TX, Fall 2021

Association For Public Policy Analysis & Management Virtual Conference, Fall 2020

Western Economic Association Virtual 95th Annual Conference, Summer 2020

Southern Economic Association Annual Meetings, Fort Lauderdale, FL, Fall 2019

American Society of Health Economists, Washington DC, Summer 2019

Southern Economic Association Annual Meetings, Tampa, FL, Fall 2017

University of Alabama Brown Bag Seminar Series, Tuscaloosa, AL , Fall 2017

American Economic Association Annual Meetings, Chicago, IL, Winter 2017

Southern Economic Association Annual Meetings, Washington DC, Fall 2016

Center for the Prevention of Youth Behavior ProblemsTuscaloosa, AL, Fall 2016

American Society of Health Economists Biannual Meetings, Philadelphia, PA, Summer 2016

Southern Economic Association Annual Meetings, New Orleans, LA, Fall 2015

Professional Memberships