This paper examines the introduction of premiums into the SCHIP program in Kentucky. Kentucky introduced a $20 monthly premium for SCHIP coverage for children with family incomes between 151% and 200% of the federal poverty level in December 2003. Administrative data between 2001 and 2004 is used to estimate a Cox proportional hazard model that predicts enrollment duration in this premium-paying category. The results suggest that a premium reduces the length of enrollment and that the effect is much stronger in the first two months after the introduction of the premium.
This paper investigates how barriers to employment, human capital, and demographic characteristics affect women’s exit routes off welfare. Specifically, I address two questions. First, what are the avenues through which women leave welfare? Second, are mental and physical health problems, domestic violence, and lack of access to transportation, characteristics that have been ignored in other studies of welfare dynamics, associated with different welfare exit routes?
The 1990s played host to the most significant changes in the American welfare system in the last 50 years— in particular, states were granted much wider latitude in deciding who is eligible to receive welfare. Taking advantage of these changes, we examine the linkage between lower class turnout and state adoption of restrictive welfare eligibility requirements after the passage of the historic welfare reform legislation of 1996. We find that in states where lower class turnout was relatively high, lawmakers were much less likely to pass a range of “get tough” welfare rules.
Low income and working poor families are exposed to tremendous stressors, which in turn can impede their ability to care for their children. In 2000, reports of abuse and/or neglect of more than 5 million children were made to Child Protective Services agencies. These families are often termed “at-risk” because of the possibility that the children could be placed in foster care. One prevention strategy used to help at-risk families is in-home family therapy. In this paper, I offer a qualitative study of in-home family therapy services from the perspectives of the families themselves.