This paper measures the effects of subsidies in the Affordable Care Act on adverse financial outcomes using administrative tax data and credit data on financial outcomes. Using a difference-in-differences design with propensity score reweighting, I find that at $100 per capita, ACA premium tax credits and cost-sharing reduction subsidies reduced…

The National Association of School Nurses (NASN) believes school nursing services that are reimbursed in other healthcare environments should also be reimbursed in the school setting. The registered professional school nurse (hereinafter referred to as the school nurse) bridges education and healthcare and delivers quality, cost-effective…

We study how health insurance eligibility affects financial distress for young adults using the Affordable Care Act's (ACA) dependent coverage mandate--the part of the ACA that requires private health insurance plans to cover individuals up to their 26th birthday. We examine the effects of both gaining and losing eligibility by exploiting the…

In 2018, the District of Columbia ("the District") City Council passed the Birth-to-Three for All DC Act (B-3 Act), a groundbreaking policy package designed to strengthen early care and education (ECE) for infants and toddlers. A central component of the B-3 Act is the Early Childhood Educator Pay Equity Fund (the Fund), a groundbreaking…

Budgets are moral documents, reflecting our priorities as a nation by deciding where to allocate resources. Congress is targeting cuts and policy changes that limit access to health care, nutrition programs, and basic financial stability for millions of children, including Medicaid, Temporary Assistance for Needy Families (TANF), and the…

Background: Medicaid is a key policy lever for expanding access to mental health services and supports for children in schools, especially low-income and minority children. This study examines how Medicaid finances mental health promotion and prevention (tier 1), screening and selected interventions (tier 2), and treatment (tier 3) in schools,…

Parenting students work hard every day to pursue their goals, often juggling work, classes, and caregiving responsibilities. Public systems and programs can provide critical support, but frequently create additional hurdles for parenting students and their families-- especially those with low incomes. In 2022, the Center for the Study of Social…

Background: Dedifferentiated policy treats adults with intellectual disabilities as part of the larger group of people with disabilities. The implications of the dedifferentiated National Disability Insurance Scheme (NDIS) for adults with intellectual disabilities are explored. Methods: Analysis of peer reviewed and grey literature between 2014…

This study explored sex differences in employment, reasons for unemployment, benefits, and supports among a large, international sample of adults with autism spectrum disorder. The sample included 443 adults with autism spectrum disorder (60% female; 74% residing in the United States) who consented to be part of an autism research registry and…

The California State Teachers' Retirement System (CalSTRS) is in the midst of phasing in substantial increases in the contributions made by teachers, school districts, and the state of California. The phase-in period began in 2014-15. In the year prior, 2013-14, the total statutory contribution rate to CalSTRS from all parties was 18.3 percent of…

When the novel coronavirus forced school buildings to close, causing a massive disruption in the delivery of these services, it exposed the extent to which schools function as an essential component of a comprehensive health system, particularly for children in low-income communities. In response to the closures, state and federal decision-makers…

This dissertation is an exploratory case study of senior women who work at an unnamed State Legislature at all levels from clerical to elected legislator. The senior women explained why they remain in the workforce and how education impacts that decision. The older women in this study explain remaining in the workforce for one of two reasons:…

Many college students, especially students from low-income backgrounds, face significant structural barriers that make it challenging to persist and complete a degree or certificate. These barriers include substantial financial challenges. Student financial aid at the federal and state levels has not kept up with rising college costs, resulting in…

This manual was designed primarily for use by people with disabilities. The hope is that it is also useful for families, as well as service coordinators and providers who directly assist families and individuals with disabilities. The focus of this manual is to provide easy-to-read information about available resources, and to provide immediate…

Health care has been an ongoing issue of public concern for decades, well before President Obama took office. Passage of the Affordable Care Act (ACA), also known as Obamacare, in March 2010 and upheld by a Supreme Court in June 2012. With Republicans now in control of both the House and Senate as well as the presidency, the ACA in its current…