Several states have invested in 1915(c) Home and Community Based Service (HCBS) Medicaid policies to improve outcomes and reduce costs for children and youth with significant behavioral health needs, or Severe Emotional Disturbance (SED). However, little is known about these programs and the children they serve. Through a retrospective…

This article compares state expenditure data to see how the operating budgets of public community colleges specifically, and public higher education institutions generally, have fared over the past 30 years. Data from the National Association of State Budget Officers (NASBO) have long tracked major state expenditure categories, including the…

Over the past 20 years, substance use (SU) among adolescents has decreased to the lowest levels in decades. While there has been a decline, these public health successes have not been shared equally. Significant racial and ethnic disparities exist, with Black and Latinx adolescents, as well as adolescents from lower socioeconomic backgrounds,…

This research aims to describe the characteristics of 1915(c) Home- and Community-Based Services waivers for children with autism spectrum disorder across states and over time. While increasingly popular, little is known about these Medicaid waivers. Understanding the characteristics of these programs is important to clinicians and policymakers in…

This report analyzes data for secondary special education students in Washington who left high school during the 2013-14 school year. These data were collected by the state starting on June 1, 2015, from all 233 districts with high schools: 230 districts, two state schools, and one educational service agency (a collection of 27 small districts…

The Center for Disease Control (CDC) estimates that up to 500,000 individuals under the age of 21 have autism, Asperger's syndrome, and other neurological disorders. These increasing numbers are already beginning to impact state and local governmentally funded programs as they face shortfalls, forcing parents to absorb more of their children's…

Families and individuals with developmental disabilities are leading the way in establishing innovative housing options. They are creating homes with supportive services more tailored to specific individual needs. They are developing homes with physical environments that feel more like home, or are more therapeutic. And they are taking steps…

Purpose: This study describes Florida's model of Medicaid nursing home (NH) reimbursement to compensate NHs for disaster-related expenses incurred as a result of 8 hurricanes within a 2-year period. This Florida model can serve as a demonstration for a national model for disaster-related reimbursement. Design and Methods: Florida reimburses NHs…

After the passage of the Patient Protection and Affordable Care Act, thousands of families across the U.S. breathed a sigh of relief at the White House's reassurance: "Reform will eliminate health insurance discrimination against people with disabilities." However, the actual language of the law and the proposed implementation timeline of the…

The Children's Health Insurance Program Reauthorization Act (CHIPRA) of 2009 gave states additional resources and tools aimed at improving participation in Medicaid and the Children's Health Insurance Program (CHIP). In 2007, five million uninsured children were eligible for Medicaid or CHIP, constituting 64 percent of all uninsured children.…