TANF and Child Welfare Programs:
Increased Data Sharing Could Improve Access to Benefits and Services
GAO-12-2, Oct 7, 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 caregivers. The U.S. Department of Health and Human Services (HHS) Administration for Children and Families (ACF) oversees TANF and child welfare programs, which are administered by states. GAO was asked to examine the (1) trends and composition of the child-only caseload, (2) characteristics of caregivers and children in nonparent child-only cases, (3) factors influencing the level of benefits and services for children with non-parent caregivers, and (4) coordination efforts between state TANF and child welfare programs. GAO analyzed federal TANF and child welfare data; surveyed states; interviewed HHS officials and researchers; and conducted site visits in Tennessee, Texas, and Washington, selected for variation in TANF caseload characteristics and implementation of programs to support relative caregivers.
Between fiscal years 2000 and 2008, TANF child-only cases increased slightly but represented a greater share of the overall TANF caseload because cases with adults in the assistance unit experienced a significant decline. The national composition of the TANF child-only caseload has remained relatively unchanged since 2000. At the end of 2010, the majority of children receiving TANF lived with parents who were ineligible for cash assistance, and one-third lived with nonparent caregivers who were relatives or unrelated adults. However, this composition varies by state. For example, in Tennessee, almost 60 percent of the TANF child-only caseload included children living with nonparent caregivers, compared with about 30 percent in Texas. Most nonparent caregivers in TANF child-only cases are unmarried women who are over 50 years old, and research suggests that they often have low incomes and health problems. The children tend to be related to their caregiver, who is often a grandparent, and they remain on assistance for at least 2 years. Some of these children live with nonparent caregivers as a result of parental abuse or neglect, substance abuse, incarceration, or mental illness, but these circumstances may or may not be known by the child welfare agency. The level of benefits and services available to children living with nonparents depends on the extent to which a child welfare agency becomes involved in the family's situation and the licensing status of the caregiver. Children in foster care with licensed foster parents are generally eligible for greater benefits and services than children in other living arrangements, who may receive TANF child-only assistance. For one child, the national average minimum monthly foster care payment is $511 while the average TANF child-only payment is $249. Most children live with relatives who do not receive foster care payments because they are not licensed foster parents or they are in informal arrangements without child welfare involvement. Other factors influencing the assistance made available to children in a relative's care include available federal funding, state budget constraints, and increased state efforts to identify relative caregivers to prevent children from being placed in the foster care system. Several state and local efforts are under way to coordinate TANF and child welfare services to better serve children living with relative caregivers, but information sharing is a challenge. Coordination efforts include colocating TANF and child welfare services and having staff from each agency work together to help relative caregivers access services. ACF currently provides grants to states and tribes to support collaboration between TANF and child welfare programs and plans to disseminate the findings. However, information and data sharing between the two programs does not occur consistently, which can hinder relatives' access to available benefits. For example, although HHS provides funding, guidance, and technical assistance to promote data sharing between TANF and child welfare programs, more than half of states reported obstacles to sharing data, such as privacy concerns. GAO recommends the Secretary of HHS direct ACF to provide more guidance on data sharing opportunities. HHS agreed with GAO's recommendation.
- Review Pending
- Closed - implemented
- Closed - not implemented
Recommendation for Executive Action
Recommendation: To help states share data between TANF and child welfare information systems operating within states, the Secretary of Health and Human Services should direct ACF to clarify its guidance and provide additional technical assistance to states on data sharing opportunities. For example, the HHS-funded National Resource Center for Child Welfare Data and Technology could collect information from states that are successfully sharing data, including how they addressed concerns about client confidentiality, and disseminate that information to all states.
Agency Affected: Department of Health and Human Services
Comments: HHS agreed with our recommendation and indicated it will provide additional guidance to states and tribes concerning the ability to share information between TANF and child welfare agencies. The Administration for Children and Families (ACF) reiterated their commitment to bringing about better data sharing between TANF and child welfare programs and plans to collaborate with the Administration on Children, Youth and Families to produce policy guidance that will inform States and Tribes of their responsibility to determine their own confidentiality rules regarding the safeguarding and disclosure of client information, as well as encourage jurisdictions to expand their data sharing between State and TANF and child welfare agencies. ACF also pointed to activities under way that address some of the issues identified in the report, such as the National Information Exchange Model (NIEM). The goal of NIEM is to facilitate intergovernmental sharing of accurate, complete, timely and appropriately secured information by all levels of government. Legislation enacted by Congress in 2011 directed HHS to designate by rule standard data elements for required data reporting and to designate data reporting standards governing the required reporting.