This brief focuses on the health insurance coverage experiences under the Affordable Care Act (ACA) of fathers living with dependent children. Using 1997-2014 data from the National Health Interview Survey, we examine trends in uninsurance among custodial fathers nationally and in states that did and did not expand Medicaid under the ACA by May 2014. We also assess changes between 2013 and 2014 in the characteristics of

June 27, 2016
Brief
 

The prevalence of substance use disorders has increased dramatically in recent years, with deaths caused by opioid misuse quadrupling over the past two decades. The Affordable Care Act includes substance use disorder services as an essential health benefit, and there is evidence that Medication-Assisted Treatment (MAT) can be effective in treating these disorders. We have examined all silver marketplace plans in six cities

June 27, 2016
Research Report
 

Work Support Strategies was a multiyear, foundation-funded initiative to help eligible low-income families get and keep the full package of work supports, particularly the Supplemental Nutrition Assistance Program, Medicaid/Children's Health Insurance Program, and child care assistance. Through grants, expert technical assistance, and peer learning, the initiative helped Colorado, Idaho, Illinois, North Carolina, Rhode Island,

June 27, 2016
Research Report
 

Using credit bureau records on seven million people in the United States, we demonstrate that debt in collections varies significantly across the country, with the South and West regions showing the highest share of people with debt in collections. Additionally, we identify local factors that are associated with debt in collections: (1) lower health insurance coverage, (2) lower home values, (3) a higher share of African

June 27, 2016
Working Paper
 

This brief uses data from the National Health Interview Survey to explore trends in health insurance coverage for parents living with dependent children between 1997 and 2014. We provide estimates of uninsurance among custodial parents overall and by income. We also explore differences in health care access, service use, and health care affordability between insured parents and the remaining uninsured as of 2014, changes in the

June 27, 2016
Brief
 

Using data from the National Health Interview Survey, this brief examines changes in health insurance coverage for parents living with a child age 5 or under. Previous studies indicate that young children are more likely to have coverage and receive well-child visits when their parents have insurance and are more likely to get needed health care when their parents are connected to the health care system. In this brief, we find

June 27, 2016
Brief
 

As part of the Work Support Strategies initiative, states took steps to improve access to multiple public benefits. This brief examines one measure of these efforts, changes over time in the joint participation rate—the extent to which individuals who are eligible for the Supplemental Nutrition Assistance Program (SNAP) and public health insurance coverage (Medicaid or the Children's Health Insurance Program) receive both. We

June 27, 2016
Research Report
 

The Temporary Assistance for Needy Families (TANF) program offers cash assistance to single- and two-parent families, but eligible two-parent families participate at lower rates. Drawing on statistical analyses and interviews with program staff and participants, this study examines the characteristics of two-parent TANF families, state policy choices and service delivery, and families’ experiences with TANF. Two-parent families

June 24, 2016
Research Report
 

In December of 2014, the District of Columbia (DC) Department of Securities and Banking determined that the cash reserves held by CareFirst BlueCross BlueShield were "excessive" and ordered the company to spend $56 million on community health needs. This report draws on existing community health needs assessments and other public data to identify the needs in the area served by CareFirst and to provide examples of the types of

June 23, 2016
Research Report
 

On June 17, 2016, the Centers for Medicare and Medicaid Services began requiring consumers to document eligibility for special enrollment periods (SEPs). Some evidence suggests the need for verification, but requesting documentation is likely to reduce enrollment by eligible people, given past experience with similar policies. It may be more effective to seek consumer documentation only if the Marketplace cannot quickly verify

June 23, 2016
Research Report
 

The Health Profession Opportunity Grants (HPOG) Program funded training programs in high-demand health care professions, targeted to Temporary Assistance for Needy Families recipients and other low-income people. This report presents findings of the Descriptive Implementation Study and Outcome Study of the National Implementation Evaluation of the HPOG Program. The report addresses how these programs were implemented across the

June 23, 2016
Research Report
 

The June 2016 edition of At A Glance, the Housing Finance Policy Center’s reference guide for mortgage and housing market data, includes updated figures describing the size of the mortgage market, first-time homebuyer share, negative household equity, mortgage delinquency rates, and the latest government-sponsored enterprise risk-sharing transactions.

June 22, 2016
Research Report
 

This essay argues that transportation policies need to overcome the “cars versus transit” mentality that isolates the urban poor from economic opportunities. It proposes creating new regional coalitions that can assess the transportation needs of very low income households and implement solutions that combine affordable car ownership, ride sharing, and expanded transit access.

June 22, 2016
Brief
 

Many US education reform efforts focus on student performance in large, urban school districts. The National Assessment of Educational Progress’s Trial Urban District Assessment (TUDA) program provides data on student achievement in these districts, but differences in student characteristics complicate comparisons of district performance. I use student-level data to adjust TUDA scores for a rich set of demographic factors across

June 22, 2016
Brief
 

This report uses absolute income thresholds adjusted for inflation and family size to show that the size of the upper middle class grew from 12.9 percent of the population in 1979 to 29.4 percent in 2014. In terms of shares of total income, the middle class controlled a bit more than 46 percent of all incomes in 1979, while the upper middle class and rich controlled 30 percent. By 2014, the rich and upper middle class controlled

June 21, 2016
Research Report
 

Former CBO director Doug Elmendorf recently argued that Congress should account for macroeconomic feedback when scoring major tax and spending policies. In this brief, Donald Marron agrees, arguing that CBO and JCT can implement such dynamic scoring in an objective, nonpartisan manner. Dynamic scoring will neither live up to the hopes of it proponents nor down to the fears of its detractors. Instead, Marron argues, it will

June 20, 2016
Brief
 

In this report, we update our previous analysis by comparing the most recent CMS forecast, released in July 2015, with the 2010 Affordable Care Act (ACA) baseline forecast. The 2015 forecast incorporates the Medicare Access and CHIP Reauthorization Act, which permanently eliminated the sustainable growth rate system for setting physician payment rates in Medicare. Using the 2015 forecast, we find that projected national health

June 20, 2016
Research Report
 

The Health Profession Opportunity Grants (HPOG) Program, established by the Patient Protection and Affordable Care Act of 2010, funds training programs in high-demand health care professions, targeted to Temporary Assistance for Needy Families (TANF) recipients and other low-income individuals. This report presents findings from the Systems Change Analysis, one component of the HPOG National Implementation Evaluation. It uses a

June 20, 2016
Research Report
 

This technical appendix to the Systems Change Analysis of the Health Profession Opportunity Grants (HPOG) Program details the methodology and findings of the Systems Change Analysis, one component of the HPOG National Implementation Evaluation. The analysis uses a descriptive and a formal network analysis based primarily on survey responses from HPOG program operators, partners, and stakeholders. It represents one of the first

June 20, 2016
Research Report
 

This report updates and revises the authors’ 2014 proposal to replace the corporate income tax with taxation at ordinary income rates of dividends and net accrued capital gains of American shareholders. The new proposal retains a 15 percent corporate income tax, gives taxable shareholders a credit for corporate taxes paid, imposes a 15 percent tax on interest income of nonprofits and retirement plans, and addresses stock price

June 17, 2016
Research Report
 

The link between economic equity and financial and economic inclusion has long been the focus of community development financial institutions (CDFIs). CDFIs provide financial products and services to low-income, low-wealth, and underserved communities. In this brief, we examine what scale means for CDFIs, distinguishing size from impact. We look at how CDFIs deepen their impact through development and technical assistance

June 16, 2016
Brief
 

Since the early 1990s, states have gradually adopted modernized eligibility rules for their unemployment insurance (UI) programs. The American Recovery and Reinvestment Act of 2009 further spurred this modernization by providing states with financial incentives to adopt specific provisions. This September 2015 brief updates and extends the 2012 work of Lindner and Nichols by examining the potential and actual

June 16, 2016
Brief
 

This report presents a working definition of elder abuse so research and statistical data may be collected uniformly across states and localities with different legal and programmatic definitions of elder abuse. Consistent definitions and counting rules are needed to permit comparisons across jurisdictions and over time. The taxonomy we present here defines elder abuse along three dimensions—(1) the acts that constitute elder

June 15, 2016
Research Report
 

A key component of the Every Student Succeeds Act is the flexibility to use at least one nonacademic indicator to measure school quality or student success. Differences in quality measures and reporting mechanisms in choice-rich public school systems make it difficult to compare schools across sectors (e.g., comparing public schools with charter schools). In this testimony, research associate Michael Katz discusses three major

June 15, 2016
Testimony
 

Policy responses to neighborhood changes that displace or otherwise harm vulnerable populations often come too late and at too great a price. This essay proposes integrating multiple data sources to develop neighborhood-level early warning and response systems that can help city leaders and community advocates get ahead of these changes. Using intelligence generated through these data systems, local leaders could adopt

June 15, 2016
Brief