Ever since the Supreme Court effectively ruled in June 2012 that states could choose whether or not to expand Medicaid to nonelderly adults under the Affordable Care, that choice has been one of the most prominent and often one of the most contentious issues for states. In this report, we describe the six states (Arkansas, New Hampshire, Indiana, Iowa, Michigan and Pennsylvania) that requested and received approval from the
The May 2015 edition of At A Glance, the Housing Finance Policy Center's reference guide for mortgage and housing market data, includes the details of the latest Freddie Mac risk-sharing deal, updated indicators of credit availability, and a special quarterly feature on GSE loan composition, repurchase rates, defaults, and loss severity.
The debate over whether to recapitalize and release the GSEs into the private market is often framed as a choice of whether or not to return to a prior period in lending. For all its shortcomings, the argument goes, at least we know what to expect in the cost and availability of mortgage credit. The authors explain why this is a misconception. In releasing the GSEs into the private market again, we would release them into a very
New data from the December 2014 Health Reform Monitoring Survey show that the share of Americans ages 50 to 64 without health insurance fell by nearly a third, from 11.6 percent to 8.0 percent, between December 2013 and December 2014. States that chose to expand eligibility for their Medicaid programs saw a larger drop in uninsured rates among 50- to 64-year-olds than states that did not. Overall, the number of 50- to 64-year
How do the characteristics of your county of residence influence your family’s wealth accumulation over the next ten years? This study examines pre-retirement wealth accumulation during 1989-1999 for families headed by 25 to 54 year olds in 1989. Controlling for individual and family characteristics in 1989, we find that a 1 percentage point increase in the share of county residents with at least a bachelor’s degree is
In this testimony before the U.S. House of Representatives Committee on Oversight and Government Reform on the D.C. Opportunity Scholarship Program (OSP), Megan Gallagher states that evidence is limited on the benefits of OSP on student achievement and that while the D.C. school system continues to improve and offer expanded school choices, it isn’t clear that OSP has benefitted the D.C. school system.
New economic realities have focused attention on how to best design workforce development strategies to help low-wage and low-skill workers succeed. Lack of child care is one important barrier that can make it difficult for low-income parents to successfully participate in education and training programs. This report provides an overview of the child care and workforce development systems, and discusses the issues that lie at
New economic realities have focused attention on how to best design workforce development strategies to help low-wage and low-skill workers succeed. Lack of child care is one important barrier that can make it difficult for low-income parents to successfully participate in education and training programs. This brief provides an overview of the child care and workforce development systems, and discusses the issues that lie at the
As of April 2015, 21 states have chosen not to expand Medicaid eligibility under the Affordable Care Act. All but one of those states have also chosen to rely on federally facilitated marketplaces. If the Supreme Court finds for the plaintiff in King v. Burwell, the combined effect of not expanding Medicaid and losing federal support for marketplace coverage for the low-income population would be dramatic for the 20 states
In this testimony before the U.S. House of Representatives Committee on Financial Services Subcommittee on Housing and Insurance on TILA-RESPA integrated disclosure, Laurie Goodman explained that lenders need a hold-harmless period when TRID goes into effect and that Congress still has to take action for real GSE reform to happen, despite significant administrative progress made by the FHFA.
Growth in the federal prison population has outpaced prison capacity and resulted in a continuing need for additional resources. Though recent population declines have reduced overcrowding in lower security facilities, overcrowding at the end of FY 2014 remained at 39 percent in medium and 52 percent in high security facilities, where inmates have the greatest need for intensive programming and present the largest security
One of the Affordable Care Act’s early market reforms, starting in 2011, required health insurers to spend 80 percent or more of premiums on medical claims or quality improvement in aggregate. Using data submitted by insurers from 2010 to 2012, we found that the new regulations on medical loss ratios (MLRs) led to substantially higher MLRs in the individual market overall, driven by increases among insurers who started with MLRs
In this statement before the Council of the District of Columbia Committee on the Judiciary, Daniel Lawrence discussed body-worn camera programs in police departments and stated that the Metropolitan Police Department is on track for enjoying increased police transparency and enhanced police-community relations as a result of its body-worn camera program.
This brief examines the impact of uncertain litigation risk as a factor contributing to lenders’ current reluctance to originate Federal Housing Administration loans. The author concludes that the significant, easily triggered liability of both the False Claims Act and the Financial Institutions Reform, Recovery, and Enforcement Act have had a chilling effect, causing some lenders to do less origination to reduce their
The transitions of American youth from school to career have proved problematic for decades, especially for young men of color. Baltimore’s youth have experienced chronic problems in graduating from high school and finding employment. One in four students fails to graduate high school within five years. This report argues that youth apprenticeship offers a sound strategy for improving school and career outcomes for Baltimore’s
This brief summarizes common themes across two studies of local Head Start programs and a multidisciplinary literature review. The brief provides preliminary evidence that Head Start programs experience similar challenges and facilitators to data use for continuous quality improvement as those experienced in other fields including leadership, analytic capacity, commitment of resources, professional development, a culture of
This report is the second part of a housing study being completed by the Urban Institute for the Washington, DC, Office of the Deputy Mayor for Planning and Economic Development (DMPED). DMPED requested an affordable housing needs assessment to measure, quantify, and qualify the need for affordable housing within each ward and neighborhood cluster; to quantify the need to preserve and construct housing units appropriate to meet
The Massachusetts Health Insurance Survey (MHIS), conducted by the Center for Health Information and Analysis (CHIA), provides information on health insurance coverage, health care access and use and perceived health care affordability for Massachusetts residents. In 2014, health insurance coverage remained strong in Massachusetts, and most Massachusetts respondents reported having a usual source of care and a visit to a general
This brief uses newly public data to calculate the share of first-time homebuyers in the mortgage market in 2013 and 2014. Our calculations are based on the complete loan-level single-family purchase-money mortgage information released by the GSEs and Ginnie Mae. We also combine our estimates with those reported by FHFA and the FHA to review the trend in first-time homebuyer shares over the past 14 years. Our analysis reveals
Using the 2008 and 2012 American Community Survey and 2011–2012 National Survey of Children’s Health, the authors assessed eligibility for Medicaid/CHIP among uninsured children and the reasons some children are unenrolled. Despite increases in the number eligible for Medicaid/CHIP between 2008 and 2012, participation rose by 6 percentage points nationally. The number of eligible but uninsured declined from 4.9 to 3.7 million,
This study analyzes local health finances in Tanzania by considering the extent to which public health resources in Tanzania flow from the district government level to primary health facilities, or whether these resources get stuck at the district level. Our analysis of health expenditures in six rural Local Government Authorities suggests that less than half of local health funding reaches the front-line dispensaries that
With the implementation of the Affordable Care Act (ACA), the U.S. health care system is rapidly changing, and safety-net hospitals need to make major adjustments to survive in the post-reform environment. This brief draws on interviews with executives at nine safety-net hospital systems and examines how their hospitals have fared since major coverage provisions of the ACA came into effect in January 2014. The brief also
Ever since the Supreme Court ruled in June 2012 that states could effectively choose whether or not to accept the Affordable Care Act’s expansion of Medicaid eligibility, that choice has been one of the most prominent and often one of the most contentious issues for states. In this report, we provide new projections of the impact of Medicaid expansion on health coverage, Medicaid enrollment, and costs in the 21 states that have
Robert A Berenson, MD, Institute Fellow, led and co-chaired, along with G. William Hoagland, a panel of national experts—including hospital leaders, insurance and antitrust experts, economists and others—who developed an agreed-upon set of principles to address the negative impact of increased market power in local health care markets, as well as a continuum of policies that government could take to remedy the issue of limited
In this testimony before the U.S. Senate Small Business Committee, Linda Blumberg discussed the implications of a finding for the plaintiffs in King v. Burwell for small employers, their workers and the self-employed. Blumberg finds that because they disproportionately benefit from the changes brought to the nongroup insurance markets under the ACA, they would also be disproportionately harmed by the destabilization of these
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