RESEARCH BRIEF | B.002.1120
November 2020
Download PDF
Introduction
The COVID-19 pandemic has created numerous challenges for families, particularly those with young children and families of color. Loss of employment has led to the loss of employer-sponsored health insurance, economic insecurity, and food insecurity. Working parents have had to juggle child care, schooling, and care for themselves and their families. In an effort to support families through the crisis, state and federal governments have implemented changes to existing programs to ensure access to needed services; however, many of these temporary changes are slated to expire in the coming months.
Rigorous research conducted prior to the pandemic has shown that many of the policy changes spurred by COVID-19 can positively impact child and family wellbeing, and this brief highlights several examples of COVID-19 policy responses that have created more flexibility and support for existing evidence-based state policies and strategies. States may consider maintaining these changes beyond the pandemic to improve outcomes for infants, toddlers, and their parents.
Summary
The temporary changes that state and federal governments have made in response to COVID-19 provide opportunities to learn more about the positive impacts state policy changes can have on young children and their families.
- States have made access to public health insurance easier and more affordable through changes to Medicaid policy.
- Recent expansions to telehealth access and coverage can make it easier for families to access needed health care, but it will be important to address inequities in technology, especially in rural communities.
- Temporary paid sick leave mandates at the state and federal level can ensure equitable access to paid sick leave, job protections, and improved public health.
- Federal emergency paid family leave has supported parents in caring for children during the pandemic, and states can implement their own paid family leave programs to positively impact child and family outcomes.
- States have made it easier for families to access and keep their SNAP benefits during the pandemic, and reductions in administrative burden can boost SNAP participation and reduce family food insecurity.
- Federal funding allowed states flexibility to modify child care subsidy policies to offer additional assistance to families and providers, and ongoing flexibility and state funding can support child care providers and families facing uncertainty and challenges post-pandemic.
Download the full research brief: Beyond the Pandemic: State Policy Options for Supporting Families (PDF)
Tweet This! “Rigorous research conducted prior to the pandemic has shown that many of the policy changes spurred by COVID-19 can positively impact child and family wellbeing”
Recommended Citation
Prenatal-to-3 Policy Impact Center. (2020). Beyond the pandemic: State policy options for supporting families (B.002.1120). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. https://pn3policy.org/resources/beyond-the-pandemic-state-policy-options-forsupporting-families.
© November 2020, Prenatal-to-3 Policy Impact Center, All Rights Reserved. The Prenatal-to-3 Policy Impact Center at The University of Texas at Austin LBJ School of Public Affairs translates research on the best public investments into state policy actions that produce results for young children and society.
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Expanded income eligibility for health insurance (ER 01A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/expanded-income-eligibility-for-health-insurance
- Karpman, M., & Zuckerman, S. (2020, November). ACA offers protection as the COVID-19 pandemic erodes employer health insurance coverage. Urban Institute. https://www.urban.org/sites/default/files/publication/103181/aca-offers-protection-as-the-covid-19-pandemic-erodes-employer-health-insurance-coverage_0.pdf
- Karpman, M., & Zuckerman, S. (2020, November). ACA offers protection as the COVID-19 pandemic erodes employer health insurance coverage. Urban Institute. https://www.urban.org/sites/default/files/publication/103181/aca-offers-protection-as-the-covid-19-pandemic-erodes-employer-health-insurance-coverage_0.pdf
- US Department of Health & Human Services (2020, October 2). Renewal of determination that a public health emergency exists. https://www.phe.gov/emergency/news/healthactions/phe/Pages/covid19-2Oct2020.aspx
- President Donald J Trump (2020, March 13). Letter from President Donald J. Trump on emergency determination under the Stafford Act. https://www.whitehouse.gov/briefings-statements/letter-president-donald-j-trump-emergency-determination-stafford-act/
- Additional information on the CMS disaster state plan amendment can be found here: https://www.medicaid.gov/state-resource-center/disaster-response-toolkit/state-plan-flexibilities/index.html; Section 1135 waiver templates here: https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/section-1135-waiver-flexibilities/index.html, and approved waivers can be viewed at https://www.medicaid.gov/resources-for-states/disaster-response-toolkit/federal-disaster-resources/index.html; Emergency section 1115 waiver templates here: https://www.medicaid.gov/medicaid/section-1115-demonstrations/1115-application-process/index.html; Section 1915(c) waiver Appendix K templates here: https://www.medicaid.gov/state-resource-center/downloads/sample-appendix-k-template.docx.
- Schubel, J. (2020, September 2). States are leveraging Medicaid to respond to COVID-19. Center on Budget and Policy Priorities. https://www.cbpp.org/sites/default/files/atoms/files/5-7-20health.pdf
- Wagner, J. (2020, April 7). Streamlining Medicaid enrollment during COVID-19 Public Health Emergency. Center on Budget and Policy Priorities. https://www.cbpp.org/research/health/streamlining-medicaid-enrollment-during-covid-19-public-health-emergency
- Brooks, T., & Schneider, A. (2020, March 30). The Families First Coronavirus Response Act: Medicaid and CHIP provisions explained. Georgetown University Health Policy Institute Center for Children and Families. https://ccf.georgetown.edu/wp-content/uploads/2020/03/Families-First-Final-3.30-V2.pdf
- Brooks, T., & Schneider, A. (2020, March 30). The Families First Coronavirus Response Act: Medicaid and CHIP provisions explained. Georgetown University Health Policy Institute Center for Children and Families. https://ccf.georgetown.edu/wp-content/uploads/2020/03/Families-First-Final-3.30-V2.pdf;
- Brooks, T. Roygardner, L., Artiga, S.,Pham, O., & Dolan., R. (2020, March 26). Medicaid and CHIP eligibility, enrollment, and cost sharing policies as of January 2020: Findings from a 50-state survey. Kaiser Family Foundation. https://www.kff.org/report-section/medicaid-and-chip-eligibility-enrollment-and-cost-sharing-policies-as-of-january-2020-findings-from-a-50-state-survey-executive-summary/
- Kaiser Family Foundation (2020, November 9). Medicaid emergency authority tracker: Approved state actions to address COVID-19. Retrieved on November 10, 2020. https://www.kff.org/medicaid/issue-brief/medicaid-emergency-authority-tracker-approved-state-actions-to-address-covid-19/#note-1-5
- Brooks, T. Roygardner, L., Artiga, S., Pham, O., & Dolan., R. (2020, March 26). Medicaid and CHIP eligibility, enrollment, and cost sharing policies as of January 2020: Findings from a 50-state survey. Kaiser Family Foundation. https://www.kff.org/report-section/medicaid-and-chip-eligibility-enrollment-and-cost-sharing-policies-as-of-january-2020-findings-from-a-50-state-survey-executive-summary/
- Kaiser Family Foundation (2020, November 9). Medicaid emergency authority tracker: Approved state actions to address COVID-19. Retrieved on November 10, 2020. https://www.kff.org/medicaid/issue-brief/medicaid-emergency-authority-tracker-approved-state-actions-to-address-covid-19/#note-1-5
- Brooks, T. Roygardner, L., Artiga, S., Pham, O., & Dolan., R. (2020, March 26). Medicaid and CHIP eligibility, enrollment, and cost sharing policies as of January 2020: Findings from a 50-state survey. Kaiser Family Foundation. https://www.kff.org/report-section/medicaid-and-chip-eligibility-enrollment-and-cost-sharing-policies-as-of-january-2020-findings-from-a-50-state-survey-executive-summary/.
- State Health and Value Strategies (SHVS). (2020, July 23). Federal declarations and flexibilities supporting Medicaid and CHIP COVID-19 response efforts. https://www.shvs.org/wp-content/uploads/2020/06/COVID-19-Emergency-Flexibility-Timelines-Product-07.23.2020.pdf
- Fox, A.M., Feng, W., Zeitlin, J., & Howell, E.A. (2020, November). Trends in state Medicaid eligibility, enrollment rules, and benefits. Health Affairs, (39)11, 1909-1916. https://doi-org.ezproxy.lib.utexas.edu/10.1377/hlthaff.2019.01350
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Expanded income eligibility for health insurance (ER 01A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/expanded-income-eligibility-for-health-insurance
- Institute of Medicine. (2002). Care Without Coverage: Too Little, Too Late. Washington, DC: The National Academies Press. https://doi.org/10.17226/10367
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Expanded income eligibility for health insurance (ER 01A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/expanded-income-eligibility-for-health-insurance
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Expanded income eligibility for health insurance (ER 01A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/expanded-income-eligibility-for-health-insurance
- Buettgens, M. (2018, May). The implications of Medicaid expansion in the remaining states: 2018 update. Urban Institute. https://www.urban.org/sites/default/files/publication/98467/the_implications_of_medicaid_expansion_2001838_2.pdf
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Expanded income eligibility for health insurance (ER 01A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/expanded-income-eligibility-for-health-insurance
- Bestsennyy, O., Gilbert, G., Harris, A., & Rost, J. (2020). Telehealth: A quarter-trillion-dollar post-COVID-19 reality? McKinsey & Company.https://www.mckinsey.com/~/media/McKinsey/Industries/Healthcare%20Systems%20and%20Services/Our%20Insights/Telehealth%20A%20quarter%20trillion%20dollar%20post%20COVID%2019%20reality/Telehealth-A-quarter-trilliondollar-post-COVID-19-reality.ashx
- US Dept. of Health and Human Services. (2020). Telehealth: Delivering care safely during COVID-19. https://www.hhs.gov/coronavirus/telehealth/index.html
- Libersky, J., Soyer, E., Masaoay, T., Coit, M., & Edelberg, R. (2020). Changes in Medicaid telehealth policies due to COVID-19: Catalog overview and findings. Mathematica. https://www.macpac.gov/publication/changes-in-medicaid-telehealth-policies-due-to-covid-19-catalog-overview-and-findings/
- Hill, I., & Burroughs, E. (2020). Maternal telehealth has expanded dramatically during the COVID-19 pandemic: Equity concerns and promising approaches. Urban Institute. https://www.urban.org/sites/default/files/publication/103126/maternal-telehealth-has-expanded-dramatically-during-the-covid-19-pandemic_3.pdf
- Hutton, D. (2020, July 1). Amid COVID-19 pandemic, telehealth patient satisfaction high, could drive future access. Ophthalmology Times. https://www.ophthalmologytimes.com/view/amid-covid-19-pandemic-telehealth-patient-satisfaction-high-could-drive-future-access
- Butler Tobah, Y., LeBlanc, A., Branda, M., Inselman, J., Morris, M., Ridgeway, J., Finnie, D., Theiler, R., Torbenson, V., Brodrick, E., de Mooij, M., Gostout, B., & Famuyide, A. (2019). Randomized comparison of a reduced-visit prenatal care model enhanced with remote monitoring. American Journal of Obstetrics and Gynecology, 221(638), e1-e8. https://doi.org/10.1016/j.ajog.2019.06.034
- Muender, M., Moore, M., Chen, G., & Sevick, M. (2000). Cost-benefit of a nursing telephone intervention to reduce preterm and low-birthweight births in an African American clinic. Preventive Medicine, 30, 271-276. http://doi.org/10.1006/pmed.2000.0637
- American Academy of Pediatrics. (2020). Guidance on providing pediatric well-care during COVID-19. https://services.aap.org/en/pages/2019-novel-coronavirus-covid-19-infections/clinical-guidance/guidance-on-providing-pediatric-well-care-during-covid-19/
- Saslow, E. (Sept. 28, 2019). Out here, it’s just me: In the medical desert of rural America, one doctor for 11,000 square miles. Washington Post. https://www.washingtonpost.com/national/out-here-its-just-me/2019/09/28/fa1df9b6-deef-11e9-be96-6adb81821e90_story.html
- Saslow, E. (Sept. 28, 2019). Out here, it’s just me: In the medical desert of rural America, one doctor for 11,000 square miles. Washington Post. https://www.washingtonpost.com/national/out-here-its-just-me/2019/09/28/fa1df9b6-deef-11e9-be96-6adb81821e90_story.html
- Centers for Medicare and Medicaid Services. (2019). Improving access to maternal health care in rural communities. https://www.cms.gov/About-CMS/Agency-Information/OMH/equity-initiatives/rural-health/09032019-Maternal-Health-Care-in-Rural-Communities.pdf
- InTouch Health. (n.d.). How better broadband access will help telemedicine reach its full potential. https://intouchhealth.com/how-broadband-will-help-telemedicine-reach-its-full-potential/#:~:text=With%20access%20to%20broadband%2C%20these,telehealth%20in%20the%20first%20place.
- Busby, J., Tanberk, J. & BroadbandNow. (2020, February 3). FCC reports broadband unavailable to 21.3 Americans, BroadbandNow study indicates 42 million do not have access. BroadbandNow Research. https://broadbandnow.com/research/fcc-underestimates-unserved-by-50-percent
- US Bureau of Labor Statistics. (2020, March 16). Paid sick leave benefits. [Fact Sheet]. https://www.bls.gov/ncs/ebs/factsheet/paid-sick-leave.htm#ref1
- Williamson, E., & Maye, A. (2020, July 1). Amended and new state and local laws and guidance on paid sick days in response to COVID-19 [Fact sheet]. Center for Law and Social Policy. https://www.clasp.org/publications/fact-sheet/amended-and-new-state-and-local-laws-and-guidance-paid-sick-days-response
- Williamson, E. & Maye, A. (2020, July 1). Amended and new state and local laws and guidance on paid sick days in response to COVID-19 [Fact sheet]. Center for Law and Social Policy. https://www.clasp.org/publications/fact-sheet/amended-and-new-state-and-local-laws-and-guidance-paid-sick-days-response
- Williamson, E. & Maye, A. (2020, July 1). Amended and new state and local laws and guidance on paid sick days in response to COVID-19 [Fact sheet]. Center for Law and Social Policy. https://www.clasp.org/publications/fact-sheet/amended-and-new-state-and-local-laws-and-guidance-paid-sick-days-response
- US Department of Labor. (2020). Families First Coronavirus Response Act: Employer paid leave requirements. https://www.dol.gov/agencies/whd/pandemic/ffcra-employer-paid-leave
- A Better Balance. (2020). Paid sick time laws. https://www.abetterbalance.org/paid-sick-time-laws/
- US Bureau of Labor Statistics. (2020, March 5). 94 percent of managers, 56 percent of construction and extraction workers had paid sick leave, 2019. The Economics Daily. https://www.bls.gov/opub/ted/2020/94-percent-of-managers-56-percent-of-construction-and-extraction-workers-had-paid-sick-leave.htm
- Institute for Women’s Policy Research. (2016). Paid sick days access and usage rates vary by race/ethnicity, occupation, and earnings (IWPR #B356). https://iwpr.org/wp-content/uploads/2020/08/B356-paid-sick-days.pdf
- US Bureau of Labor Statistics. (2020, January 22). Employed persons by detailed industry, sex, race, and Hispanic or Latino ethnicity. https://www.bls.gov/cps/cpsaat18.htm
- Institute for Women’s Policy Research. (2016). Paid sick days access and usage rates vary by race/ethnicity, occupation, and earnings (IWPR #B356). https://iwpr.org/wp-content/uploads/2020/08/B356-paid-sick-days.pdf
- US Bureau of Labor Statistics. (2020, March 16). Paid sick leave benefits [Fact sheet]. https://www.bls.gov/ncs/ebs/factsheet/paid-sick-leave.htm#ref1
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Paid sick leave (ER 20A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/paid-sick-leave
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Paid sick leave (ER 20A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/paid-sick-leave
- Pichler, S., Wen, K., and Ziebarth, N.R. (2020). Positive health externalities of mandating paid sick leave. (IZA Discussion Paper No. 13530). Institute of Urban Economics. https://ssrn.com/abstract=3660277
- Pichler, S., Wen, K., & Ziebarth, N.R. (2020). COVID-19 emergency sick leave has helped flatten the curve in the United States. Health Affairs, 39(12), 1-6. https://www.healthaffairs.org/doi/full/10.1377/hlthaff.2020.00863
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Paid sick leave (ER 20A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/paid-sick-leave
- US Department of Labor, Wage and Hour Division. (n.d.) Families First Coronavirus Response Act: Employee paid leave rights. https://www.dol.gov/agencies/whd/pandemic/ffcra-employee-paid-leave
- US Internal Revenue Service. (Mar. 20, 2020). Treasury, IRS and Labor announce plan to implement Coronavirus-related paid leave for workers and tax credits for small and midsize businesses to swiftly recover the cost of providing Coronavirus-related leave. https://www.irs.gov/newsroom/treasury-irs-and-labor-announce-plan-to-implement-coronavirus-related-paid-leave-for-workers-and-tax-credits-for-small-and-midsize-businesses-to-swiftly-recover-the-cost-of-providing-coronavirus
- National Partnership for Women and Families. (2019, August). State Paid Family and Medical Leave insurance laws. https://www.nationalpartnership.org/our-work/resources/economic-justice/paid-leave/state-paid-family-leave-laws.pdf
- US Bureau of Labor Statistics. (2019, February 27). Access to paid and unpaid family leave in 2018. https://www.bls.gov/opub/ted/2019/access-to-paid-and-unpaid-family-leave-in-2018.htm
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Paid family leave (ER 03A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/paid-family-leave
- Bauer, L. (May 6, 2020). The COVID-19 crisis has already left too many children hungry in America. Brookings Institution. https://www.brookings.edu/blog/up-front/2020/05/06/the-covid-19-crisis-has-already-left-too-many-children-hungry-in-america/
- Center on Budget and Policy Priorities. (2019). Policy basics: The Supplemental Nutrition Assistance Program. https://www.cbpp.org/research/food-assistance/policy-basics-the-supplemental-nutrition-assistance-program-snap
- Center on Budget and Policy Priorities. (2020, November 2). States are using much-needed temporary flexibility in SNAP to respond to COVID-19 challenges. [Fact sheet]. https://www.cbpp.org/research/food-assistance/states-are-using-much-needed-temporary-flexibility-in-snap-to-respond-to
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 State Policy Roadmap 2020: Building a Strong and Equitable Prenatal-to-3 System of Care. Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. (pp. 145-146). http://pn3policy.org/pn-3-state-policy-roadmap.
- Center on Budget and Policy Priorities. (2020, November 2). States are using much-needed temporary flexibility in SNAP to respond to COVID-19 challenges. [Fact sheet]. https://www.cbpp.org/research/food-assistance/states-are-using-much-needed-temporary-flexibility-in-snap-to-respond-to
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Reduced administrative burden for SNAP (ER 02A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/reduced-administrative-burden-for-snap
- Mabli, J., & Worthington, J. (2014). Supplemental Nutrition Assistance Program participation and child food security. Pediatrics, 133(4), 610–619. https://doi.org/10.1542/peds.2013-2823
- National Association for the Education of Young Children (NAEYC). (2020, March 17). Child care in crisis: Understanding the effects of the coronavirus pandemic. https://www.naeyc.org/sites/default/files/globally-shared/downloads/PDFs/our-work/public-policy-advocacy/effects_of_coronavirus_on_child_care.final.pdf
- Jessen-Howard, S., & Workman, S. (2020, April 24). Coronavirus pandemic could lead to permanent loss of nearly 4.5 million child care slots. Center for American Progress. https://www.americanprogress.org/issues/early-childhood/news/2020/04/24/483817/coronavirus-pandemic-lead-permanent-loss-nearly-4-5-million-child-care-slots/
- The Hunt Institute. (n.d.). COVID-19 state child care resources list by state. Retrieved November 5, 2020, from https://hunt-institute.org/covid-19-resources/state-child-care-actions-covid-19/
- Office of Child Care, Administration for Children and Families. (n.d.). COVID-19 resources and information. Retrieved November 5, 2020, from https://www.childcare.gov/covid-19
- Child Care Aware® of America. (2020). Picking up the pieces: Building a better child care system post COVID-19. https://www.childcareaware.org/picking-up-the-pieces/
- Office of Child Care, Administration for Children and Families. (2020, April 6). Summary of child care provisions of Coronavirus Aid, Relief, and Economic Security Act or “CARES Act.” https://www.acf.hhs.gov/occ/resource/summary-of-child-care-provisions-of-cares-act
- Office of Child Care, Administration for Children and Families. (2020, April 6). Summary of child care provisions of Coronavirus Aid, Relief, and Economic Security Act or “CARES Act.” Office of Child Care | ACF. https://www.acf.hhs.gov/occ/resource/summary-of-child-care-provisions-of-cares-act
- Bedrick, E., & Daily, S. (2020). States are using the CARES Act to improve child care access during COVID-19. Child Trends. https://www.childtrends.org/publications/states-are-using-the-cares-act-to-improve-child-care-access-during-covid-19. For additional detailed information on state use of CARES CCDBG funding see: The Hunt Institute. (n.d.). COVID-19 state child care resources list by state. The Hunt Institute. Retrieved November 5, 2020, from https://hunt-institute.org/covid-19-resources/state-child-care-actions-covid-19/ and Schulman, K. (2020). Child care’s struggle to survive COVID-19: State impacts and responses. National Women’s Law Center. https://nwlc.org/resources/child-cares-struggle-to-survive-covid-19-state-impacts-and-responses-july-update/
- National Women’s Law Center. (2020, February 12). State by state fact sheets: child care assistance policies 2019. Retrieved on June 2, 2020, from https://nwlc.org/resources/state-by-state-fact-sheets-child-care-assistance-policies-2019/
- The Hunt Institute. (n.d.). COVID-19 state child care resources list by state. The Hunt Institute. Retrieved November 5, 2020, from https://hunt-institute.org/covid-19-resources/state-child-care-actions-covid-19/
- Schulman, K. (2020). Child care’s struggle to survive COVID-19: State impacts and responses. National Women’s Law Center. https://nwlc.org/resources/child-cares-struggle-to-survive-covid-19-state-impacts-and-responses-july-update/
- Prenatal-to-3 Policy Impact Center. (2020). Prenatal-to-3 policy clearinghouse evidence review: Child care subsidies (ER 07A.0920). Child and Family Research Partnership. Lyndon B. Johnson School of Public Affairs, University of Texas at Austin. http://pn3policy.org/policy-clearinghouse/child-care-subsidies
- Lipscomb, S. T. (2013). Increasing access to quality child care for children from low-income families: Families’ experiences. Children and Youth Services Review, 35(3), 411–419. https://doi.org/10.1016/j.childyouth.2012.12.020
- Michalopoulos, C. (2010). Effects of reducing child care subsidy copayments in Washington state, final report (OPRE 2011-2). Office of Planning, Research & Evaluation, Administration for Children & Families, US Department of Health and Human Services. https://www.acf.hhs.gov/opre/resource/effects-of-reducing-child-care-subsidy-copayments-in-washington-state
Explore the Evidence
Prenatal-to-3 Policy Clearinghouse
Prenatal-to-3 State Policy Roadmap