Re-Envisioning Medicaid & CHIP as Anti-Racist Programs

Racial and ethnic disparities in the health care system have long impeded our nation’s health and well-being. For everyone in the U.S. to achieve their full potential—and for our nation to achieve its full potential—we must ensure equitable access to high-quality health care. This report presents an anti-racist re-imagining of the Medicaid and CHIP programs that actively reckons with the racist history of health care coverage. The report offers recommendations to advance racial equity in Medicaid and CHIP. It also provides principles to guide anti-racist policy transformations that center program participants and their communities.

Debt Ceiling Agreement Includes Inequitable, Ineffective, & Inefficient Work Reporting Requirements

The latest debt ceiling agreement threatens to take away food and cash assistance from people with low incomes—especially older women—if they cannot meet harsh work reporting requirements. The latest bill would add another hurdle to accessing the Supplemental Nutrition Assistance Program (SNAP) for older Americans ages 50-54 and doubles down on existing SNAP time limits for childless adults under 50 and existing work requirements in the Temporary Assistance for Needy Families (TANF) program.

Obstacles to Opportunity: Increasing College Success by Understanding & Addressing Older Students’ Costs Beyond Tuition

Higher education offers millions of people the opportunity to improve their financial well-being. However, higher education is prohibitively expensive and can saddle people with insurmountable debt. Costs beyond tuition—such as housing, food, child care, and transportation—are large, essential components of the cost of attending college for students. In order to better understand how these living costs add up and vary, this report offers estimates of costs beyond tuition for older students between the ages of 25 – 45, who make up roughly one-third of college students and face unique barriers to college access and completion. The report shows that the real cost of college for older students is higher than commonly understood, examines older students’ challenges with financial aid and public benefits programs, and offers policy recommendations to address costs beyond tuition and improve college access and success for older students.

Structurally Unsound: The Impact of Using Block Grants to Fund Economic Security Programs

This analysis finds that block grants (characterized by capped amounts of federal funding to states and other entities paired with expansive flexibility for how the funds are spent) are fundamentally ill-equipped to support basic living standards compared to other structures, especially those that meaningfully guarantee access to adequate benefits or services. Specifically, block grants struggle to respond to need, can be less accountable to program goals and to the people who participate in the program, and can exacerbate inequities–especially racial inequities.

Unworkable & Unwise: Conditioning Access to Programs that Ensure a Basic Foundation for Families on Work Requirements

This working paper outlines the ramifications of taking away Medicaid, Supplemental Nutrition Assistance Program (SNAP), and housing assistance from those who do not document meeting new work and community engagement requirements. The paper underscores how proposals that take away basic assistance from people who don’t meet work requirements are ill-informed, ineffective, inefficient, and inequitable, while alternative policies would produce far better outcomes.

The Difference Between Surviving and Not Surviving: Public Benefits Programs and Sexual Violence Victims’ Economic Security

This new report from the National Resource Center on Domestic Violence along with the Georgetown Center on Poverty & Inequality highlights the urgency of strengthening public benefits policies at the state and federal levels so that they better meet the needs of people facing domestic violence and sexual assault.