Laying New Foundations: An Anti-Racist Framework for Reimagining Medicaid, CHIP, TANF, & CCDF

Everyone deserves the opportunity to lead a healthy, stable, and economically secure life. Many government programs aim to provide a stable foundation for all families, but fall short due to legacies of racism. This report puts forth a visionary framework with principles for anti-racist policymaking, focusing on Medicaid, the Children’s Health Insurance Program (CHIP), the Child Care and Development Fund (CCDF), and Temporary Assistance for Needy Families (TANF). It includes three spotlights from leaders in Puerto Rico, Texas, and the District of Columbia applying these principles to advance racial and economic justice in their communities.

Re-Envisioning Medicaid & CHIP as Anti-Racist Programs

Racial and ethnic disparities in the health care system have long impeded our nation’s health and well-being. For everyone in the U.S. to achieve their full potential—and for our nation to achieve its full potential—we must ensure equitable access to high-quality health care. This report presents an anti-racist re-imagining of the Medicaid and CHIP programs that actively reckons with the racist history of health care coverage. The report offers recommendations to advance racial equity in Medicaid and CHIP. It also provides principles to guide anti-racist policy transformations that center program participants and their communities.

Blog: Advancing Data Equity for U.S. Territories

Millions of people living in the U.S. territories—including American Samoa, Guam, the Northern Mariana Islands, Puerto Rico, and the U.S. Virgin Islands—are often excluded from federal statistical data collection. This contributes to a significant racial justice issue. Without comprehensive data, policymakers and researchers cannot fully understand the socio-economic challenges faced by all U.S. residents, including people living in the territories, who are disproportionately people of color. This blog—originally published by the Leadership Conference on Civil and Human Rights—highlights the disparities in data collection between the U.S. territories and the rest of the U.S., the need for collecting high-quality data in U.S. territories, and the negative implications of analyzing an incomplete portrait of the nation.

Advancing Data Equity for U.S. Territories

The U.S. cannot fully understand itself as a nation and the needs of its people without timely, complete, and accurate statistics on all of its citizens and residents. However, millions of U.S. citizens and residents living in the U.S. territories are not included in many key government data collection efforts and publications. These data disparities undermine the ability of policymakers and researchers to understand national and local challenges, including the unique risks posed by the climate emergency and pervasive social and economic inequalities. This brief—published jointly with Equally American—analyzes the implications of inadequate data collection in the U.S. territories and recommends steps federal policymakers can take to improve the timeliness and accuracy of data and understand the social, environmental, and economic challenges residents of U.S. territories face.

Advancing American Indian & Alaska Native Data Equity: Representation in Federal Data Collections

The United States must improve its data collection efforts in order to ensure equitable representation of American Indian and Alaska Native (AI/AN) populations. Inequitable data have deep and pervasive impacts on American social, political, and economic systems. The current lack of accurate, reliable, and sufficiently detailed data risks making AI/AN peoples invisible to policymakers and reinforcing existing dynamics of marginalization. This report explores the history of AI/AN data in federal data collections, describes some nuances of working with AI/AN population data, and highlights the undercounting and underrepresentation of AI/AN populations in federal data collections. It also recommends proposed changes to data collection to increase equitable representation for AI/AN populations, which must be done in consultation with Tribal Nations in accordance with tribal sovereignty.

Re-Envisioning TANF: Toward an Anti-Racist Program That Meaningfully Serves Families

An America where no one experiences poverty is possible. Already, the U.S. has programs with the potential to make this vision a reality, including programs that provide cash assistance, like Temporary Assistance for Needy Families (TANF). The current TANF program provides very little cash assistance and is marked by stark racial disparities, but it has the potential to reduce child poverty, increase economic security, and advance racial equity. This report offers a vision for an anti-racist approach to the TANF program, with new statutory goals and policy recommendations to advance racial justice.

Why We Need #TamponsForAll

Price increases for basic necessities like tampons have a real cost. Period poverty—the lack of access to sanitary products due to financial constraints—is a public health crisis deserving of a coordinated response that profit-driven private corporations are neither motivated nor prepared to provide. We need resilient supply chains that can be relied on to get basic necessities into the hands of the people who need them—and that will surely require public investment and accountability for powerful corporations.

Concentrated Power, Concentrated Harm: Market Power’s Role in Creating & Amplifying Racial & Economic Inequality

Market power exists when one or more companies can profitably set prices for goods, services, and wages; and determine the quality, accessibility, and availability of goods and services. Market power, intertwined with deeply entrenched structural racism and class inequality, can have life-or-death consequences. This report explores the real-world impact of market power on the lives of people of color and people with low incomes–as workers, consumers, and entrepreneurs–their communities, and society at large. The research shows that market power contributes to economic insecurity and hardship in low-income communities and communities of color, including by driving down wages and benefits; limiting and controlling the availability of goods, services, and jobs; and undermining American prosperity and democracy.

Administrative Data in the 2020 Census: Considerations for Civil Rights Groups

Since its inception at the turn of the 20th century, the Census Bureau has pioneered cutting edge methods and technologies to meet the vast and increasingly complex challenge of counting everyone in the United States. Civil rights organizations often work with the Census Bureau to ensure that innovations advance the accuracy and fairness of the decennial census. This brief focuses on one of the most significant areas of innovation over the past century: the use of “administrative data” (AD). AD are typically collected by government agencies and private-sector organizations while administering a program or service. For example, the U.S. Postal Services collects address information while delivering mail, creating an address dataset. This brief provides a definition of AD and a summary of how AD were used in the 2020 Census. The brief also introduces some key equity considerations regarding AD usage and offers potential next steps for civil rights groups.

2020 Census Count Question Resolution & Population Estimates Challenge Programs: Opportunities for Improving Postcensal Population Estimates

Census data are essential to equitable distribution of political power and federal resources for programs that support economic security, health, education, and more. In the years between each census, the Census Bureau produces annually-updated estimates of the nation’s population using the most recent census count as a starting point. To improve the quality of these updated population estimates, the bureau provides Tribal, state, and local governments with opportunities to identify and address a limited range of mistakes. These opportunities include the Count Question Resolution (CQR) and Population Estimates Challenge (Challenge) programs. This brief provides a clear description of these programs (and their limitations) to help stakeholders understand and engage in these opportunities to pursue more accurate population estimates.