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Policy & Regulation

Reports

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The Use of 1915(i) Medicaid Plan Option for Individuals with Mental Health and Substance Use Disorders

Created by the Deficit Reduction Act of 2005 and amended by the Patient Protection and Affordable Care Act (ACA), Section 1915(i) of the Social Security Act gives state Medicaid programs the flexibility to cover home and community-based services (HCBS) through a Medicaid state plan amendment (SPA) without the need to seek a federal waiver.

Planning and Implementation of the Rural IMPACT Demonstration

This report summarizes findings from an ASPE study of the first year of the White House Rural Council/HHS Rural IMPACT demonstration, which aims to reduce poverty through coordinated services for both children and parents.

Affordable Care Act Has Led to Historic, Widespread Increase in Health Insurance Coverage

Historic gains in health insurance coverage have been achieved since the implementation of the Affordable Care Act (ACA). In this brief, we use new and previously published estimates from the National Health Interview Survey to examine gains in health insurance coverage for non-elderly adults from 2010 to 2015.

TRIM: A Tool for Social Policy Analysis

Since the early 1970s, the Office of the Assistant Secretary for Planning and Evaluation (ASPE) has used the Transfer Income Model (TRIM) to assess how social welfare programs affect family incomes and poverty. TRIM began as a tool to analyze proposed reforms to the nation’s cash welfare program during the Nixon administration.