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February 9, 2024
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This report describes the results of a U.S. Bureau of
Justice Statistics study that assessed the feasibility of
collecting data on maternal health and pregnancy outcomes
from prisons and jails. It examined the availability and
quality of data, the respondent burden, and the challenges
of collecting data on the health and health care of
pregnant women in custody at the federal, state, local,
and tribal levels. The U.S. Bureau of Justice Statistics
will use the findings of this study to help determine the
best strategies for implementing national data collections
in correctional settings. Findings from this study suggest
that the U.S. Bureau of Justice Statistics could succeed
in collecting important data on maternal health from state
prisons, the Federal Bureau of Prisons, and local jails.
The collective interview findings suggest that it is
feasible to collect information on maternal health
practices; prevalence of pregnant women and demographics;
pregnancy test outcomes; types of accommodations,
services, and programs available for pregnant and
postpartum women; and the organization of maternal health
care.
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Source: U.S. Department of Justice, Bureau of Justice
Statistics
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This report, which examines the impact of community
supervision violations, is based on 4 years of data from
all 50 state corrections departments. The report found
that while the number of nationwide state prison
admissions from community supervision decreased by
one-third from 2018 to 2021, the impact of supervision
violations varied vastly state to state. From 2018 to
2021, the number of people incarcerated from community
supervision decreased in all but two states – Montana,
which had an increase, and Iowa, which had no change.
Eighteen states, including Florida, saw decreases of
30%-50% in the number of people incarcerated from
community supervision violations; 10 states reduced these
admissions by 50% or more. However, despite a national
decline, community supervision’s proportion of the prison
system has remained relatively consistent since the
Council of State Governments Justice Center’s first
report, with 44% of all state prison admissions in 2021
being people who violated the terms of their parole or
probation sentences.
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Source: Council of State Governments Justice Center
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Using data collected data from criminal legal system
agencies in all 50 states and more than 500 counties, as
well as from federal courts, the Federal Bureau of
Prisons, and U.S. Immigration and Customs Enforcement
(ICE), this report examines the size and scope of
electronic monitoring (EM) use in the United States as
well as the impacts of EM programs. The report found that
in 2021, 254,700 adults were under some form of EM. Of
these, 150,700 people were subjected to EM by the criminal
legal system and 103,900 by ICE. From 2005 to 2021, the
number of people on EM in the United States grew nearly
fivefold. Additionally, the number of adults placed on EM
by ICE more than tripled between 2021 and 2022, increasing
to 360,000. Regional trends in the criminal legal system
reveal how EM has been used more widely in some states and
cities but increased sharply from 2019 to 2021 across the
country: The midwest has the highest rate of state and
local criminal legal system EM at 65 per 100,000
residents. In the northeast, EM rates are the lowest of
all the regions at 19 per 100,000 residents, but they
increased by 46% from 2019 to 2021. The south and west
have similar rates, 41 and 34 per 100,000 residents
respectively, but the growth rate in the south has
outpaced that of the west in recent years – up 32% in the
south compared to 18% in the west.
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Source: Vera Institute of Justice
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Lottery transfers to the Educational Enhancement Trust
Fund increased in Fiscal Year 2022-23 to $2.45 billion,
$120 million (5%) more than the prior year. According to
Department of the Lottery officials, this increase is due
to the low operating expense rate while ticket sales have
increased. The department continues to outperform the
legislative performance standard for its operating expense
rate, which is the third lowest in the nation. In the past
year, the Lottery made several efforts to increase
revenue, including increasing the number of Lottery
retailers and recruiting a new chain store partner;
offering new games; adding self-checkout QUICKTICKET draw
games at approximately 250 Winn-Dixie stores; providing
enhancements and upgrades at Walmart Supercenters,
Southeastern Grocers stores, and Winn-Dixie liquor stores;
and enhancing player engagement. In addition, the Lottery
will add 500 vending machines by summer 2024 which is
anticipated to increase revenue and will place the number
of vending machines at the maximum permitted in the state
budget. Several games and product distribution options are
available to further increase transfers to education.
While the Lottery has taken steps to increase sales,
additional actions could further enhance sales and
ultimately increase transfers to education. For example,
the Legislature could consider authorizing the Lottery to
expand current games and product distribution methods to
enhance revenues. In addition, the Legislature could
consider authorizing or prohibiting the operation of
lottery courier services.
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Source: OPPAGA
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This report explores school structures that support
students' mathematics learning across the United States
and in the four largest states: California, Florida, New
York, and Texas. The authors do not examine the quality of
mathematics instruction students receive or how much
students have learned. Instead, they consider the ways
that elementary and middle schools are organized to
provide mathematics learning opportunities. The report
found that tracking in mathematics classes starts early in
many schools. According to principals' self-reports, a
greater proportion of Florida schools group students by
achievement level than schools in other states.
Furthermore, up to 20% more principals in large and
low-poverty middle schools reported grouping students by
achievement level into mathematics classes than in smaller
and high-poverty middle schools. Additionally, the report
found that students who struggle in mathematics classes
typically do not get the most experienced and
knowledgeable teachers, although state context matters.
The report also provides policy recommendations, such as
investigating ways to reduce biases in how students are
tracked by achievement level within and into mathematics
classes and providing opportunities for teachers to build
their knowledge of mathematics pedagogy and content.
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Source: RAND Corporation
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The first moving assembly line changed what it meant to
build a car. It also allowed Ford Motor Company to sell
automobiles at low prices and employ workers at high
wages. A century later, new technologies are having
equally as profound impacts on society—changing the
landscape of American jobs and driving demand for new
types of work. Over the past 30 years, the meaning of a
good job has been redefined by the rise of the internet,
information technology, and automation —just as Ford’s
assembly line transformed work one hundred years ago. But
as work has changed, career paths for workers
bifurcated—further separating those with a degree from
those without. Key findings in this report include that
over the last 30 years, the work that non-college and
college-educated workers do has bifurcated. The number of
full-time workers in managerial and professional
occupations has nearly doubled, but workers without a
college degree accounted for just 13% of this gain.
Non-college workers shifted away from stable jobs that
supported a middle-class life to work now at the bottom
end of the labor market. From 1992 to 2022, the number of
non-college workers in service and transportation jobs
surged by 25% to 18 million. The gap in pay between these
types of jobs is growing. Today, the average hourly wage
of professional class jobs is double that of service and
transportation jobs. And professional jobs offer better
benefits than service and transportation occupations.
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Source: Third Way
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As of June 30, 2023, the board’s Florida Growth Fund
Program made 145 such investments totaling $998 million;
these investments were either direct investments or
private equity funds with a Florida presence. This
includes new direct investments in 17 companies and 16
private equity funds totaling $75.4 million in Fiscal Year
2022-23. From fund inception in 2008 through June 30,
2023, the program distributed $965.7 million to the
Florida Retirement System Pension Fund. During the review
period, the amount distributed was $135 million. Since
inception, funds within the Florida Growth Fund Program
have generally met or exceeded benchmarks set for each
fund. The Florida Growth Fund Program’s investments have
resulted in economic benefits. As of June 30, 2023,
investment managers reported that program investments
created 6,783 jobs and made $703.4 million in capital
expenditures in Florida during the review period.
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Source: OPPAGA
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In this research, the authors measure road roughness
throughout America using vertical acceleration data from
Uber rides across millions of American roads. The measure
correlates strongly and positively with other measures of
road roughness where they are available, negatively with
driver speed, and the authors find road repair events
decrease roughness and increase speeds. The authors
measure drivers’ willingness-to-pay to avoid roughness by
measuring how speeds change with salient changes in road
roughness, such as those associated with town borders and
road repaving events in Chicago. These estimates suggest
the roughness of the median local road in the U.S.
generates welfare losses to drivers of at least 31 cents
per driver-mile. Roads are worse near coasts, and in
poorer towns and in poorer neighborhoods, even within
towns. The report finds that a household that drives 3,000
miles annually on predominantly local roads will suffer
$318 per year more in driving pain if they live in a
predominantly Black neighborhood than in a predominantly
White neighborhood. Road roughness modestly predicts
subsequent road resurfacing in New York City, but not in
three other cities, which suggests that repaving is only
weakly targeted towards damaged roads.
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Source: National Bureau of Economic Research
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This report describes variation in how high school
students used services from the Vermont vocational
rehabilitation (VR) agency and how a demonstration program
emphasizing work-based learning experiences affected that
use. State VR agencies offer pre-employment transition
services (pre-ETS) and other VR services to high school
students. The study compares youth with access to
demonstration services (the treatment group) to those
using usual services (the control group). Among all
control group youth, more than half only used pre-ETS
during a 24-month period, while about one-quarter used VR
services and the remainder used no services from the VR
agency. In contrast, nearly all treatment group youth used
some VR services, with a majority (59%) using both VR
services and pre-ETS. Control group youth who used pre-ETS
and VR services differed from those who did not use these
services by gender, disability type, employment, and
service receipt characteristics; treatment group youth had
fewer such differences. Earnings outcomes did not vary in
consistent or interpretable ways. The findings demonstrate
how an intervention designed to promote work-based
learning experiences increased pre-ETS and VR use and
decreased subgroup differences in service utilization.
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Source: Mathematica
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Statewide Medicaid Managed Care accounts for the majority
of state Medicaid expenditures. In Fiscal Year 2022-23 it
accounted for 65% of total expenditures, while the
fee-for-service program accounted for the remaining 35%.
Florida's Medicaid enrollment grew substantially in the
wake of the COVID-19 pandemic. Federal legislation
resulted in enrollment increases in Florida and across the
nation. When new congressional legislation ended these
changes and decreased federal funding, states were
required to return to normal eligibility and enrollment
operations and to conduct eligibility redeterminations.
Florida began redeterminations in April 2023. As of
October 2, 2023, AHCA reported that Florida is estimated
to have the ninth lowest procedural termination of
coverage rate among states. The Agency for Health Care
Administration’s (AHCA’s) Office of Medicaid Program
Integrity has primary responsibility for administering and
overseeing fraud and abuse prevention and detection
efforts throughout the state’s Medicaid program. In this
role, AHCA collaborates with federal and state agencies
and managed care organizations (MCOs). AHCA has
established annual performance targets for program
integrity, with specific emphasis on identifying and
preventing overpayments within the Medicaid program. AHCA
does not have agency performance targets for the detection
and prevention of fraud and abuse. Over the past five
fiscal years, the agency has failed to meet its targets
for identifying overpayments. During Fiscal Year 2021-22,
MCOs identified $187.8 million in overpayments, which was
a 23% decrease from the previous fiscal year. In recent
years, AHCA has shifted primary responsibility for fraud
prevention and detection activities to MCOs. Although
these organizations have met AHCA’s contractually
obligated performance targets for fraud referrals for
Fiscal Year 2022-23, the quality and utility of these
referrals is unknown. A U.S. Department of Health and
Human Services, Office of Inspector General report
estimated that in August 2020, AHCA made capitation
payments on behalf of over 55,000 Medicaid enrollees
concurrently enrolled in another state, resulting in $15.8
million in total program costs. An estimated $6.9 million
of these payments were made on behalf of recipients no
longer residing in Florida. In recent years, AHCA has
reportedly made efforts to enhance Medicaid program
integrity by improving data quality, data analytics, and
program oversight. Consistent with prior reports, OPPAGA
recommends that AHCA consider taking steps to improve data
analytics and program oversight, with particular emphasis
on the utility of internal and external performance
measures and inter-agency communication.
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Source: OPPAGA
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This report provides information on national performance
as well as the performance of individual states in seven
outcome categories pertaining to child abuse and neglect,
permanency, increasing placement stability, and reduction
of group home placements. Nationally, there were
approximately 407,000 children in foster care on the last
day of 2020, representing a decrease each year since 2018.
During 2020, an estimated 217,000 children entered foster
care, and approximately 224,000 children exited foster
care. Among the states, the foster care entry rate ranged
from 0.9 children per 1,000 in a state’s child population
to 13.2 children per 1,000 in a state’s population.
Florida’s foster care entry rate was 3.1. During 2020,
approximately 618,000 children were confirmed to be
victims of maltreatment. The overall national child victim
rate was 8.4 child victims per 1,000 children in the
population. State child victim rates varied dramatically,
ranging from 1.7 to 19.0 child victims per 1,000 children.
Florida’s child victim rate in 2020 was 6.6 per 1,000. In
2020, the national median with regard to the maltreatment
of children in foster care was 0.28%, with state medians
ranging from 0.00% to 2.23%. Florida’s child victim rate
was 0.01% of children in care. In 2020, states were mostly
successful in achieving permanency (i.e., discharge to
reunification, adoption, or legal guardianship) for all
children exiting foster care, with a national median of
90.3%. States were less successful in achieving permanent
homes for children exiting foster care who had a diagnosed
disability (median=82.1%) and for children who had entered
care when they were older than age 12 (median=62.9%). In
2020, states continued to struggle with achieving timely
adoptions. Nationally, the median for children discharged
to a finalized adoption within 12 months of the latest
removal was 2.5%, and more than half of states (70%) saw a
decline in performance between 2016 and 2020. For
adoptions occurring at least 12 months but less than 24
months from entry into foster care, national performance
declined 11.3% between 2016 and 2020, with more than half
(65%) of states demonstrating a decline. Among Florida
children who exited to adoption in 2020, most (35.1%) had
spent 24 to 36 months in care, followed by 32.1% who spent
12 to 24 months in care. In 2020, the majority of
children in foster care for less than 12 months remained
in a stable placement (i.e., having two or fewer placement
settings in a single foster care episode), with a national
median of 84.5%. States were less successful in achieving
placement stability the longer a child spent in foster
care. The median across states for children who were in
care between 12 and 24 months was 65.4%, and it was 40%
for children in care at least 24 months. Florida
demonstrated similar trends, with 84.5% of children in
care less than 12 months remaining in a stable placement,
compared to 65.9% of children in care between 12 and 24
months and 40.5% of children in care for 24 months or
longer. Overall, states continued to demonstrate
improvement in reducing placements of young children in
group homes or institutions. The median decreased from
3.2% in 2016 to 2.6% in 2020 (an 18.8% decline), and 35
states (69%) demonstrated an improvement in performance.
Florida’s placement of children age 12 or younger in group
homes or institutions decreased 4.4% to 2.3%.
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Source: U.S. Department of Health and Human Services,
Office of the Administration for Children and Families
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The 2019 novel coronavirus (COVID-19) pandemic led to an
increase in telemedicine use among physicians, from 15.4%
in 2019 to 86.5% in 2021. Interest has increased in how
telemedicine has affected a physician’s ability to deliver
quality care similar to an in-person office visit, and in
technological barriers to telemedicine use. This report
describes telemedicine use and challenges among physicians
sampled in the 2021 National Electronic Health Records
Survey. This report builds upon previous work and
describes the use of telemedicine, ability to provide
quality care during telemedicine visits, satisfaction with
telemedicine, and appropriateness of telemedicine use by
physician specialty type. Key findings from the report
include that more medical specialists (27.4%) used
telemedicine for 50% of their patient visits or more than
primary care physicians and surgical specialists.
Most primary care physicians (76.7%) and medical
specialists (73.1%) were able to provide a similar quality
of care during telemedicine visits as in-person visits “to
some extent or a great extent” compared with about
one-half of surgical specialists (50.6%). Primary care and
medical specialists were more likely to be satisfied with
telemedicine technology compared with surgical
specialists. Surgical specialists were most likely to
indicate that telemedicine technology was not appropriate
for their specialty or patients (49.7%), followed by
medical specialists (26.7%) and primary care physicians
(15.5%).
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Source: U.S. Department of Health and Human Services,
Centers for Disease Control and Prevention
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OPPAGA is currently accepting applications for a full-time, summer
Graduate Student Position.
OPPAGA is an ideal setting for gaining hands-on experience in policy analysis
and working on a wide range of issues of interest to the Florida Legislature.
OPPAGA provides an opportunity to work in a legislative policy research offices
with a highly qualified, multidisciplinary staff.
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Government Program Summaries (GPS) is a free resource for legislators and the public 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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