State Programs, Budgets

This report summarizes the roundtable "Infants and Toddlers in State and Federal Budgets: Yesterday's Choices, Today's Decisions, Tomorrow's Options" conducted by the Urban Institute, with support from the A.L. Mailman Family Foundation, on March 30, 2009. The roundtable's focus grew out of the widely perceived mismatch between sharply limited public investments on infants and toddlers and an accumulated body of research demonstrating the significance of the earliest years of life. We describe the group's diverse perspectives and wide-ranging discussion of strategies to address this mismatch.

In this commentary for The Press-Enterprise (Riverside, Calif.), Olivia Golden and Sheila Zedlewski advise states to grab the federal dollars offered by the economic stimulus package to help pay for recession-driven increases in the demand for welfare.

In this commentary for SpotlightOnPoverty.org, Institute Fellow Olivia Golden lays out five strategic investments foundations can make to sustain the economic stimulus package's positive outcomes for low-income families.

Medicaid physician fees increased 15.1 percent, on average, between 2003 and 2008. This was below the general rate of inflation, resulting in a reduction in real fees. Only primary care fees grew at the rate of inflation--20 percent between 2003 and 2008. However, because of slow growth in Medicare fees, Medicaid fees closed a small portion of their ongoing gap relative to Medicare--growing from 69 percent to 72 percent of Medicare. The increase in Medicaid fees relative to Medicare fees resulted from relative increases for primary care and obstetrical services, but not for other services.

The Minnesota Integrated Services Projects focus on improving the delivery of employment, health, and social services to families who receive cash assistance and have serious or multiple barriers to employment. Operating in eight sites, the project seeks to provide comprehensive assessments of participants' barriers, improve access to more complete services that address multiple needs, and coordinate services provided by multiple service systems. This is the final report in an evaluation of the project and describes the changes in the economic outcomes and family-related outcomes of ISP participants over a two-year period, provides estimates of the relationship between ISP participation and participants' employment and MFIP outcomes, and provides conclusions and policy recommendations.