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Analysis of State Efforts to Comply with Fair

Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers

Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers Pamela J. Doty, Ph.D., and Marie R. Squillace, Ph.D. Office of the Assistant Secretary for Planning and Evaluation U.S. Department of Health and Human Services Edward Kako, Ph.D. Mission Analytics Group, Inc. December 2019
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Analysis of State Efforts to Comply with Fair

Analysis of State Efforts to Comply with Fair Labor Standards Act Protections to Home Care Workers

The purpose of this study is to describe and document changes states have made to their Medicaid or other publicly-funded consumer directed home care programs for seniors and individuals with disabilities to comply with the 2013 update to Fair Labor Standards Act (FLSA) regulations. This report provides an overview of early implementation activiti
  • FLSAimpl.pdf
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Supporting Employment Among Lower-Income Mothers

Supporting Employment Among Lower-Income Mothers: Attachment to Work After Childbirth

This is the first of two briefs about a qualitative study examining lower-income mothers' attachment to work around the time of childbirth and the role of state paid family leave (PFL) programs in supporting their return to employment. Seventy-five mothers who used PFL participated in the study. Over two-thirds returned to work, citing their need
  • PFL-WA_APPENDIX_A.pdf
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  • PFL-WA_APPENDIX_B.pdf
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  • WorkAttachment.pdf
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Supporting Employment Among Lower-Income Mothers

Supporting Employment Among Lower-Income Mothers: The Role of Paid Family Leave

This is the second of two ASPE briefs about a qualitative study of lower-income mothers' attachment to work around childbirth and the role of state paid family leave (PFL) programs. The mothers, especially those with the fewest family resources, described PFL as supporting their return to employment, providing them with subsidized time to prepare
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Providing TA to Local Programs and Communities:

Providing TA to Local Programs and Communities: Lessons from a Scan of Initiatives Offering TA to Human Services Programs

This scan of public and private technical assistance (TA) initiatives synthesizes lessons, challenges, and best practices for providing federal TA to human services programs working to address poverty and child well-being. The scan, encompassing 18 TA initiatives, is intended to inform decisions about how best to target TA efforts for different si
  • ProvidingTALocalProgramsCommunities.pdf
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The Use of 1915(i) Medicaid Plan Option for

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

Stan Dorn, Rebecca Peters and Morgan Cheeks Urban Institute Pat Casanova and Gina Eckart Health Management Associates Ted Lutterman National Association of State Mental Health Program Directors Research Institute, Inc. Printer Friendly Version in PDF Format (37 PDF pages)
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The Use of 1915(i) Medicaid Plan Option for

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. This re
  • 1915iSPA.pdf
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Exploring the Relationship Between Paid Family

Exploring the Relationship Between Paid Family Leave and the Well-being of Low-Income Families: Lessons from California

This research report presents the results of a mixed-methods study that drew on California state administrative data and findings from focus groups with low-income working mothers to 1) explore how lower-income parents interact with California's PFL program and 2) better understand the relationship between PFL and key elements of family well-b
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Approaches to Low-Income Energy Assistance

Approaches to Low-Income Energy Assistance Funding in Selected States

From: Approaches to Low-Income Energy Assistance Funding in Selected States
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Characteristics of American Indians and Alaska

Characteristics of American Indians and Alaska Natives Participating in Temporary Assistance for Needy Families Programs

From: Characteristics of American Indians and Alaska Natives Participating in Temporary Assistance for Needy Families Programs
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Footnotes

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Footnotes

The process used is similar to that used by the Bureau of the Census to establish final family weights in the March CPS. A description of the CMS data is available at:  http://www.cms.hhs.gov/NationalHealthExpendData/02_NationalHealthAccountsHistorical.asp#TopOfPage We controlled for worker wage levels, industry, firm size and other characte
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10-Year Estimates

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. 10-Year Estimates

We projected the cost of the two proposals over the 10-year period, 2009 through 2018.  Note that when projecting program enrollment and costs, we assume a 40 percent phase-in for 2009 and an 80 percent phase in for 2010, with the program reaching ultimate enrollment beginning in 2011.  Therefore, the 2009 impact estimates in our projections dif
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Single-Year Estimates of State Costs

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Single-Year Estimates of State Costs

Note that the net Federal, State and total public costs for both proposals are displayed by State in Figure 13 .  Detailed estimates of the costs, similar to those displayed in Figure 15 and Figure 16 are displayed in the Appendix for each State. Below we describe the derivation of the net cost amounts for the States under each pro
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Single-Year Estimates of Federal Costs

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Single-Year Estimates of Federal Costs

President’s Proposal .  The total amount of the federal tax revenue lost due to the new deduction would be $294.6 billion, including income and Social Security taxes ( Figure 16 ).  These revenue losses would be largely offset by about $229.9 billion by requiring workers to count the value of their ESI coverage as taxable income.  After
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Impact on Health Spending

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Impact on Health Spending

In this section we will discuss the impacts from both programs on Federal and State health spending.  We first do so based upon our single year estimates assuming that the programs are fully implemented in 2009.  We then present the estimated impacts over a 10-year projection period including an expected phase-in of the program over time. 
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Changes in Private Insurance Coverage

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Changes in Private Insurance Coverage

President’s Proposal .  Under current law, the tax exclusion for employer-sponsored health benefits effectively reduces the cost of insurance to workers.   Creating a tax deduction of an equal amount for both employer and non-group coverage eliminates the relative tax advantage of providing coverage through the employer, resulting in a shi
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Impact on the Uninsured

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Impact on the Uninsured

President’s Proposal .  We project that under current policy there will be about 48.8 million people without health insurance in 2009.  Under the President’s proposal, about 10.9 million people would become newly covered under the tax deduction, 8.6 million under Affordable Choices, and another 0.8 million children under SCHIP ( Figure 1
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Impact on Coverage

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Impact on Coverage

Below we describe the impact of the President’s proposal and the Congressional tax credit proposal on health insurance coverage nationally and by state.
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Assumptions used for the State-Level Estimates

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Assumptions used for the State-Level Estimates

As mentioned earlier, aside from developing national estimates, we also modeled the President’s proposal and the Congressional tax proposal for each state.  Again, we used the HBSM to estimate the state impacts.  The policy options were modeled using similar assumptions and methods as described above for the national estimates.  This facilita
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Key Modeling Assumptions for Tax Deduction and

Cost and Coverage Impacts of the President’s Health Care Reform Proposal and a Congressional Tax Credit Proposal. Key Modeling Assumptions for Tax Deduction and Tax Credit

We modeled the effect of the President’s tax deduction proposal and the Congressional tax credit proposal on coverage using a uniform methodology.  We estimated the impact of these tax incentive methodologies in HBSM based upon a multivariate model of how the likelihood of taking coverage is affected by changes in the net cost of insurance to t

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