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Housing is one of the areas where it may be most critical for poor people to have access to legal representation in civil cases. We use the roll-out of New York City's Universal Access to Counsel program (UA) to assess the effects of legal representation on tenant outcomes, using detailed address-level housing court data from 2016 to 2019. The program offers free legal representation in housing court to tenants with income at or below 200 percent of the federal poverty guideline. We find that tenants who gain lawyers are less likely to be subject to possessory judgments, face smaller monetary judgments, are less likely to have eviction warrants issued against them, and are less likely to be evicted. Lawyers have larger effects in poorer places and in those with larger shares of noncitizens. Our results support the idea that legal representation in civil procedures can have important positive impacts on the lives of poor people.
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We examine differences in the prescribing of psychiatric medications to low-income and higher-income children in the Canadian province of Ontario using rich administrative data that includes diagnosis codes and physician identifiers. Our most striking finding is that conditional on diagnosis and medical history, low-income children are more likely to be prescribed antipsychotics and benzodiazepines than higher-income children who see the same doctors. These are drugs with potentially dangerous side effects that ideally should be prescribed to children only under narrowly proscribed circumstances. Low-income children are also less likely to be prescribed SSRIs, the first-line treatment for depression and anxiety conditional on diagnosis. Hence, socioeconomic differences in the prescribing of psychotropic medications to children persist even in the context of universal public health insurance and universal drug coverage.
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Following decades of increasing child access to public health insurance, pre-pandemic enrollments fell in many states after 2016 and the number of uninsured children increased. This study provides the first national, quantitative assessment of the role of administrative burdens in driving this drop in child health insurance coverage. In addition, we identify the demographic groups of children who were most affected. We show that regulations that increased administrative burdens placed on families reduced public health insurance coverage by a mean of 5.9% within six months following the implementation of these changes. Declines were largest for Hispanic children, children with non-citizen parents, and children whose parents reported that they did not speak English well. These reductions were separate from and in addition to enrollment declines among Hispanic children following the announcement of a new public charge rule in Sept. 2018.
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We use natality microdata covering the universe of U.S. births for 2015-2021 and California births from 2015 through February 2023 to examine childbearing responses to the COVID-19 pandemic. We find that 60% of the 2020 decline in U.S. fertility rates was driven by sharp reductions in births to foreign-born mothers although births to this group comprised only 22% of all U.S. births in 2019. This decline started in January 2020. In contrast, the COVID-19 recession resulted in an overall "baby bump" among U.S.-born mothers which marked the first reversal in declining fertility rates since the Great Recession. Births to U.S.-born mothers fell by 31,000 in 2020 relative to a pre-pandemic trend but increased by 71,000 in 2021. The data for California suggest that U.S. births remained elevated through February 2023. The baby bump was most pronounced for first births and women under age 25, suggesting that the pandemic led some women to start families earlier. Above age 25, the baby bump was most pronounced for women ages 30-34 and women with a college education. The 2021-2022 baby bump is especially remarkable given the large declines in fertility rates that would have been projected by standard statistical models.
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The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) is a widely used program. Previous research shows that WIC improves birth outcomes, but evidence about impacts on children and families is limited. We use a regression discontinuity leveraging an age five when children become ineligible for WIC and examine nutritional and laboratory outcomes for adults and children. We find little impact on children who aged out of the program. But among adult women caloric intake falls and food insecurity increases, suggesting that mothers protect children by consuming less themselves. We find no effect on others in the household.
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