Child care programs (1 - 10 of 61 items)
Temporary Assistance for Needy Families: An Overview of Spending, Federal Oversight, and Program Incentives
GAO-15-572T: Published: Apr 30, 2015. Publicly Released: Apr 30, 2015.
While the Temporary Assistance for Needy Families (TANF) block grant serves as the nation's major cash assistance program for low-income families with children, states increasingly use it as a flexible funding stream for supporting a broad range of allowable services. For example, in December 2012 GAO found that nationwide, in fiscal year 1997, states spent about 23 percent of TANF funds on servic...
Foster Care: HHS Needs to Improve the Consistency and Timeliness of Assistance to Tribes
GAO-15-273: Published: Feb 25, 2015. Publicly Released: Feb 25, 2015.
Indian tribes developing title IV-E foster care programs faced resource constraints and reported challenges adopting some program requirements. According to GAO's interviews with tribal and Department of Health and Human Services (HHS) officials, the resource constraints faced by tribes include limited numbers of staff and staff turnover. While the Fostering Connections to Success and Increasing A...
Foster Children: HHS Guidance Could Help States Improve Oversight of Psychotropic Prescriptions
GAO-12-270T: Published: Dec 1, 2011. Publicly Released: Dec 1, 2011.
Foster children have often been removed from abusive or neglectful homes and tend to have more mental health conditions than other children. Treatment may include psychotropic drugs but their risks to children are not well understood. Medicaid, administered by states and overseen by the Department of Health and Human Services (HHS), provides prescription drug coverage to foster children. This test...
TANF and Child Welfare Programs: Increased Data Sharing Could Improve Access to Benefits and Services
GAO-12-2: Published: Oct 7, 2011. Publicly Released: Oct 20, 2011.
In 2010, over 40 percent of families receiving cash assistance through the Temporary Assistance for Needy Families (TANF) program were "child-only," meaning the adults in the household were not included in the benefit calculation, and aid was provided only for the children. TANF and child welfare programs provide cash assistance and other services that support children living with nonparent caregi...
Human Services Programs: Opportunities to Reduce Inefficiencies
GAO-11-531T: Published: Apr 5, 2011. Publicly Released: Apr 5, 2011.
The federal government, often in concert with states, provides assistance to millions of individuals and families each year through a multiplicity of programs. These programs play a key role in supporting workers who have lost their jobs, families with low-incomes, and vulnerable children who have experienced abuse and neglect. However, given the fiscal pressures facing the federal government and...
Child Support Enforcement: Departures from Long-term Trends in Sources of Collections and Caseloads Reflect Recent Economic Conditions
GAO-11-196: Published: Jan 14, 2011. Publicly Released: Feb 2, 2011.
In fiscal year 2009, the child support enforcement (CSE) program collected about $26 billion in child support payments from noncustodial parents on behalf of more than 17 million children. The CSE program is run by states and overseen by the Department of Health and Human Services (HHS). States receive federal performance incentive payments and a federal match on both state CSE funds and, except f...
Children with Down Syndrome: Families Are More Likely to Receive Resources at Time of Diagnosis Than in Early Childhood
GAO-11-57: Published: Oct 8, 2010. Publicly Released: Oct 8, 2010.
On October 8, 2008, the Prenatally and Postnatally Diagnosed Conditions Awareness Act was signed into law, requiring GAO to submit a report concerning the effectiveness of current health care and family support programs for the families of children with disabilities. In this report, GAO focused on Down syndrome because it is a medical condition that is associated with disabilities and occurs frequ...
Temporary Assistance for Needy Families: Implications of Caseload and Program Changes for Families and Program Monitoring
GAO-10-815T: Published: Sep 21, 2010. Publicly Released: Sep 21, 2010.
The Temporary Assistance for Needy Families (TANF) program, created in 1996, is one of the key federal funding streams provided to states to assist women and children in poverty. A critical aspect of TANF has been its focus on employment and self-sufficiency, and the primary means to measure state efforts in this area has been TANF's work participation rate requirements. Legislative changes in 200...
Temporary Assistance for Needy Families: Fewer Eligible Families Have Received Cash Assistance Since the 1990s, and the Recession's Impact on Caseloads Varies by State
GAO-10-164: Published: Feb 23, 2010. Publicly Released: Mar 11, 2010.
Following sweeping changes made to federal welfare policy in 1996 with the creation of the Temporary Assistance for Needy Families (TANF) program, the number of needy families who received cash assistance fell by more than half to 1.7 million in 2008. Poverty among children also fell from about 21 percent in 1995 to about 16 percent in 2000, rising again to 19 percent in 2008. The current recessio...
Foster Care: State Practices for Assessing Health Needs, Facilitating Service Delivery, and Monitoring Children's Care
GAO-09-26: Published: Feb 6, 2009. Publicly Released: Feb 6, 2009.
Providing health care services for foster children, who often have significant health care needs, can be challenging. The Administration for Children and Families (ACF) oversees foster care, but state child welfare agencies are responsible for ensuring that these children receive health care services, which are often financed by Medicaid. In light of concerns about the health care needs of foster...