Latest Urban Institute Reports

With ELE, a state's Medicaid and/or CHIP program can rely on another agency's eligibility findings to qualify children for public coverage. Using 2007 to 2011 quarterly enrollment data, we estimate difference-in-difference equations with quarter and state fixed effects to measure the effect of ELE on enrollment. The estimated impacts of ELE on Medicaid enrollment were consistently positive across model specifications, ranging between 4.0 and 7.3 percent. The analysis also finds that ELE increased Medicaid/CHIP enrollment. Our results imply that ELE has been an effective way for states to increase new enrollment or improve retention among eligible children.

Older youth face many challenges including continuing health care as they approach adulthood. The Affordable Care Act will provide new coverage for young adults. This 10 state study provides new data on Medicaid health costs for youth turning age 18. On average, boys are more expensive than girls at this age. Three groups are particularly high cost, disabled youth enrolled in Supplemental Security Income, foster care youth, and those with behavioral health problems. These three groups account for less than 20 percent of all youth that age, but over half the cost of the program.

In April 2012, Living Cities asked the Urban Institute to study the Partnership for Sustainable Communities, and the HUD Regional Planning Grants specifically, as a way to understand how the federal government could break down "silos," institutional or political barriers to cooperative and collaborative efforts. The research team reviewed key documents and conducted in-person interviews with personnel at federal agencies as well as organizations leading the regional planning grant projects in five case sites. These findings suggest that federal efforts can, in fact, contribute to breaking down silos both within the federal government and at the regional level.

In April 2012, Living Cities asked the Urban Institute to study the Partnership for Sustainable Communities, and the HUD Regional Planning Grants specifically, as a way to understand how the federal government could break down "silos," institutional or political barriers to cooperative and collaborative efforts. The research team reviewed key documents and conducted in-person interviews with personnel at federal agencies as well as organizations leading the regional planning grant projects in five case sites. These findings suggest that federal efforts can, in fact, contribute to breaking down silos both within the federal government and at the regional level.

States expanding Medicaid eligibility under the ACA can substantially expedite Medicaid enrollment and retention for SNAP participants, 97 percent of whom will qualify for Medicaid, according to this study. Even in states where SNAP provides broad-based categorical eligibility that extends SNAP’s gross income limits to at least 185 percent of the federal poverty level, 94 percent of SNAP recipients will qualify for Medicaid. Data showing SNAP receipt can thus verify Medicaid applicants’ financial eligibility, allow administrative renewal for Medicaid beneficiaries, and facilitate Medicaid enrollment for numerous eligible consumers when expanded coverage begins in early 2014.

In this Washington Post commentary, Robert Lerman and Stuart Eizenstat argue that the U.S. manufacturing sector is poised for a comeback, but faces serious workforce challenges. To avoid squandering the opportunity to sustain a manufacturing resurgence, the U.S. must match the quality and quantity of skills training achieved in many other countries. One way to do this is a 21st-century apprenticeship program. By training youth and adults through a combined work-based learning and classroom instruction program leading to a recognized and valued occupational credential, apprenticeships can increase employment, while insuring a close match between the skills learned and the skills required.

In this commentary for BlogHer.com, Urban Institute fellow Olivia Golden discusses a two-generation policy agenda that can help promote young children's development and low-wage workers' economic stability, which should start with a national focus on the first year of life.

This paper attempts to better understand rhetoric over the charitable contributions deduction, arguing that debate surrounding the deduction is ultimately a projection of more fundamental debates relating to the theme of government versus charity. The phrase "government versus charity" can mean government as opposed to charity or government in opposition to charity. The first sense contemplates the need to choose which of government versus charity should supply a given good or service. The second sense contemplates the ideal regulatory posture of government in relation to charity. Competing views over the charitable contributions deduction often reduce to competing views over these two issues.

The exclusion of employer-sponsored health insurance premiums and medical benefits reduced federal tax revenues by $268 billion in 2011 alone-by far the largest federal tax expenditure. Moreover, the exclusion disproportionately subsidizes those with higher incomes. In this brief, we provide estimates of the revenue potential and distributional consequences of limiting the exclusion from income and payroll taxes at the 75th percentile of 2013 premiums, indexing by GDP. The policy would produce $264.0 billion in new tax revenues over the coming decade while preserving 93 percent of the tax subsidies available under the current policy.

This document reviews several notable tax proposals in President Obama’s Fiscal Year 2014 Budget. These include a 28 percent limit on certain tax expenditures, a cap on tax preferences for retirement savers with high balances, a minimum tax ("Buffett Rule") on high-income taxpayers, alternative incentives for infrastructure investment, and a new measure of inflation ("chained CPI") for indexing tax parameters.