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Improving California Children’s Participation in Nutrition Programs

By Caroline Danielson, Sarah Bohn

Food and nutrition assistance programs help children gain access to adequate amounts of nutritious food—reducing child hunger and food insecurity as well as promoting healthy development. Yet in California, enrollment varies widely across counties and across the main nutrition programs that serve children: CalFresh, popularly known as food stamps; the WIC program, which serves infants and preschool-age children; and school meals, which include lunch and often other meals. Increasing children’s enrollment in CalFresh and achieving healthier outcomes for Californians are priorities for the state. The governor’s January 2016 budget set a goal of enrolling 400,000 more eligible children in CalFresh over two years.

This report assesses children’s eligibility for CalFresh and eligible children’s participation in the three main nutrition programs to explore opportunities for improving enrollment and the benefits of higher enrollment. Key findings include:

  • CalFresh has lower enrollment than free school meals and WIC. In 2015, 24 percent of all California children participated in CalFresh, while more than twice as many age-eligible children (51%) were enrolled in free school meals; 44 percent of infants and 34 percent of young children were enrolled in WIC.
  • There is substantial potential to expand the impact of nutrition programs. We estimate that if all CalFresh-eligible children were fully enrolled in both CalFresh and either free school meals or WIC, these programs would reach 1.6 million more children.
  • Infants and young children are better connected to nutrition programs. Among CalFresh-eligible children, we find that 12 percent of public school students participate in neither CalFresh nor free school meals—more than a quarter million school children (331,000). In contrast, only 4 percent of infants (21,000) and 9 percent of young children (87,000) are disconnected from both CalFresh and WIC.
  • Higher participation in nutrition programs would lower child poverty. Among public school students living in poverty, we project that full participation in nutrition programs would increase family resources by 15 percent. Among infants and young children living in poverty, we project that family resources would increase by 9 percent following full participation in nutrition programs.

To some extent, lower CalFresh enrollment reflects more restrictive eligibility requirements. However, there is good reason to believe that more children participating in free school meals and WIC could be connected to CalFresh. Currently, most policies designed to integrate nutrition programs run from CalFresh to school meals. Building robust, two-way connections could help counties and the state better achieve the goals of these programs so more children have access to adequate, nutritious food.

Report

Expanding Health Coverage in California: County Jails as Enrollment Sites

By Shannon McConville, Mia Bird

In 2014, the first year of Affordable Care Act (ACA) implementation, the number of Californians with health insurance increased substantially. However, millions of state residents continue to lack comprehensive health coverage, and those who remain uninsured are likely more difficult to enroll through traditional strategies.

In this report, we find that uninsured rates are highest for young men and for those with low levels of education, income, and employment. The prevalence of these same characteristics among correctional populations suggests that the justice system—and, in particular, county jails—may offer points of contact for many uninsured individuals who would otherwise be hard to reach.

Outreach and enrollment efforts aimed at local jail populations are set within the policy context of California’s 2011 Public Safety Realignment, which created incentives and resources for local corrections agencies to improve reentry outcomes. With expansions in access to health insurance coverage under the ACA, nearly all counties are establishing programs to provide enrollment assistance to jail inmates as part of a more comprehensive reentry strategy. But resources and capacity are limited, so it is important to identify effective models to maximize the potential of county correctional systems as sites of insurance enrollment.

Report

Low-Income Students and School Meal Programs in California

By Caroline Danielson

School nutrition programs help improve nutrition among vulnerable children. In so doing, they help build a better future for these children and the state. Now that California is implementing the Local Control Funding Formula (LCFF), there is additional reason to make sure all students who are eligible for free or low-cost meals enroll in these programs. Along with English Learners and foster youth, low-income students—in other words, students who are eligible for free and reduced-price meals—are targeted for additional funds under the LCFF. This renewed focus on enrollment could also prompt further consideration of participation in school nutrition programs.

This report looks at factors that might be linked to variations in student enrollment and participation in free or reduced-price meals. Not surprisingly, we find that districts with higher poverty rates identify higher levels of eligibility than wealthier districts. Low-income high school students appear to be enrolled at levels comparable to younger students, but students in elementary school districts are much more likely to participate in lunch programs than students in other types of districts. We also find that schools in districts with higher shares of foreign-born residents have modestly lower participation levels (but not identification of low-income students). Finally, we find evidence that schools with smaller enrollments are more successful than larger schools at identifying and serving low-income students.

One way to further the goal of full enrollment among low-income students is to cut the large share of low-income students who must submit applications for free or reduced-price meals. Achieving this objective is arguably an important part of a larger state effort to integrate social safety net programs and services.

Report

Child Poverty and the Social Safety Net in California

By Caroline Danielson, Sarah Bohn

Because economic hardship is associated with a host of adverse outcomes, particularly for children, policies that can give children a better start in life are especially important. This report focuses on measuring material hardship among children across the state. Using the California Poverty Measure—which accounts for both family earnings and safety net resources and adjusts for work expenses and housing costs—we find that one-quarter of California’s children are in poverty. An additional 26 percent of children live in households that are "near poor,” or somewhat above what is often referred to as the poverty line. In short, about half of California’s children are poor or near-poor. Poverty rates, earnings, and the role of safety net resources all vary by region. But most poor children live in "working poor” families, with one or more working adults. And, without resources from the social safety net—which includes the federal Earned Income Tax Credit, CalFresh (California’s food stamp program), CalWORKs (California’s welfare program), and housing subsidies—there would be far more children in poverty throughout California.

Report

Health Care for California’s Jail Population

By Shannon McConville, Mia Bird

The Affordable Care Act (ACA) has created a new opportunity for California to reach and enroll a medically vulnerable population—the jail population—in health insurance coverage. While inmates receive health care services from county jail systems while incarcerated, few have coverage after they are released from custody. Expansion of the state’s Medicaid program (Medi-Cal) under the ACA has extended insurance eligibility to much of the currently uninsured jail population. As a complement to the ACA, California recently signed into law Assembly Bill 720 (AB 720), which facilitates the use of jails as sites of health insurance enrollment. Increasing enrollment levels for the jail population holds the potential to reduce corrections costs, as well as improve public health and safety.

Report

CalWORKs in Transition

By Caroline Danielson

In recent years, California policymakers have made a number of cuts to major safety net programs to help balance the state budget—even as hard economic times have meant that increasing numbers of Californians are relying on government assistance. The California Work Opportunity and Responsibility to Kids program (CalWORKs) has been one of the most affected.1 Since 2009, CalWORKs has seen a number of cuts, some intended to be short-lived, and others that, arguably, are reshaping the program piece by piece. In his January 2012 budget proposal, Governor Brown advocated significant additional cuts. These recent and proposed changes raise questions about the program’s goals going forward.

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