Employment and Workplace

Medicaid Work Requirements: Results from the First Year in Arkansas

In June 2018, Arkansas became the first state to implement work requirements in Medicaid. Benjamin D. Sommers, Anna L. Goldman, Robert J. Blendon, E. John Orav, and Arnold M. Epstein of Harvard University provide the first independent assessment of early changes in beneficiary coverage and employment after the work requirements went into effect.

Commentary

Across the country, changes to Medicaid policy are under way. They hold the potential to dramatically alter the landscape of health care for millions of low-income individuals.

The Cost of Shift Work Policies in the Manufacturing Industry

Numerous studies have shown that 12-hour shifts, rotating shifts, and unpredictable work schedules are associated with greater risk of chronic health conditions including mental illness, cardiovascular disorders, gastrointestinal disorders, and obesity. Although large manufacturing companies recognize the risks, they cite several arguments in favor of maintaining them, including the 24/7 production schedule, and in some cases, employee preferences for long shifts to maximize days off and pay.

Labor Market Effects of U.S. Sick Pay Mandates

To date, sick pay mandates have been implemented in seven states and dozens of cities across the U.S. Nicolas R. Ziebarth of Cornell University and colleague Stefan Pichler of ETH Zurich assess the causal labor market effects of nine city-level and four state-level pay mandates.

How will Work Requirements in Medicaid Affect Low-Income Families?

While multiple studies show a positive association between employment status and improved physical and mental health, it is unclear whether this relationship is causal. Building on work in Kentucky, Louisiana, Arkansas, and Texas, the research team will analyze the effects of Medicaid work requirements on coverage rates, access to care, and employment among low-income adults.

Commentary

Heidi Hartmann and Will Dow are the codirectors of P4A’s new Research Hub at the Institute for Women’s Policy Research and the University of California, Berkeley. We sat down with them to learn more about their research portfolio and why it matters for policymakers, advocates, and community leaders.

Can San Francisco’s Paid Parental Leave Ordinance Help Close the Gap for Low-income Families?

Since 2004, California’s state disability insurance program has provided six weeks of parental leave at 55 percent pay (in addition to typically 6-8 weeks of postpartum disability leave for biological mothers, also at 55 percent pay). However, many parents—especially those of lower-income—cannot afford to take this bonding leave at only partial pay. San Francisco’s new Paid Parental Leave Ordinance (PPLO) addresses this issue by requiring San Francisco employers to supplement up to 100% pay for six weeks of parental bonding leave.

Who’s Watching the Kids?: Family-friendly Schedules and Child Care Stability

Many hourly workers, especially in the retail sector, contend with unstable and unpredictable work schedules in which the number of hours, the days of the week, and the times of day that they work vary substantially from week to week. This chronic instability is likely to negatively affect workers and could also have spillover effects for children.