61. JAMWA - Journal Of American Medical Women's Association Five Years Later Poor Women s health care Coverage After welfare reform Cindy Mann, JD; Julie Hudman, PhD; Alina Salganicoff, PhD; Amanda Folsom, MPH http://jamwa.amwa-doc.org/vol57/toc57_1.htm

Choose: About JAMWA and AMWA Information for Contributors Past and Upcoming Issues Advertising with JAMWA Buy Current Issue Medical Abortion Home Emergency Contraception Chat Listserv Forum Links ... Buy access to the PDFs online! They are marked with this icon: You will need Acrobat Reader to view the full text PDF articles that are not hyperlinked. If you do not already have it: please visit Adobe's web site and download the FREE Acrobat Reader Welfare Reform and Women's Health Winter 2002 Vol. 57, No. 1 Table of Contents JAMWA is happy to provide the complete issue of Welfare Reform and Women's Health online for free to Internet users. To obtain a paper copy of this issue as well as other issues of JAMWA, click here Editorial Welfare, Women, and Children: It's Time for Doctors to Speak Out Wendy Chavkin, MD, MPH; Paul H. Wise, MD, MPH; Diana Romero, MPhil, MA Full-Text Article Buy This Issue FullText Article Five Years Later: Poor Women's Health Care Coverage After Welfare Reform Cindy Mann, JD; Julie Hudman, PhD; Alina Salganicoff, PhD; Amanda Folsom, MPH Abstract Fully-Hyperlinked Article Buy This Issue FullText Article Overhauling Welfare: Implications for Reproductive Health Policy in the United States Heather Boonstra, MA; Rachel Benson Gold, MPA

62. Welfare Reform And Health Care Use Of Uninsured Immigrant Mothers In New Jersey 4319.0 Tuesday, November 12, 2002 854 PM. Abstract 38390. welfare reform and health care Use of Uninsured Immigrant Mothers in New Jersey. http://apha.confex.com/apha/130am/techprogram/paper_38390.htm

4319.0: Tuesday, November 12, 2002 - 8:54 PM Abstract #38390 Welfare Reform and Health Care Use of Uninsured Immigrant Mothers in New Jersey Ingrid Morton Mitchell, MS , Markos Ezra, PhD , and Lakota K. Kruse, MD, MPH . (1) Maternal and Child Health Epidemiology, New Jersey Department of Health and Senior Services, P.O. 364, Trenton, NJ 08625-0364, 609 292-5656, Ingrid.Morton-Mitchell@doh.state.nj.us, (2) Division of Family Health Services, New Jersey Department of Health and Senior Services, P O Box 364, Trenton, NJ 08625 Learning Objectives: 1. Identify combinations of variables that can be used as a proxy for the undocumented immigrant mother. 2. Describe a procedure for tracking uninsured immigrant mothers birth outcomes. 3. Develop a template that states can use to identify uninsured immigrant mothers. 4.Develop a surveillance system to monitor uninsured immigrant mother's birth outcomes. Keywords: Maternal and Child Health, Immigrant Women Related Web page: Presenting author's disclosure statement: Organization/institution whose products or services will be discussed: None I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

63. The Health-Care Crunch: Endeavors, UNC-Chapel Hill [Spring 2004] In the years since welfare reform, Moore has heard from many local health directors that their uncompensated costs, especially for prenatal care, are increasing http://research.unc.edu/endeavors/spr2004/health_care.html

@import url(style/endeavors.css ); Skip navigation CONTENTS PAST ISSUES BROWSE ... ABOUT US Plankton's Testimony on Global Warming Counties struggle to provide services to those who can't pay. by Angela Spivey But how to pay for those services? Under the new reforms, Medicaid is available only to some documented immigrants, and most of those must undergo a five-year waiting period. "So we have this odd situation created where many immigrants are eligible for the service, but they're not eligible for the program that would pay for the service," Moore says. "That leaves this unmet cost." In the years since welfare reform, Moore has heard from many local health directors that their uncompensated costs, especially for prenatal care, are increasing. Some even said they were considering cutting back on services. Moore says, "Health directors tend to report their perception that the problem with uncompensated prenatal care is a problem associated with undocumented immigrants, but I think it is more accurately stated as a problem associated with Medicaid-ineligible immigrants." That includes undocumented immigrants but also those who are documented but in the five-year waiting period, those here on student or work visas, and others. "My study does indicate that there may be some validity to the claim that there is a connection between the rising uncompensated costs and the Medicaid-ineligible immigrant population," Pierce says.

64. Faces Of Change Change Personal Experiences of welfare reform in America 100 current and former welfare recipients detailing care, public benefits, health care, job training http://www.alliance1.org/Research/Facesofchange.asp

Faces of Change Publications: These publications are a “must read” for policy makers, advocates, human service professionals and those interested in the human dimensions of welfare reform. Praise for Welfare Policy Through the Lens of Personal Experience "This excellent book tells the real stories behind the statistics of welfare reform. It takes a systematic look at the gap between the rhetoric of success and the reality of an inadequate safety net for our neediest families. Anyone who wants to know how welfare reform is really working should read this book."Alan Weil, Director, Assessing the New Federalism Project The Urban Institute In 1999 the Alliance for Children and Families launched Faces of Change: Welfare Reform in America in collaboration with the Community Service Society of New York. The study collected over 200 first-hand accounts of current and former welfare recipients affected by welfare reform. The policy analysis that is set forth in Welfare Policy Through the Lens of Personal Experience is based on our study of those stories.

65. Hudson Institute > Find An Expert health care reform. Phyllis Busansky, Senior Fellow, email. International health. International Security/Intelligence. welfare/welfare reform. Western Europe. http://www.hudson.org/index.cfm?fuseaction=find_an_expert&raid=Health

66. The Effect Of Welfare Reform On The Insurance Status And Health Of Low-Income Fa The authors suggest that welfare reform may affect health behaviors and health status with a partner or family member, and by affecting access to health care. http://www.nber.org/aginghealth/fall03/w10033.html

Jump to the Navigation Bar The Effect of Welfare Reform on the Insurance Status and Health of Low-Income Families The Effect of Welfare Reform on the Insurance Status and Health of Low-Income Families The Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996 enacted sweeping changes in the welfare program, including work requirements and lifetime limits on participation. As a result of PRWORA and earlier state reform efforts, as well as other factors such as a concurrent economic boom, the number of welfare recipients fell by 62 percent between 1993 and 2001, from 14.1 million to 5.4 million. One potential unintended consequence of welfare reform may have been to increase the number of low-income families without health insurance. Under the old system, families on welfare were automatically enrolled in Medicaid, a government health insurance program for poor women and children. After welfare reform, women transitioning from welfare to work may have taken jobs that did not offer private health insurance benefits. While many of these families remained eligible for Medicaid, at least on a transitional basis, they would now have to go through a separate, unfamiliar application process to enroll. In fact, there were striking changes in the health insurance status of low-educated single mothers during the 1990s, as illustrated in Figure 1 - many women moved off of public health insurance programs, some gaining private health insurance benefits and others becoming uninsured. In "

67. Welfare Reform Position Paper - 2000 in their efforts to reform the welfare system • Government has a proper role in assuring adequate nutrition, clothing, housing and health care to poor http://www.flacathconf.org/Legislativeissues/Positionpapers/Welfarereform00.htm

Welfare Reform A Position Paper of the Florida Catholic Conference Many Floridians are working but not making enough to make ends meet. Addressing this disparity will be critical to the long-term success of welfare reform. Helping WAGES recipients prepare for and assume jobs that pay a livable wage is one of the major challenges ahead. Vocational education, transportation, meeting health care needs, and child care services which are flexible are critical issues to be addressed to ensure successful transition for welfare recipients. Issues such as teen pregnancy prevention through abstinence education and prevention of domestic violence must be part of the long-term plan to improve lives of Floridians. Catholic Charities' agencies are the largest nonpublic providers of human services to poor families in Florida. We will work in partnership wherever possible with the twenty-four local WAGES coalitions in helping families escape welfare and poverty. The Bishops of Florida stated in their 1995 statement, "Reform of the Welfare System," that welfare reform should respect human dignity and the intrinsic worth of each and every person. No family should ever be penalized for giving birth to and nurturing a baby while receiving benefits. The well-being of children must be a major priority in reforming of the welfare system and in dealing with families. Single parent families and extended families raising children in the absence of one or both parents, need continued support and recognition. Strong child support enforcement is essential for a successful social welfare system in today's world, as is the encouragement of responsible parenting.

68. 60 Years After Beveridge: Welfare Reform - Back To The Future? The Socialist 13 THE welfare state s crowning glory was the National Since 1948 this reform has benefited the working However massive inequalities remain in health care today. http://www.socialistparty.org.uk/2002/281/p6.htm

Home The Socialist 13 December 2002 Subscribe News ... Bookshop TONY BLAIR told the Financial Times recently that the government's "mission" was to "reform the 1940s settlement over public services". Bitter experience suggests that Blair's 'reforms' are more like destruction. Sixty years after the Beveridge Report was produced, JACKIE GRUNSELL looks at the welfare state then and now. 60 Years After Beveridge Welfare reform - back to the future? THE BEVERIDGE Report advocated full employment and the creation of a welfare state. It was 1942 and the second world war had raised workers' expectations of a better future. Thousands had died and those returning felt they deserved decent jobs and better living standards after their sacrifice. The organised working class had long fought for better health provision and social security. Most people hated the 350-year-old 'Poor Law' and saw the idea that people should only receive relief from the state in the workhouse as barbaric. Many of the ruling class also feared a return to the hungry 1930's which had provoked mass movements of the unemployed and a wave of revolutionary struggle across Europe. Capitalism also needed a fit new generation of workers to rebuild the economy, so a 'welfare state' suited their needs as well.

69. NCPA - BA #161 - Principles For Welfare Reform: Block Grants relief, taking account of interrelationships among food, housing, health care and management has a national reputation as a proponent of welfare reform and has http://www.ncpa.org/ba/ba161.html

NATIONAL CENTER FOR POLICY ANALYSIS HOME DONATE ONE LEVEL UP ABOUT NCPA ... CONTACT Principles for Welfare Reform: Block Grants National Center for Policy Analysis BRIEF ANALYSIS No. 161 For immediate release: Monday, April 24, 1995 Principles for Welfare Reform: Block Grants The House of Representatives has voted to take funds currently spent on Aid to Families With Dependent Children (AFDC), child nutrition and a few other programs and return the money to the states in the form of "block grants." House Republicans are also considering a block grant for Medicaid. Senate Republicans indicate they may call that idea and raise, with a super block grant that includes food stamps, job training and most of the remaining federal welfare programs. All told, there are 338 means-tested federal programs spending about $240 billion a year. State governments put up about $1 of matching money for every $2 from the federal government. So in principle the federal government is considering handing over to state and local governments as much as $350 billion a year - an amount roughly equal to $3,500 for every household in America. The goals of these reforms are laudable: transferring power back to the people and allowing local communities to find workable solutions to a welfare system that is a dismal failure. Yet serious questions remain. How much should go to each state? Should restrictions be attached? What promises should be made for future years? Let's take a look.

70. The Effect Of Welfare Reform On Prenatal Care And Birth Weight The loss of insurance may reduce lowincome, pregnant women s health care utilization, and this may adversely affect infant health. welfare reform also may http://ideas.repec.org/p/nbr/nberwo/9769.html

This file is part of IDEAS , which uses RePEc data Papers Articles Software Books ... Help! The Effect of Welfare Reform on Prenatal Care and Birth Weight Author info Abstract Publisher info Download info ... Statistics Author Info Robert Kaestner Won Chan Lee Abstract Welfare reform has resulted in a dramatic decline in welfare caseloads and some have claimed that a significant number of low-income women may be without health insurance as a result. The loss of insurance may reduce low-income, pregnant women's health care utilization, and this may adversely affect infant health. Welfare reform also may affect healthcare utilization and health of pregnant women and infants because of welfare-induced changes in family disposable income, time available for health investments, and levels of stress. In this paper we examine the effect of welfare reform on prenatal care utilization and birth weight of low-educated women and their infants. We find that a 50 percent reduction in the caseload, which is similar to that which occurred in the 1990s, is associated with a zero to seven percent decrease in first trimester prenatal care; a zero to five percent decrease in the number of prenatal care visits; and a zero to 10 percent increase in low birth weight. Download Info To download: If you experience problems downloading a file, check if you have the proper

71. Health And Medicine Policy Research Group caseloads has deemphasized providing welfare recipients with necessary support services, including health care. Only four years into welfare reform, there has http://www.hmprg.org/wel-about.html

Welfare Reform: About the Reform The Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (PRWORA) radically restructured our nation's system of providing financial assistance to low-income Americans. PRWORA, also known as welfare reform, changed the entitlement program Assistance to Families with Dependent Children (AFDC) to a block grant program called Temporary Assistance to Needy Families (TANF). The restructured TANF program includes: A maximum federal time limit on receipt of benefits of no more than five years with an exemption of no more than 20 percent of a state's caseload. States are allowed to institute a shorter time limit than the federal maximum. Strict work requirements-by 2002, 50 percent of all families on TANF must be involved in work-related activities (unless the adult has a child under one years old). The "delinking" of welfare and Medicaid eligibility. It is now possible for some low-income adults and children to be eligible for Medicaid without being eligible for welfare (cash) benefits. Previously, the two programs were linked, meaning that families receiving cash assistance were automatically enrolled in the Medicaid program.

72. President Bush's Welfare Reform Plan Leaves Millions Of Children Behind (CDF Ana The Administration says that welfare reform should move families ensure that families moving from welfare to work such as food stamps, health care, child care http://www.cdfactioncouncil.org/analysis_welfare.htm

March 14, 2002 President Bush’s Welfare Reform Plan Leaves Millions of Children Behind President Bush claims that his welfare reform plan will get more parents into work but his plan does not invest in any of the supports that low-income families need to get and hold onto a job. The Administration’s plan places big new burdens on the states and families but fails to provide the resources necessary to help families succeed in the move from welfare to work. On average, states will have to more than double the number of families engaged in work or face stiff financial penalties, but will have no additional resources. Work Requirements . The Bush plan would require that more families work more hours. Under the proposal families would be required to be engaged in a work activity for 40 hours per week – a one-third increase from the current 30 hour requirement (20 hours for single parents with young children). In addition, the Bush Administration would require that states put 70 percent of their caseload in work, or suffer financial consequences. Currently, states have about one-third of their caseload in work. State Flexibility . Although the Administration claims that state flexibility lies at the heart of welfare reform, the Bush plan

73. Health And Social Services Studies Of Reason Public Policy Institute impressive results in their child welfare systems communities benefit from private sector health care innovation Strategies for State Entitlement reform by John http://www.rppi.org/health.html

Reason Public Policy Institute is a public policy think tank promoting choice, competition, and a dynamic market economy as the foundation for human dignity and progress. Health and Social Services Studies Emergency Medical Services Privatization: Frequently asked Questions by Ted Balaker and Adam B. Summers August 2003 Addresses 11 frequently asked questions about privatizing emergency medical services. This FAQ also details steps to successful contracting, case studies, and lessons from several major cities. Full Text Child Advocacy Centers Reduce Trauma for Abuse Victims by Lisa Snell June 2003 This policy study shows how child advocacy centers bring multiple agencies together under one roof, placing an increased importance on prosecuting the offender while simultaneously providing therapeutic services to the victim and non-offending family members. Full Text Press Release Education and Child Welfare Center How Dangerous is Anthrax? Risk and Policy Implications by Kenneth Green, D.Env., October 2001 Explores the risk and policy implications of a bioterrorist attack using Anthrax (baccilus anthracis).

74. Making Welfare To Work Really Work Recommendations; health Insurance Is Critical As one might expect Managed care brings risks as well as benefits to poor welfare reform Can SucceedFinal Thoughts. http://www.apa.org/pi/wpo/welftowork.html

Making Welfare to Work Really Work Table of Contents Preface Introduction Welfare Is Not the Problem-Poverty Is the Problem Psychology has a critical role to play in the reform of welfare ... Student Information American Psychological Association Public Interest Directorate 750 First Street, NE Washington, DC 20002 E-mail: publicinterest@apa.org

75. NDOL: "Work And Family Act": Welfare Reform Proposal for Medicaid may continue to get transitional health care coverage for up to Responsible Fatherhood and Stable Families The 1996 welfare reform law focused http://www.ndol.org/ndol_ci.cfm?kaid=103&subid=111&contentid=250444

76. NDOL: Making The Case: Has Welfare Reform Worked? Yes, Smashingly ... By Mickey There is no reason immigrant families should be denied health care or the work in 1996 that there would be more poor children as a result of welfare reform. http://www.ndol.org/ndol_ci.cfm?contentid=250083&kaid=114&subid=143

77. Center For Immigration Studies is that the new welfare reform law implements The welfare law includes a similar requirement for the requirement, and since many healthcare providers made http://www.cis.org/articles/1996/IR27/welfare_reform.html

Welfare Reform and Immigration: A Prognosis by Norman Matloff Immigration Review #27 Fall/Winter, 1996-97 Greta is the admissions coordinator in a federally-subsidized senior citizens housing facility in the San Francisco Bay area. She remarks that, when one of her tenants, an immigrant from Taiwan whom we will call Wen, told her that he had just passed his citizenship test, "I was congratulating and welcoming him, but he laughed and said, 'Now they can't take my [welfare] money away.'" Wen's action was prompted by the welfare reform law passed by Congress last August, which limits access to various public assistance programs to legal immigrants who have not become naturalized citizens. Indeed, since the legislation was first introduced in November 1993, immigrants have been applying for naturalization in record numbers (the increase in applications is the result of a variety of factors including, but not limited to, the welfare reform proposal), even forcing the Immigration and Naturalization Service (INS) to open new offices to meet the surge in demand. Immigrant advocacy groups have claimed that the citizenship test, and particularly the English requirement, are formidable barriers to naturalization for the elderly. But this has not been true in most cases, as the huge number of naturalizations by seniors in the last couple of years demonstrates. Moreover, the INS waives the English and civics testing requirements for certain seniors.

78. Welfare Reform Forum Agenda For Portland OR Temporary Services and SafetyNet Programs ~ A Synopsis of welfare reform Issues In Indian 100 pm Panel 3 ~ Emergency Family Assistance and health care Needs. http://www.ncai.org/main/pages/issues/human_resources/documents/WRORagenda.htm

NCAI Welfare Reform Impacts on Tribal Social Services: A National Forum Thursday, April 23 rd DoubleTree Hotel Lloyd Center, Portland, Oregon Agenda 8:00 a.m. Registration No Cost Sign-In / Continental Breakfast 9:00 a.m. Invocation Raymond T. Burke ( Wish Lau Tu La'tin ), Confederated Tribes of the Umatilla Indian Reservation Welcome Honorable W. Ron Allen, President, National Congress of American Indians Temporary Services and Safety-Net Programs ~ A Synopsis of Welfare Reform Issues In Indian Country Moderator: Dr. Eddie Brown, Director, Kathryn M. Buder Center for American Indian Studies, Associate Dean for Community Affairs, George Warren Brown School of Social Work, Washington University, St. Louis, MO Panel 1 Housing and Transportation Impacts on Housing Jacqueline Johnson, Deputy Assistant Secretary, Office of Native American Programs, Department of Housing and Urban Development Leroy Bingham, President, Tribal Planning Services Transportation Services Robert McKay, Chairman, Cal/Trans Native American Advisory Committee, State of California Department of Transportation

79. Online NewsHour: The Struggle Over Welfare Reform -- May 21, 1996 approval the outlines of a sweeping welfare reform plan, one Under the Wisconsin plan, people on welfare who can to it that families have health care and child http://www.pbs.org/newshour/bb/welfare/welfare_5-21.html

WISCONSIN WORKS? MAY 21, 1996 TRANSCRIPT Participate in a forum on welfare reform Follow the debate over the W-2 program with two Wisconsin legislators and two national experts. Learn how a pilot version of W-2 worked in Fond du Lac County. The State of Wisconsin Web site outlining W-2. Governor Tommy Thompson's home page Margaret Warner explains Wisconsin Works, or W-2, welfare reform program. W-2 is program created by Wisconsin Governor Tommy Thompson that requires welfare recipients to work and, supposedly, will reduce welfare rolls. MARGARET WARNER: When Wisconsin Governor Tommy Thompson signed the Wisconsin Works Bill last month, it was just the latest in a long string of efforts he's made to re-shape welfare in his state. The governor has succeeded in getting approval from Washington to implement several of his ideas, which are aimed at dismantling the basis tenets of the welfare system. GOV. TOMMY THOMPSON, (R) Wisconsin: (1992): For every one of my welfare reform programs that I've put into law or was able to get waivers from the federal government there have been the critics and the nay-sayers, but they want to keep the status quo. I don't want to keep the status quo. The status quo doesn't work. Give us in Wisconsin the flexibility, the opportunity to change it, and we'll show the way for the country to follow. MARGARET WARNER: The program that served as predecessor and role model for Wisconsin Works was an experimental one that's been carried out in two counties in Wisconsin since January of 1995. Called Work Not Welfare, the program ended the entitlement to cash assistance and gave money to participants only through work. Job training programs were offered, as well as medical and child care, and the cash equivalent of food stamps.

80. Health Finally, the concludes with an analysis of the impact the provisions of welfare reform have had on access to health care, especially immigrants. http://www.lif.org/health/health.html

ince its inception, Latino Issues Forum has been committed to ensuring that Latinos have access to health care and are able to live healthy lives. The majority of this work has focused on health access issues, specifically to provide quality health services and to increase access to health insurance in a culturally and linguistically responsible manner for Latino, low-income, and limited English speaking communities. Currently, LIF has broadened this mission to include issues of physical health disparities, behavioral health, and environmental health. We are committed to increasing the health of our communities through policies that incorporate a multi-disciplinary approach addressing the social, economic, and environmental factors that must be changed in order to build an equitable, prosperous, and healthy community. The following information was compiled in order to assist individuals and community organizations with information on various health issues and its impact on Latinos in California and the nation. I hope you find the information useful. Please contact me if you have any questions or comments.

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