Clinton Will Emphasize Children, Education, and Income Inequality As Campaign Issues

Hillary Clinton, widely viewed as the prohibitive favorite for the 2016 Democratic presidential nomination, emphasized early childhood issues, education, and income inequality as central campaign issues during a stop in Iowa yesterday.

Clinton announced her candidacy on April 12. At an event in Iowa yesterday, Ms. Clinton identified strengthening communities and families as one of four primary “fights” that she will emphasize during her candidacy. The campaign also named Ann O’Leary, an early education and children and families expert at Next Generation, as a senior campaign policy advisor.

The campaign will also reportedly emphasize income inequality, an issue that has also been a focus for several Republican candidates for president.

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Posted in Politics

Congress Approves Home Visiting, Teen Pregnancy Prevention Program Extensions

By a vote of 92-8, the Senate approved legislation April 14 that will reauthorize the Maternal, Infant, and Early-Childhood Home Visiting (MIECHV) program through September 30, 2017. The bill also extended authorization for evidence-based teen pregnancy prevention programs and the Children’s Health Insurance Program (CHIP).

The legislation (H.R. 2) faced possible late opposition from conservatives, but in the end only eight senators voted against it. The overall bill principally addressed Medicare payments to physicians, an issue important to both parties. It received similarly strong bipartisan support in the House in March. It now goes to President Obama, who is expected to sign it into law. (Update: The president signed the bill on April 16).

According to ZERO TO THREE, an organization that supported the home visiting extension, many states would have been forced to stop taking new families into the program if it had not been approved.  Instead, the legislation will extend the program at current funding levels, now $400 million per year.

“MIECHV’s passage, together with the extension of the Children’s Health Insurance Program, shows that investment in young children continues to be a bipartisan issue in both the House and the Senate – a rare feat these days,” said Matthew Melmed, Executive Director of ZERO TO THREE in a statement.

The National Campaign to Prevent Teen and Unplanned Pregnancy applauded the extension of the Personal Responsibility Education Program (PREP), one of several federal evidence-based teen pregnancy prevention programs.

“Extending PREP for two years provides states, communities, and tribes with important funding that will allow them to continue offering a variety of evidence-based programs to help some of the most vulnerable youth in our country delay pregnancy and prepare for adulthood,” said Andrea Kane, Senior Director for Policy at The National Campaign.  “At the same time, this funding will support innovation and evaluation in order to continue expanding knowledge about what works.”

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Posted in Children and Families, Home Visiting

Report Finds Evidence Clearinghouse Gaps and Challenges

The nation’s major evidence clearinghouses are heavily used but need further improvement to be more useful to frontline practitioners, funders, and policymakers, according to a report released April 10 by Results for America and Bridgespan.

Nationally, the report reviewed 36 clearinghouses that rate social interventions based on their impact and/or the rigor of their evaluations. Most are focused on specific topic areas such as education, mental health, and criminal justice.  It identified another 15 internationally, most of which are in Britain.

As a group, these clearinghouses receive substantial amounts of web traffic. The most heavily trafficked is the What Works Clearinghouse at the U.S. Department of Education, which reported an average of 8,000 visits per day. SAMHSA’s National Registry of Evidence-based Practices and Programs averages more than 1,000 visits per day. Most others report several hundred visitors per day.

Despite such usage, however, based on interviews with over 80 clearinghouse users, suppliers, and other experts, the report identified a number of information gaps and challenges.

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Posted in Evidence

Bipartisan Senate Education Bill May Advance Evidence-based Policy

Sens. Lamar Alexander (R-TN) and Patty Murray (D-WA) introduced a bipartisan bill yesterday that, if enacted, would substantially rework the nation’s principal K-12 education law, No Child Left Behind (NCLB), and may pave the way for significant advances for evidence-based policy in education. The bill is expected to be considered in the Senate HELP Committee on April 14.

Overall, the Alexander-Murray bill would shift significant responsibility for education back to the states and to local school districts, substantially reversing accountability measures that have been a hallmark of NCLB. Under current law, an increasing number of schools have been deemed to be in need of improvement under federal standards, forcing states to apply for federal waivers approved by the U.S. Department of Education.

The proposed bill would end the existing federal test-based accountability system and largely eliminate the Department of Education’s authority to approve state actions. However the bill, along with a combination of amendments that are expected to be offered in committee, is expected to bolster evidence-based education policies in a variety of other ways.

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Posted in Education

Home Visiting Reauthorization May Not Be Automatic

Legislation reauthorizing the Maternal, Infant, and Early-Childhood Home Visiting (MIECHV) program, whose authority expired March 31, may not be as certain as previously thought, according to a story yesterday in National Journal.

The bill containing the MIECHV extension (H.R. 2), which also addresses Medicare payments to physicians, is now being targeted by fiscal conservatives for potentially expanding the federal budget deficit. According to the National Journal story:

The conventional wisdom says that the Senate would have little choice but to OK the bill, which passed with an unheard-of 392 votes in the House two weeks ago, with the Centers for Medicare and Medicaid Services warning that doctors would face a 20 percent payment cut starting April 15. That could still very well hold true.

But conservatives in the Senate were already criticizing the bill while it was sailing through the House, because its $210 billion cost is directly offset by only $70 billion in spending cuts over the next 10 years—with some outside estimates pushing that price tag even higher in the out years. Groups like Heritage Action, Club for Growth, and the Committee for a Responsible Federal Budget have also panned the House deal, negotiated by Speaker John Boehner and Minority Leader Nancy Pelosi.

So far, the Department of Health and Human Services, which oversees the home visiting program, appears to be managing the delay. The Department announced its latest round of grants in February, well before the March 31 deadline.

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Posted in Home Visiting

Congress Recesses, Home Visiting Extension Delayed

Congress left Washington Friday for its Easter recess without adopting legislation that would reauthorize the Maternal, Infant, and Early-Childhood Home Visiting (MIECHV) program beyond March 31, when its current legal authorization expires.

On Thursday, the House of Representatives passed an extension that would continue the program through September 30, 2017, but the legislation was not taken up in the Senate before the recess. The provision was included in a larger bill (H.R. 2) that would address Medicare payments to physicians.

The two-year extension is likely to be passed by the Senate when it returns in two weeks. According to a story in USA Today:

“We’ll turn to this legislation very quickly when we get back,” [Sen.] McConnell said early Friday after senators worked through the night to pass a 2016 budget. “There’s every reason to believe it’s going to pass the Senate by a very large majority.”

It is unclear, but very likely, that the Department of Health and Human Services, which oversees the home visiting program, will be able to manage the two week delay.

Last month, the Department announced the latest round of grants under the program. According to HHS, more than 1.4 million home visits have been conducted so far. In 2014, the program served an estimated 115,000 parents and children in all 50 states.

The agency also released a report to Congress last month detailing early evaluation findings, including an analysis of state needs assessments and the baseline characteristics of enrolled families and program models. The agency is also continuing its review of evidence-based programs, which receive 75 percent of program funds.

Posted in Children and Families, Home Visiting

A Republican View of Evidence: An Interview with Congressman Todd Young

This is the first in a series of interviews with influential Republicans and Democrats in Congress about evidence and innovation issues.

Congressman Todd Young (R-IN) is seen as a Republican leader on social welfare issues. He is the second-ranking Republican member of the House Ways and Means Subcommittee on Human Resources, which conducted a hearing on evidence and social policy earlier this week. His subcommittee is also likely to be the starting point for any evidence-based bills that move in the House in this session.

We asked him about his recently-introduced Social Impact Partnership Act, as well as the Republican vision for evidence and innovation in social policy more generally.


SIRC: 
Thank you for joining us Congressman Young. Let’s start our discussion with a bill you cosponsored this year with Congressman John Delaney (D-MD) called the Social Impact Partnership Act (H.R. 1336). Our readers are fairly familiar with its broad outlines. Can you tell us what motivated you personally to introduce this bill?

Congressman Young: Before I served in Congress, I was on the board of an organization that worked with homeless veterans, and as an attorney I provided pro bono legal services to couples looking to adopt. These are some of the seemingly intractable issues we grapple with as a country, and never seem to make enough of an impact.

I was excited to become a member of the Ways and Means Subcommittee on Human Resources because they work directly with these challenging problems. Early on, we became aware of some phenomenal reforms they had been making in the United Kingdom that were showing some promise. One of them was the social impact bond financing mechanism, which I quickly realized could have broad application here in the states. As I began talking with the UK government, I learned most of their interventions were adopted from U.S.-based civil society, which gave me more confidence in their applicability here.

It took our team about a year to work through all the issues of adapting it from their parliamentary system of government and coming up with something that would work in our presidential system. Also, it’s worth noting that we sunset the bill after ten years; if the whole point is to evaluate policies to see what works, I think that same standard ought to be applied to the underlying bill.


SIRC:
Your bill appears to be part of a broader, bipartisan effort to increase performance and results in government. Last year, your Republican colleague, Rep. Paul Ryan, reached out to a prominent Democrat on the Senate side, Sen. Patty Murray, to introduce legislation that would create a new federal evidence commission. The two are expected to introduce similar legislation this year. What can you tell us about the commission?  Why is it needed?

Congressman Young: When the federal government wants to experiment with social policy, we primarily do so through either pilot programs or by granting waivers to states. So when I got onto the Human Resources Subcommittee two years ago, the first thing I wanted to do was look at all the pilot programs and waiver programs that have been launched in the social space over the past few decades to see what has worked and what hasn’t.

We quickly learned, though, that a) most of these programs don’t have any sort of evaluative requirement; b) when there is an evaluative requirement, there often isn’t a requirement to make the results public; and c) when the results are made public, you’ve got to go to each agency and get through particular process for obtaining them. The effort ended up not being instructive in terms of what works, but it was instructive in terms of institutional challenges we face in trying to improve the system.

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Posted in Evidence, Politics, Social Impact Bonds / Pay for Success

Proposed Senate Budget Suggests Possible Evidence-based Child Welfare Bill Later This Year

The proposed Senate budget resolution for the coming fiscal year, released March 18, includes a section that would pave the way for consideration of an evidence-based, spending-neutral child welfare reform bill later this year.

Section 306 of the resolution (full text below) would allow the Senate Budget Committee chairman to revise spending allocations for one or more future bills for the purpose of “replacing ineffective policies and programs with [an] evidence-based alternative that [will] improve the welfare of vulnerable children.”

The section is “spending-neutral,” meaning that any funding increases would need to be offset with spending cuts in other programs. Previous budgets have used the term “deficit-neutral,” which allowed revenue increases to pay for such changes.

The inclusion of the language in the budget resolution is considered a strong signal of support for Senate Republicans to move forward on a bill later this year, perhaps during the summer or fall.

According to a Republican staff member, such legislation could shift dollars away from long term care in group homes and an excessive reliance on psychotropic medications and increase funding for placements in family foster homes and for evidence-based programs such as home visiting.

If Congress adopts the proposed budget language, it will make passing such legislation easier, perhaps requiring only a simple majority rather than 60 votes and/or protecting it from certain procedural points of order, depending upon how the Senate chooses to proceed.

Historically, however, such legislation has usually been adopted along bipartisan lines, so the vote thresholds may be less important. Republican staff say a bill is likely to be considered later this year either way, regardless of whether the budget language is adopted.

The Senate budget language reads as follows:

SEC. 306. SPENDING-NEUTRAL RESERVE FUND FOR CHILD WELFARE.

The Chairman of the Committee on the Budget of the Senate may revise the allocations of a committee or committees, aggregates, and other appropriate levels in this resolution for one or more bills, joint resolutions, amendments, amendments between the Houses, motions, or conference reports relating to—

(1) child nutrition programs;
(2) replacing ineffective policies and programs with evidence-based alternative that improve the welfare of vulnerable children; or
(3) policies that protect children from sexual predators in our schools or communities;

without raising new revenue, by the amounts provided in such legislation for those purposes, provided that such legislation would not increase the deficit over either the period of the total of fiscal years 2016 through 2020 or the period of the total of fiscal years 2016 through 2025.

Update: The above language was included in the final budget resolution that was passed both houses of Congress (S. Con. Res. 11). It was included in Section 4306.

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Posted in Children and Families

Britain Announces Seven New Social Impact Bond Projects

After what may have been perceived as a retreat from social impact bonds last year, when its groundbreaking Peterborough project was replaced with a new program, the British government today announced seven new social impact bond projects. (Hat tip to the Social Impact Bond Review for flagging this.)

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Posted in Social Impact Bonds / Pay for Success