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Designing a Home Visiting Framework for Families in Public and Mixed-Income Communities (Research Report)
Marla McDaniel, Caroline Heller, Gina Adams, Susan J. Popkin

Though young children in public and mixed-income housing are exposed to some of the deepest poverty and developmental and educational risks in the United States, they are usually out of reach of many interventions that might help. Home visiting programs hold promise for helping vulnerable families, but most are not designed to fully address the needs of public and mixed-income housing residents. This brief describes important issues that program planners and early childhood leaders should consider when designing appropriate and responsive home visiting programs that reach young children in these communities.

Posted to Web: October 30, 2014Publication Date: October 30, 2014

Municipal Debt: What Does It Buy and Who Benefits? (Research Report)
Harvey Galper, Kim Rueben, Richard C. Auxier, Amanda Eng

This paper examines the incidence of the federal income tax exemption of interest on state and local bonds, applying a fixed-savings, simplified general equilibrium approach to estimate incidence effects on both the sources and uses of income. In contrast to traditional empirical work that allocates the benefit of tax exemption only to current holders of tax-exempt bonds based on current interest rates, we incorporate the fact that the existence of tax exemption causes the taxable interest rate to rise and the tax-exempt rate to fall. As a consequence, on the sources side, tax exemption can increase after-tax income for holders of both taxable and taxexempt bonds. On the uses side, consumers of both private and public goods are affected by the higher cost of funds to private and federal government borrowers, the lower cost of funds to state and local borrowers, and the lower cost of funds to private-sector entities with access to the proceeds of tax-exempt borrowing. Overall, higher income individuals remain the primary beneficiaries of tax exemption on the sources side with this new approach, but less so than under the traditional approach. On the uses side, households who consume a relatively large share of state and local public services, such as those with several school-age children, receive significant net benefits.

Posted to Web: October 29, 2014Publication Date: October 29, 2014

Is Bigger Better? The Implications of Health Care Provider Consolidation: An Interview with Atul Gawande (Policy Briefs/Timely Analysis of Health Policy Issues)
Robert A. Berenson, Atul Gawande

In this paper, the Urban Institute's Robert Berenson interviews surgeon and The New Yorker columnist Atul Gawande to explore the potential benefits and drawbacks of "Big Medicine"—standardized, evidence-based health care delivered by large health care chains.

Posted to Web: October 29, 2014Publication Date: October 29, 2014

Small-Dollar Credit: Consumer Needs and Industry Challenges (Summary)
Signe-Mary McKernan, Caroline Ratcliffe, Caleb Quakenbush

Managing finances can be a tightrope walk, especially for low- and moderate-income families. To deal with these challenges, many households turn to expensive small-dollar credit. This brief, based on a convening of 25 small-dollar credit researchers, credit union experts, and bank representatives, discusses the opportunities and challenges of providing small-dollar credit products. Ability to repay, flexibility, and transparency are important features for consumer success. Products that bundle credit with savings provide pathways to greater financial stability. Small loan amounts, the costs of underwriting and servicing loans, and regulatory and reputational risks pose challenges to providers.

Posted to Web: October 28, 2014Publication Date: October 28, 2014

Federal and State Policy Toward Association Health Plans in Oregon (Research Report)
Kevin Lucia, Sandy Ahn, Sabrina Corlette

Under the ACA, health insurance sold through an Association Health Plan (AHP) to small employers must meet the same insurance standards of coverage sold in the small-group market. However, research indicates that some AHPs are now claiming single large-group health plan status under ERISA, thus sidestepping the ACA requirements for the small-group market. Through interviews with state regulatory officials, health benefit consultants, association representatives and insurers, this paper examines the experience of the AHP market in Oregon. It finds that the AHP market continues to exist for small employers in Oregon and may be positioned for growth.

Posted to Web: October 28, 2014Publication Date: October 28, 2014

The Nonprofit Sector in Brief 2014 (Survey Brief)
Brice McKeever, Sarah L. Pettijohn

The Nonprofit Sector in Brief 2014 highlights trends in the number and finances of 501(c)(3) public charities and key findings on two important resources for the nonprofit sector: private charitable contributions and volunteering. Each year, The Nonprofit Sector in Brief 2014 presents the most recent data available on the nonprofit sector. This particular edition of the brief presents data from 2002 to 2012.

Posted to Web: October 27, 2014Publication Date: October 27, 2014

Labeling Effects of First Juvenile Arrests: Secondary Deviance and Secondary Sanctioning (Research Report)
Akiva Liberman, David S. Kirk, KiDeuk Kim

Does arresting juveniles deter or promote future offending, and how does it affect the chances of future arrests? These questions were studied through official arrest data and self-reported offending data from the Project on Human Development in Chicago Neighborhoods, using propensity score methods. First arrests increased subsequent offending and subsequent arrest through separate processes, and the effects on rearrest were substantially larger. Being labelled as an arrestee seems to trigger "secondary sanctioning" processes beyond any effects on offending. Attempts to ameliorate deleterious "labeling" effects should include efforts to dampen their escalating punitive effects on societal responses.

Posted to Web: October 24, 2014Publication Date: October 24, 2014

CHIPRA Mandated Evaluation of the Children's Health Insurance Program: Final Findings (Research Report)
Genevieve M. Kenney, Lisa Clemans-Cope, Ian Hill, Stacey McMorrow, Jennifer M. Haley, Timothy Waidmann, Sarah Benatar, Matthew Buettgens, Victoria Lynch, Nathaniel Anderson, Additional Authors

This report presents findings from an evaluation of CHIP mandated by CHIPRA and patterned after an earlier evaluation. Some of the evaluation findings are at the national level, while others focus on the 10 states selected for more intensive study: Alabama, California, Florida, Louisiana, Michigan, New York, Ohio, Texas, Utah, and Virginia. The evaluation included a large survey conducted in 2012 of CHIP enrollees and disenrollees in the 10 states, and Medicaid enrollees and disenrollees in three of these states. It also included case studies conducted in each of the 10 survey states in 2012 and a national telephone survey of CHIP administrators conducted in early 2013.

Posted to Web: October 24, 2014Publication Date: August 01, 2014

Monitoring the Impact of the Affordable Care Act on Employers (Research Report)
Fredric Blavin, Bowen Garrett, Linda J. Blumberg, Matthew Buettgens, Sarah Gadsden, Shanna Rifkin

In this report, we analyze recent trends in the employer health insurance market and the anticipated effects of the Affordable Care Act on employers, with a particular focus on small firms with fewer than 50 workers. We first present a detailed picture of the employer market by identifying preexisting trends in key outcomes that could be incorrectly attributed to the Affordable Care Act. We also analyze the literature to identify economic factors that are important in current employer and employee decisions regarding health coverage.

Posted to Web: October 23, 2014Publication Date: October 23, 2014

Housing Finance At A Glance: A Monthly Chartbook (Fact Sheet / Data at a Glance)
Laurie Goodman, Ellen Seidman, Jim Parrott, Sheryl Pardo, Jun Zhu, Wei Li, Bing Bai, Taz George, Maia Woluchem, Alison Rincon

The October edition of At A Glance, HFPC’s reference guide for mortgage and housing market data, includes updated indicators related to credit availability, the state of the GSE portfolios, and the latest mortgage origination and housing market projections.

Posted to Web: October 22, 2014Publication Date: October 22, 2014

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