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Papers Containing Tag(s): 'Department of Health and Human Services'

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Frequently Occurring Concepts within this Search

American Community Survey - 18

Current Population Survey - 13

Protected Identification Key - 11

Center for Economic Studies - 9

Decennial Census - 8

Social Security - 8

HHS - 8

Survey of Income and Program Participation - 7

Social Security Number - 7

Person Validation System - 7

Internal Revenue Service - 7

Temporary Assistance for Needy Families - 6

Census Bureau Disclosure Review Board - 6

Personally Identifiable Information - 6

Social Security Administration - 6

Longitudinal Employer Household Dynamics - 6

Research Data Center - 6

National Institutes of Health - 6

Chicago Census Research Data Center - 6

Regional Economic Information System - 6

Centers for Disease Control and Prevention - 5

Supplemental Nutrition Assistance Program - 5

Person Identification Validation System - 5

Federal Statistical Research Data Center - 5

Disclosure Review Board - 5

Earned Income Tax Credit - 5

Food and Nutrition Service - 4

National Research Council - 4

Department of Housing and Urban Development - 4

Longitudinal Business Database - 4

Cornell University - 4

National Center for Health Statistics - 4

Housing and Urban Development - 4

National Longitudinal Survey of Youth - 4

1940 Census - 4

Bureau of Labor Statistics - 3

Department of Agriculture - 3

Federal Register - 3

Administrative Records - 3

Department of Education - 3

Unemployment Insurance - 3

Quarterly Workforce Indicators - 3

Supreme Court - 3

Environmental Protection Agency - 3

Employer Identification Numbers - 3

General Accounting Office - 3

Metropolitan Statistical Area - 3

Bureau of Economic Analysis - 3

Data Management System - 3

Special Sworn Status - 3

Medical Expenditure Panel Survey - 3

Agency for Healthcare Research and Quality - 3

Centers for Medicare - 3

National Science Foundation - 3

National Academy of Sciences - 3

Department of Economics - 3

University of Michigan - 3

Center for Administrative Records Research and Applications - 3

Public Use Micro Sample - 3

Medicaid Services - 3

Urban Institute - 3

Viewing papers 1 through 10 of 36


  • Working Paper

    Access to the Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) at the State and Substate Levels: Meaning and Measurement

    July 2026

    Working Paper Number:

    CES-26-44

    This study estimates eligibility and access rates for the U.S. Department of Agriculture's (USDA) Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) administrative data linked with American Community Survey (ACS) data. This study is one result of a long-term research collaboration among USDA's Economic Research Service; the U.S. Department of Commerce, Bureau of the Census; USDA's Food and Nutrition Service (FNS); and participating state WIC agencies.'By analyzing WIC participation at the state and substate levels, the report provides insights into program reach and demographic differences. The findings confirm that the Census Bureau estimates meet high statistical reliability standards, providing valuable data for program officials and managers, and other stakeholders, to enhance program outreach and effectiveness. A key focus of the report is the comparison between Census Bureau and USDA, FNS estimates, which differ in methodology and measurement scope.
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  • Working Paper

    Integrating Administrative and Survey Data to Estimate WIC Eligibility and Access

    July 2026

    Working Paper Number:

    CES-26-43

    The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides benefits to low-income, nutritionally at-risk women, infants, and children. To administer WIC, officials and program managers at the federal and state level want to understand who is eligible for the program, who among the eligible population chooses to participate, and who is not accessing the program despite their eligibility. Novel individual-level data linkages between restricted-use WIC Administrative Records and the American Community Survey provide WIC access rates estimated at the state and county levels, as well as estimates disaggregated by the demographic and socioeconomic characteristics of individuals and their households. These estimates are developed by the Census-FNS-ERS Joint Project, a research partnership among the U.S. Census Bureau, the US Department of Agriculture's Food and Nutrition Service and Economic Research Service, and state WIC agencies that provide the requisite WIC administrative data to the Census Bureau. This paper details and evaluates our current data linkage and estimation methods, reports results, and identifies areas for improvement and further research.
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  • Working Paper

    The Effect of the Minimum Wage on Childcare Establishments

    August 2025

    Working Paper Number:

    CES-25-53

    Childcare is essential for working families, yet it remains increasingly unaffordable and inaccessible for parents and offers poverty-level wages to many employees. While research suggests minimum wage policies may improve the welfare of low-wage workers, there is also evidence they may increase firm exits, especially among smaller, low-profit firms, which could reduce access and harm consumer well-being. This study is the first to examine these trade-offs in the childcare industry, a labor-intensive, highly regulated sector where capital-labor substitution is limited, and to provide evidence on how minimum wage policies affect a dual-sector labor market in the U.S., where self-employed and waged providers serve overlapping markets. Using variation from state-level minimum wage increases between 1995 and 2019 and unique microdata, I implement a cross-state county border discontinuity design to estimate impacts on the stocks, flows, and composition of childcare establishments. I find that while county-level aggregate establishment stocks and employment remained stable, establishment-level turnover increased, and employment decreased. I reconcile these findings by showing that minimum wage increases prompted reallocation, with larger establishments in the waged-sector more likely to enter and less likely to exit, making this one of the first studies to link null aggregate effects to shifts in establishment composition. Finally, I show that minimum wage increases may negatively affect the self-employed sector, resulting in fewer owners with advanced degrees and more with only high school education. These findings suggest that minimum wage policies reshape who provides care in ways that could affect both quality and access.
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  • Working Paper

    Place Based Economic Development and Tribal Casinos

    April 2025

    Working Paper Number:

    CES-25-24

    Tribal lands in the U.S. have historically experienced some of the worst economic conditions in the nation. We review some existing research on the effect of American Indian tribal casinos on various measures of local economic development. This is an industry that began in the early 1990s and currently generates more than $40 billion annually. We also review the state of the literature on the effects of casino operations on communities in or adjacent to tribal areas. Using a new dataset linking individual and enterprise-level data longitudinally, this study examines the industry- and location-specific impacts of tribal casino operations. We focus in particular on the employment of American Indians. We document positive flows from unemployment and non-casino geographies to work in sectors related to casino operations. Tribal casinos differ from other standard place-based economic development projects in that they are focused on a single industry; we discuss these differences and note that some of the positive spillover effects may be similar to other, more standard place-based policies. Finally, we discuss additional and open-ended questions for future research on this topic.
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  • Working Paper

    National Experimental Wellbeing Statistics - Version 1

    February 2023

    Working Paper Number:

    CES-23-04

    This is the U.S. Census Bureau's first release of the National Experimental Wellbeing Statistics (NEWS) project. The NEWS project aims to produce the best possible estimates of income and poverty given all available survey and administrative data. We link survey, decennial census, administrative, and third-party data to address measurement error in income and poverty statistics. We estimate improved (pre-tax money) income and poverty statistics for 2018 by addressing several possible sources of bias documented in prior research. We address biases from 1) unit nonresponse through improved weights, 2) missing income information in both survey and administrative data through improved imputation, and 3) misreporting by combining or replacing survey responses with administrative information. Reducing survey error substantially affects key measures of well-being: We estimate median household income is 6.3 percent higher than in survey estimates, and poverty is 1.1 percentage points lower. These changes are driven by subpopulations for which survey error is particularly relevant. For house holders aged 65 and over, median household income is 27.3 percent higher and poverty is 3.3 percentage points lower than in survey estimates. We do not find a significant impact on median household income for householders under 65 or on child poverty. Finally, we discuss plans for future releases: addressing other potential sources of bias, releasing additional years of statistics, extending the income concepts measured, and including smaller geographies such as state and county.
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  • Working Paper

    Using Small-Area Estimation (SAE) to Estimate Prevalence of Child Health Outcomes at the Census Regional-, State-, and County-Levels

    November 2022

    Working Paper Number:

    CES-22-48

    In this study, we implement small-area estimation to assess the prevalence of child health outcomes at the county, state, and regional levels, using national survey data.
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  • Working Paper

    The Underserved Have Less Access to Employer-Sponsored Telemedicine Coverage

    September 2022

    Working Paper Number:

    CES-22-40

    Telemedicine has been proposed as one means of improving health care access for underserved communities, and information about insurance coverage for telemedicine (TMC) is important in understanding its utilization and provision. We use 2018-2019 Medical Expenditure Panel Survey-Insurance Component data on employer-sponsored coverage to examine pre-pandemic TMC relative to employer, worker, and health plan characteristics. We find that the share of employees in private sector establishments offering TMC was lower in the most rural counties, in smaller firms, in establishments without unionized employees, and in establishments where most workers were low wage, part-time and older when compared to other establishments. These findings reflect differences across establishments in insurance offers, as well as differences in TMC conditional on an insurance offer, which suggests that TMC may function as a premium plan feature with limited availability and potential support for improving healthcare access for the underserved.
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  • Working Paper

    Introducing the Medical Expenditure Panel Survey-Insurance Component with Administrative Records (MEPS-ICAR): Description, Data Construction Methodology, and Quality Assessment

    August 2022

    Working Paper Number:

    CES-22-29

    This report introduces a new dataset, the Medical Expenditure Panel Survey-Insurance Component with Administrative Records (MEPS-ICAR), consisting of MEPS-IC survey data on establishments and their health insurance benefits packages linked to Decennial Census data and administrative tax records on MEPS-IC establishments' workforces. These data include new measures of the characteristics of MEPS-IC establishments' parent firms, employee turnover, the full distribution of MEPS-IC workers' personal and family incomes, the geographic locations where those workers live, and improved workforce demographic detail. Next, this report details the methods used for producing the MEPS-ICAR. Broadly, the linking process begins by matching establishments' parent firms to their workforces using identifiers appearing in tax records. The linking process concludes by matching establishments to their own workforces by identifying the subset of their parent firm's workforce that best matches the expected size, total payroll, and residential geographic distribution of the establishment's workforce. Finally, this report presents statistics characterizing the match rate and the MEPS-ICAR data itself. Key results include that match rates are consistently high (exceeding 90%) across nearly all data subgroups and that the matched data exhibit a reasonable distribution of employment, payroll, and worker commute distances relative to expectations and external benchmarks. Notably, employment measures derived from tax records, but not used in the match itself, correspond with high fidelity to the employment levels that establishments report in the MEPS-IC. Cumulatively, the construction of the MEPS-ICAR significantly expands the capabilities of the MEPS-IC and presents many opportunities for analysts.
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  • Working Paper

    Family Formation and the Great Recession

    December 2020

    Working Paper Number:

    CES-20-42R

    This paper studies how exposure to recessions as a young adult impacts long-term family formation in the context of the Great Recession. Using confidential linked survey data from U.S. Census, I document that exposure to a 1 pp larger unemployment shock in the Great Recession in one's early 20s is associated with a 0.8 pp decline in likelihood of marriage by their early 30s. These effects are not explained by substitution toward cohabitation with unmarried partners, are concentrated among whites, and are notably absent for individuals from high-income families. The estimated effects on fertility are also negative but imprecisely estimated. A back-of-the-envelope exercise suggests that these reductions in family formation may have increased the long-run impact of the Recession on consumption relative to its impact on individual earnings by a considerable extent.
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  • Working Paper

    The effect of child support on selection into marriage and fertility

    February 2019

    Working Paper Number:

    CES-19-04

    Child support policies in the United States have expanded dramatically since the mid-1970s and now cover 1 in 5 children. This paper studies the consequences of child support for marriage and fertility decisions. I first introduce a model showing that child support enforces ex ante commitment from men to provide financial support in the event of a child, which (1) increases premarital sex among couples unlikely to marry, and (2) reduces the abortion rate, by lessening the cost of raising a child as a single mom. Using variation in the timing and geography of the rollout of U.S. child support laws relative to the timing of pregnancy, from 1977 to 1992, I find that marriages following an unplanned pregnancy are less likely to occur under strengthened child support laws, accounting for about a 7-8 percentage point reduction relative to a base of 38 percent. I find that the child support rollout reduced the abortion rate by 1-2 per 1000 women aged 15-44, off a base of 28, representing about 50 percent of the total decline in the abortion rate over this period.
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