Human Services

This tool was developed to assist states and local communities in braiding, blending, or layering multiple federal funding streams (for example, Head Start and the Child Care and Development Fund) to increase the supply of quality early care and education and increase access to comprehensive early childhood and family support services within a coordinated, comprehensive early childhood system a

Between 2011 and 2018, increasing numbers of infants were removed from their parents or caregivers. From 2011 to 2018 the number of infants entering foster care increased 24 percent reaching around 50,000 in 2018. This increase was nearly 13 times as much as the 1.8 percent increase in placements for other age groups .

Over the past 20 years, Medicare and many private payers have transitioned to policies known collectively as value based purchasing (VBP). The COVID-19 pandemic has had an unprecedented impact on health, health care, the economy, and our daily lives over the past 15 months.

This factsheet provides descriptive information on child care eligibility and receipt. Of the 12.8 million children eligible for child care subsidies under federal rules, 15 percent received subsidies. Of the 8.4 million children eligible for child care subsidies under state rules, 23 percent received subsidies. Poorer children were more likely to receive subsidies than less poor children.

As of August 4, 2021, 70.1 percent of U.S. adults have received at least one dose of a COVID-19 vaccine. However, vaccine coverage varies dramatically across the country, with vaccine coverage being less than 40 percent in a third of U.S. counties. Despite a sufficient supply of COVID-19 vaccines, daily vaccinations have dwindled in recent months.

States have embraced Medicaid telehealth flexibilities during the COVID-19 Public Health Emergency (PHE), enhancing beneficiary access to services delivered via telehealth. This Issue Brief examines state Medicaid telehealth coverage and policies before and after the COVID-19 PHE was declared in January 2020.Related Products

This report provides welfare dependence indicators through 2018 for most indicators and through 2019 for other indicators, reflecting changes that have taken place since enactment of the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) in 1996.

Medicaid and the Marketplace are important sources of affordable, comprehensive healthcare coverage for millions of Americans living in rural areas, and the American Rescue Plan bolsters rural coverage options. But challenges in accessing care remain in many rural areas, including provider shortages, infrastructure limitations, and long distances to care.

Medicare FFS beneficiary service use and associated payments to providers dropped substantially from mid-March through mid-April, but had returned to near-2019 levels by the fall of 2020. The rebound in the fall was not sufficient to offset the earlier declines in the spring, and cumulative payment levels across all states were lower in 2020 compared to 2019.

To support state and local communication and outreach efforts, ASPE developed state, county, and sub-state level predictions of hesitancy rates using the most recently available federal survey data, the Household Pulse Survey from May 25-June 7, 2021. This page includes an interactive map and datasets for download.