September 3, 2021
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In April 2020, the authors identified 29 priority
recommendations for the U.S. Department of Homeland
Security (DHS). Since then, DHS has implemented 12 of
those recommendations. In doing so, DHS implemented a
more accurate methodology for the National Flood
Insurance Program, strengthened efforts to address fraud
risks within the asylum process, improved the U.S.
Customs and Border Protection's risk management in the
collection of antidumping and countervailing duties, and
strengthened the effectiveness of the Transportation
Security Administration's Transportation Worker
Identification Credential, covert testing, and pipeline
security programs. In August 2021, the authors identified
21 additional priority recommendations for DHS, bringing
the total number to 38. The 38 recommendations fall into
the following areas: emergency preparedness and response,
border security, transportation security, infrastructure
and management, information technology and cybersecurity,
and chemical and nuclear security.
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Source: U.S. Government Accountability Office
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The Pregnancy in Prison Statistics project collected data
for 1 year (2016-2017) from 22 state prison systems, the
Federal Bureau of Prisons, 6 jails and 3 juvenile justice
systems. These data represent 57% of females in prison
and 5% of females in jail. Approximately 4% of females
entering state prison were pregnant and about 3% of
females entering jails were pregnant. Of the 816
pregnancies in U.S. prisons, 753 resulted in live births,
46 were miscarriages, 11 were abortions, 4 were
stillbirths, and 2 were ectopic pregnancies. One hundred
seventeen pregnant women admitted to state prisons had an
opioid use disorder and 50 pregnant women admitted to
jails had an opioid use disorder.
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Source: Advocacy and Research on Reproductive Wellness of
Incarcerated People, Johns Hopkins School of Medicine
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Shotspotter is a gunshot detection system that uses a
network of acoustic sensors to identify and locate
suspected gunshots. In this report, the Office of the
Inspector General for the City of Chicago details
ShotSpotter’s functionality and descriptive statistics
regarding law enforcement’s activity related to the
Chicago Police Department’s response to ShotSpotter
alerts. The authors found that between January 1, 2020
and May 31, 2021 a total of 50,176 ShotSpotter alerts
were confirmed as probably gunshots by the device. Of the
50,176 alerts reviewed, 9.1% turned up evidence of a
gun-related crime. The authors conclude that Chicago
Police Department responses to ShotSpotter alerts rarely
produce documented evidence of a gun-related crime,
investigatory stop, or recovery of a firearm.
Additionally, the authors found evidence that the
introduction of ShotSpotter has changed the way some
Chicago Police Department members perceive and interact
with individuals present in areas where ShotSpotter
alerts are frequent.
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Source: Inspector General for the City of Chicago
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Many states seek to increase the education levels of
their early childhood education workforce to improve the
quality of care for children. Oregon encourages all early
childhood education workforce members to sign up for a
career lattice, a career pathway system that helps them
determine goals related to increasing their education.
The state also offers incentives for reaching specific
steps in the career lattice and scholarships for college
credit and community-based training. This study used two
randomized controlled trials in 2018 and 2019 to test
whether sending emails and offering different financial
incentives to Oregon early childhood education workforce
members increased career lattice sign-up and increased
education and training levels or workplace retention. The
study found that sending emails encouraging career
lattice sign-up had no detectable impact on career
lattice sign-up or workplace retention. Sending emails
offering a monetary incentive at an earlier-than-usual
step on the career lattice had a positive impact on
training hours recorded but no detectable impact on
career lattice movement, college credit hours earned, or
workplace retention. Sending emails about automatic
enrollment in a scholarship program had no detectable
impact on scholarship use, career lattice movement,
college credit hours earned, or workplace retention.
Lastly, after participants were randomly assigned to
study groups, the email campaigns were implemented as
planned, reaching all intended participants, although the
interventions ended sooner than planned because of a
state policy change. The findings suggest that low-touch
interventions such as emails have promise for increasing
training hours but are not sufficient to induce changes
in career lattice sign-up, continuing postsecondary
education, or workplace retention for Oregon early
childhood education workforce members.
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Source: Institute of Education Science
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School districts in the United States are responding to
the coronavirus disease 2019 (COVID-19) pandemic in
significantly different ways. The authors of this report
fielded the third American School District Panel survey
in June 2021 to discover what changes districts are
making to their academic and nonacademic offerings for
the upcoming 2021–2022 school year, and whether parental
demand has played any role in prompting districts to make
these changes. In this report, the authors summarize key
survey findings based on the responses of 292 district
leaders, after weighting their responses to make them
nationally representative. Survey results suggest that
while public schools are expanding their non-academic
offerings, much of their academic offerings for 2021–2022
remain the same. The authors examine differences between
pre-pandemic and 2021–2022 offerings among district
subgroups in the areas of summer programming, tutoring,
grade retention practices, technology-related services,
student health and weekend meals, academic recovery
measures, and scheduling. The authors also found that
most district leaders did not perceive a strong parental
demand for changes to their children's schooling;
however, there were some notable exceptions among leaders
of urban, suburban, and majority–students of color
districts, even though the correlation between perceived
demand and district provision is currently weak. Parents'
demands may still change public education in the long
run, but the authors did not find evidence for this thus
far.
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Source: RAND Corporation
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Effective educator preparation involves both coursework
and clinical experience, which provides not only
on-the-job training, but also opportunities for
mentorship and real-time feedback. This report outlines
common types of clinical experience in both traditional
and alternative teacher preparation programs. It also
points to research that highlights the role that clinical
experience plays in retaining teachers and diversifying
the workforce. There are several policy considerations
provided including an overview of different clinical
preparation models, a summary of key research on the
benefits of robust clinical experience for recruiting and
retaining an effective teacher workforce, and examples of
state-level policies that support high-quality teacher
preparation, including how to leverage clinical
experience to improve workforce diversity.
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Source: Education Commission of the States
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This report summarizes results from a 2019 needs
assessment of the capacity of Temporary Assistance for
Needy Families (TANF) programs in 54 U.S. states and
territories to analyze data used for the purposes of
program improvement, monitoring, and evidence-building.
It highlights areas of strength and success in how these
agencies use data, as well as areas for growth. It also
includes suggested strategies that may improve data use
by TANF agencies. Positive characteristics of data use by
state TANF agencies include the following: (1)
Information is flowing to TANF decision-makers,
especially through regular reports of aggregated data;
(2) Agencies have access to a consistent set of data
elements; (3) Agency staff members have knowledge of
fundamental data analysis techniques and tools; (4) TANF
staff members rate their agency’s data use highly. Areas
for growth in state TANF agency data use include: (1)
Limited staff capacity, especially staff time, restricts
what agencies can do; (2) Users may not be able to
understand or trust the data because of data quality or
documentation challenges; (3) Some states have modernized
data systems, but other systems are increasingly becoming
obsolete; and (4) Agencies report access to employment
data for TANF recipients, but access for analytical
purposes continues to be a challenge.
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Source: MDRC
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The United States' newest military service, the U.S.
Space Force (USSF), has a unique opportunity to take
advantage of the widening range of commercial
capabilities and create a new culture and new management
processes to respond to the growing challenges presented
by potential adversaries in space. To support this
effort, U.S. Space Force leadership asked RAND Project
AIR FORCE to develop a clean sheet acquisition approach
designed around the unique mission and calling of the new
service. The clean sheet vision for acquisition embodies
a systematic and comprehensive approach rather than
providing a menu of items from which to pick and choose.
The recommendations in this report derive from a
literature review and interviews with more than 45
current and retired senior leaders and space acquisition
experts. The authors' clean sheet vision recognizes that
potential adversaries are increasingly investing in space
capabilities and that the pace of commercial innovation
is increasing. The U.S. Space Force relies on space
technology as a foundation to develop and sustain its
joint warfighting capabilities and thus needs an
acquisition approach focused on ensuring that the
required capabilities are available when needed. To be
effective in this context, acquisition processes must be
rapid, agile, and, above all, threat-informed. The
authors offer a new clean sheet acquisition vision for
the technology-centric U.S. Space Force —acquisition as a
warfighting capability rather than a support function.
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Source: RAND Corporation
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Distracted driving is a complex and ever-increasing risk
to public safety on roadways. Drivers’ use of electronic
devices significantly diverts human attention resources
away from the driving task. The enforcement community
faces significant challenges as electronic device use has
expanded beyond simply texting or talking. Legislation
regulating electronic device use while driving is
inconsistent in content and implementation. This report
presents the results of an examination of the current
state and provincial legislation on electronic device use
while driving; evaluates the benefits and impediments
associated with enacting, enforcing, and adjudicating
electronic device use; and proposes model legislation and
educational materials that can be used by relevant
stakeholders to enact a law and educate key individuals
on the importance of the law. The in-depth review
revealed that the jurisdictions used different strategies
to enact or revise distracted driving laws, and that the
content and wording of electronic device use legislation
affect both acceptability and enforcement capabilities.
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Source: Westat
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Rapid job losses in the early months of the COVID-19
pandemic raised fears that millions of people would lose
their employer-based health insurance and become
uninsured. However, laid-off workers and their families,
regardless of whether they previously had
employer-sponsored insurance, had more options for health
insurance than in previous recessions because of the
safety net established by the Affordable Care Act.
Congress further supported access to coverage by not
allowing disenrollment from Medicaid through the March
2020 Families First Coronavirus Response Act. In this
report, the authors examine national changes in health
insurance coverage among non-elderly adults ages 18 to 64
during the pandemic using data from the Urban Institute’s
Health Reform Monitoring Survey. Analysis focuses on
changes in coverage across three rounds of the survey:
March 2019; March/April 2020, just after the pandemic
caused a steep decline in employment; and April 2021,
more than one year after the secretary of health and
human services declared a national public health
emergency. The report found: Between March 2019 and April
2021, the share of nonelderly adults reporting had
employer-sponsored insurance declined from 65.0% to
62.3%, a decrease of approximately 5.5 million adults.
The share reporting public coverage increased from 13.6%
to 17.5%, an increase of approximately 7.9 million
adults. The national uninsurance rate held steady at
approximately 11%. The share of adults reporting public
coverage increased between 2019 and 2021 in both states
that had and had not expanded Medicaid under the
Affordable Care Act. Such coverage increased from 14.9%
to 19.2% in expansion states and from 10.7% to 14.3% in
non-expansion states. In Medicaid expansion states, the
uninsurance rate was near 8% across all three study
years. In non-expansion states, the uninsurance rate was
higher in 2021 (18.2%) than in 2020 (16.5%) and 2019
(17.2%), though the difference between 2019 and 2021 was
not statistically significant. Declines in
employer-sponsored insurance and increases in public
coverage between 2019 and 2021 were concentrated among
adults with low and moderate incomes. Uninsurance rates
among the national non-elderly adult population did not
change significantly for any income group examined. The
share of adults with low incomes reporting public
coverage increased in both expansion states (from 54.6%
to 62.9%) and non-expansion states (from 30.4% to 37.3%)
between 2019 and 2021. More than one in three adults with
low incomes in non-expansion states (37.7%) were
uninsured in 2021, compared with about one in seven of
such adults in expansion states (14.5%).
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Source: Urban Institute
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The number of people enrolled in Medicare has increased
steadily in recent years, and along with it, Medicare
spending. In particular, enrollment in Medicare
Advantage, the private plan alternative to traditional
Medicare, has more than doubled over the last decade.
Notably, Medicare spending is higher and growing faster
per person for beneficiaries in Medicare Advantage than
in traditional Medicare. As enrollment in Medicare
Advantage continues to grow, these trends have important
implications for total Medicare spending, and costs
incurred by beneficiaries. In its 2022 budget, the Biden
Administration expressed support for reforming payments
to private plans as part of efforts to extend the
solvency of the Medicare Hospital Insurance Trust Fund
and improve affordability for beneficiaries. This
analysis examines Medicare spending per person for
beneficiaries in Medicare Advantage, relative to
traditional Medicare. The authors build on prior work
published by the Medicare Payment Advisory Commission and
the Centers for Medicare and Medicaid Services Office of
the Actuary to provide estimates of the amount Medicare
would have spent for Medicare Advantage enrollees had
they been covered under traditional Medicare in 2019 (the
most recent year for which data are available). Using
publicly available data from the Centers for Medicare and
Medicaid Services that includes spending for people who
were enrolled in both Part A and Part B of traditional
Medicare, by category of service, as well as information
on average risk scores and enrollment by county. This
allows calculating per-person spending for beneficiaries
in traditional Medicare on a basis comparable to federal
payments per enrollee in Medicare Advantage. The authors
also examine the extent to which the projected growth in
Medicare Advantage spending is attributable to the growth
in enrollment and the increase in spending per person.
Then the authors illustrate potential savings to the
Medicare program between 2021 and 2029 under two
alternative scenarios where Medicare Advantage spending
per person is lower or grows slower than under current
projections.
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Source: IssueLab
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The regulated insurance exchanges set up in the
Affordable Care Act (ACA) were designed to deliver
affordable, efficient health coverage through private
insurers. It is crucial to study the complex industrial
organization of these exchanges in order to assess their
impacts to date, during the first decade of the ACA, and
in order to project their impacts going forward. The
authors revisit the inherent market failures in health
care markets that necessitate key ACA exchange
regulations and investigate whether they have succeeded
in their goals of expanding coverage, creating robust
marketplaces, providing product variety, and generating
innovation in health care delivery. They discuss
empirical industrial organization research to date and
also highlight shortcomings in the existing research that
can be addressed moving forward. They conclude with a
discussion of industrial organization research-based
policy lessons for the ACA exchanges and, more generally,
for managed competition of private insurance in health
care.
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Source: National Bureau of Economic Research
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that provides descriptive information on over 200 state government programs. To provide
fiscal data, GPS links to Transparency Florida, the Legislature's website that includes
continually updated information on the state's operating budget and daily expenditures
by state agencies.
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