Reports

Cohabitation and Marriage Rules in State TANF Programs by: Robert A. Moffitt, Johns Hopkins University Robert T. Reville, RAND Corporation Anne E. Winkler, University of Missouri, St. Louis Jane McClure Burstain, RAND Corporation August, 2008 Revised, February 2009 Presented in Fulfillment of HHS-100-02-001, Task Orders 1 and 2

By: Heather J. Clawson, Nicole Dutch, Amy Solomon, and Lisa Goldblatt Grace

Prepared for:Office of the Assistant Secretary for Planning and Evaluation (ASPE)U.S. Department of Health and Human Services (HHS)

This paper reports the results of a survey of state TANF rules regarding the treatment of unrelated cohabitors in households containing TANF units. The research focused primarily on identifying differences in how the eligibility of a family is treated depending on the household adult(s) relationship to the children, and, to the extent it matters, marital status.

This comprehensive review of current literature on human trafficking into and within the United States focuses on surveying what the social science or other literature has found about the issues of identifying and effectively serving trafficking victims. A more specific focus concerns the phenomenon of “domestic trafficking” (trafficking involving U.S.

Contents Data Health Insurance Dynamics Obtaining Coverage: Transitions out of the Uninsured State Changing and Losing Coverage: Transitions into the Uninsured State Conclusion Policy Impl

By: John L. Czajka and James Mabli Mathematica Policy Research

Contract No: HHSP23320045020XI Prepared for: Ms. Suzie Burke-Bebee U.S. Department of Health and Human Services Office of the Secretary Assistant Secretary for Planning and Evaluation Prepared by:

Evaluation of Personal Health Records Pilots for Fee-for-Service Medicare Enrollees from South Carolina Contract No: HHSP23320045020XI NORC Project #6488 Prepared for:

David Stevenson, PhD, David Grabowski, PhD, and Jeffrey Bramson, BA Harvard Medical School

Seeking greater understanding of the ownership structures of nursing homes, ASPE contracted with Harvard Medical School to study the trends in organizational structures of nursing homes and their impact on quality of care. This current work builds on previous research funded by ASPE.

This mostly qualitative study identified key usability and utility components of a personal health record (PHR) being used by an elderly population living in South Carolina.

Contract HHSP23320045017XI Task Order HHSP233200700003T Prepared for: Department of Health and Human Services, Office of the Assistant Secretary for Planning and Evaluation Prepared by:

Unlike most conventional drugs, biological products are usually large, complex molecules that are produced by living organisms. These commercially engineered biologics currently account for billions of dollars in health care spending.

  ASPE FACT SHEET Vulnerable Youth and the Transition to Adulthood Young Men and Young Women July 2009 This Research Brief is part of a larger project:Vulnerable Youth and the Transistion to Adulthood

  ASPE RESEARCH BRIEF Vulnerable Youth and the Transistion to Adulthood Multiple Pathways Connecting to School and Work July 2009 This Research Brief is part of a larger project:Vulnerable Youth and the Transistion to Adulthood

  ASPE FACT SHEET Vulnerable Youth and the Transition to Adulthood Youth with Depression/Anxiety July 2009 This Research Brief is part of a larger project:Vulnerable Youth and the Transistion to Adulthood

  ASPE FACT SHEET Vulnerable Youth and the Transition to Adulthood Youth from Distressed Neighborhoods July 2009 This Research Brief is part of a larger project:Vulnerable Youth and the Transistion to Adulthood

  ASPE RESEARCH BRIEF Vulnerable Youth and the Transistion to Adulthood Second-Generation Latinos Connecting to School and Work July 2009 This Research Brief is part of a larger project:Vulnerable Youth and the Transistion to Adulthood

  ASPE FACT SHEET Vulnerable Youth and the Transition to Adulthood Youth from Low-Income Families July 2009 This Research Brief is part of a larger project:Vulnerable Youth and the Transistion to Adulthood

By: Erin Williamson, Nicole M. Dutch, and Heather J. Clawson Caliber, an ICF International Company

This fact sheet considers differences in behaviors and outcomes between young men and young women as they transition to adulthood. It also considers whether differences between young men and young women are related to the fact that some women are caring for children.

Youth from low-income families are vulnerable to poor outcomes as adults, as these youth often lack the resources and opportunities found to lead to better outcomes.

The transition to adulthood can be particularly challenging for youth growing up in distressed neighbor-hoods. Using the National Longitudinal Survey of Youth 1997, this fact sheet compares the adolescent risk behaviors and young adult outcomes of youth from distressed neighborhoods with those of youth from non-distressed neighborhoods. [4 PDF pages]

The transition to adulthood can be particularly challenging when a young adult experiences mental health problems. This fact sheet uses data from the National Longitudinal Survey of Youth 1997 to explore the young adult outcomes and adolescent risk behaviors of youth suffering from depression and anxiety as they make this transition. [5 PDF Pages]

This Issue Brief presents an overview of the major topics discussed at the National Symposium on the Health Needs of Human Trafficking Victims sponsored by ASPE and held in Washington, DC, September 22-23, 2008.  The brief focuses on the post-presentation discussions and suggestions of participants.

Prepared for: U.S. Department of Health & Human Services Office of the Assistant Secretary for Planning and Evaluation Prepared by: Pamela Joshi, Erin Hardy, and Stephanie Hawkins RTI International RTI Project Number: 0211824.000

This report is a comprehensive literature review and descriptive synthesis of the state of the research on the influence of religiosity and spirituality in the lives of the US low-income population. Findings are presented in six main areas: marriage and relationships, parenting, youth, mental and physical health, substance use, and crime and violence. [129 PDF pages]

  Recent Trends in Local Child Protective Services Practices July 2, 2009 Prepared for: Office of the Assistant Secretary for Planning and Evaluation (ASPE) U.S. Department of Health and Human Services (HHS) Prepared by: Westat, Inc. Task Order # HHSP233200700001T

This study examines changes in policies and procedures in local child protective services (CPS) agencies between 2002 and 2005-2006.

Medicare Advantage (MA) is the current program under which beneficiaries can enroll in private health plans rather than having their care covered through Medicare's traditional fee for service (FFS) program. Payments to MA plans in many areas are now substantially greater than the cost of treating comparable beneficiaries in the traditional program.

PAYMENT FOR MEDICARE ADVANTAGE PLANS: POLICY ISSUES AND OPTIONS Office of Health PolicyOffice of the Assistant Secretary for Planning & Evaluation U.S. Department of Health & Human Services

U.S. Department of Health and Human Services

The purpose of this paper is to provide a snapshot of workforce competencies that have been identified for professionals who work in long-term care settings.

This article estimates the impact of wages, working conditions, and other aspects of job design on overall job satisfaction of certified nursing assistants working in nursing homes.

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

U.S. Department of Health and Human Services

This study adds to the growing body of literature through case studies reporting benefits and costs/burdens in eight sites with advanced health information technology (HIT) systems.

Under current federal income tax rules, low-income noncustodial parents are ineligible for the EITC benefits available to low-income families with children, even when they support their children through full payment of child support.

Submitted to:Office of the Assistant Secretary for Planning and Evaluation (ASPE)U.S. Department of Health and Human Services Submitted by: The Urban Institute

About 45 states maintain child abuse registries, which are databases that allow child protective services investigators routine access to child abuse history information to inform better current investigations. Most states also use their registries to conduct pre-employment background checks on persons who work with children, such as day care providers.

This report uses information from the National Health Interview Survey (NHIS) in 2005 and 2006 — the years when the Deficit Reduction Act of 2005 (DRA) was passed and first being implemented — to provide a snapshot of the different types of disabilities among recipients of Temporary Assistance for Needy Families (TANF), how disability prevalence among TANF recipients compares to othe