Final Report
July 2004
Prepared for:
U.S. Department of Health and Human
Services
Assistant Secretary for Planning and
Evaluation
Prepared by:
The Lewin Group
and its subcontractor
The Nelson A. Rockefeller Institute of Government
Contract No.: 282-98-0016; Task Order 34
This report is available on the Internet at:
http://aspe.hhs.gov/hsp/social-welfare-spending04
Printed Copy (in PDF format)
How to obtain a printed copy
Executive Summary
Summary
Chapters
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Introduction
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Policy Context
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Research Questions
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Review of Related Iterature
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Trends in Spending on Social Welfare Programs
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Measuring Fiscal Capacity
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Determinants of Social Welfare Spending
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Approach
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Overview
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Fifty-State Analysis
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Overview of Analysis
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Overview of Data Sources and How the Data Were Used
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Site Visits
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Purpose
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Approach
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Selection of Poor States
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Integrated Analysis Between Econometric Model and Site
Visit Data
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Findings and Results
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Historical And Cross-State Perspective: Trends And
Patterns
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State Fiscal Capacity and Average Spending on Social
Welfare
-
Changes Over Time
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Overall Results Of Econometric Analysis
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Results for All States
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Results by Quartile
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Cyclical Models
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State Effects: Long-Run Differences in State Spending
on Social Welfare
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Conclusions from Econometric Analysis
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A Closer Look at Poor States
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Differences Among the Six Poor States Selected for
Case Studies
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Recent State Spending Patterns and State Fiscal
Crises
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The State Fiscal Crisis and Low Fiscal Capacity
States
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Recent Changes in Spending on Health Care: Medicaid
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Recent Changes in Spending: TANF Benefits
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Changes in Non-health Social Services: TANF
"Non-assistance," Child Care, Child Welfare, and Others
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Influences on Spending and Explanations of State
Differences
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Medicaid
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Cash Assistance
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Non-Health Social Services
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Conclusions
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Final Observations and Conclusions
References
Appendix A (Only available in PDF format.
Contact ASPE for a printed copy or for accessibility
assistance.)
Appendix B
Tables
To obtain a printed copy of this report, send the title and your mailing
information to:
Human Services Policy, Room 404E
Assistant Secretary for Planning and Evaluation
U.S. Department of Health and Human Services
200 Independence Av, SW
Washington, DC 20201
Fax: (202) 690-6562
You may also print the report in PDF. (1.6 MB)
Where to?
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Last updated: 10/14/04