FEDERAL AND STATE POVERTY
RELATED PROGRAMS IN
SOUTHWEST VIRGINIA:
THE GOOD, THE BAD AND THE UGLY
MARY BETH DUNKENBERGER & ...
State and Federal Programs
 Programs to Prevent Poverty and to Increase
Incomes of Individual and Families
 Often referr...
State and Federal Programs
 Programs to Alleviate the Circumstances of Poverty
 Often referred to as benefit, entitlemen...
State and Federal Programs of Focus
The Quick and Dirty
 Medicaid
 Insurance program for qualifying low-income individuals or
families. Joint state and fede...
Once Upon a Time in the West
Once Upon a Time in the West

Once Upon a Time in the West
Source: Virginia Performs
Once Upon a Time in the West
Once Upon a Time in the West
Once Upon a Time in the West
Once Upon a Time in the West
Source: Virginia Performs
Medicaid: A Fistful of Dollars
 Fact: Virginia ranks 24th in spending per recipient;
and 48th in spending per capita (Vir...
TANF: For a Few Dollars More
 Fact: Able-to-work parents receiving TANF, unless otherwise
exempted, are required to parti...
SSI: The Stage Coach (Not the Destination)
 Fact: SSI benefits increased in 2013 to $710 for an individual
and $1,066 for...
SSI: The Stage Coach (Not the Destination)
MSA SSI
Monthly
Payment
9 (2012)
SSI as %
of
Median
Income
% of SSI
for 1
bedro...
True Grit: The Voice of the Individual
http://www.youtube.com/watch?v=rFzCy4mTBsE&fe
ature=youtu.be&noredirect=1
Contact Information
Mary Beth Dunkenberger
Senior Program Director/Research Faculty
Virginia Tech Institute for Policy and...
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The Application of Federal and State Poverty Related Programs in Southwest Virginia: The Good, the Bad and the Ugly - Mary Beth Dunkenberger

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  • Programs that both alleviate and seek to prevent poverty
  • Programs that both alleviate and seek to prevent poverty
  • Programs that both alleviate and seek to prevent poverty
  • Next five slides are indicators and symptoms of Southwest Virginia high poverty rates, and the underlying problems that perpetuate cycles of poverty
  • Virginia Medicaid Innovation and Reform Commission – met June 17th; next meeting 8/19ACA – parity for mental health and substance abuse; provider reimbursement up to Medicare rateCompliance with appointments related to transportation issues.
  • SSI – by many seen as a temporary means to obtaining services for low income
  • SSI – by many seen as a temporary means to obtaining services for low income http://www.tacinc.org/knowledge-resources/priced-out-findings/
  • An example of digital story created by NRV teen working with Virginia Tech through Healthy NRV project
  • The Application of Federal and State Poverty Related Programs in Southwest Virginia: The Good, the Bad and the Ugly - Mary Beth Dunkenberger

    1. 1. FEDERAL AND STATE POVERTY RELATED PROGRAMS IN SOUTHWEST VIRGINIA: THE GOOD, THE BAD AND THE UGLY MARY BETH DUNKENBERGER & HOLLY LESKO VIRGINIA TECH INSTITUTE FOR POLICY AND GOVERNANCE Cabell Brand Foundation Poverty Today: Challenges and Opportunities Symposium July 19th, 2013
    2. 2. State and Federal Programs  Programs to Prevent Poverty and to Increase Incomes of Individual and Families  Often referred to as stimulus or step up programs.  Earned Income Tax Credit  Child Care Tax Credit  Unemployment Insurance  Education Grants – Pell Grants, etc.
    3. 3. State and Federal Programs  Programs to Alleviate the Circumstances of Poverty  Often referred to as benefit, entitlement or safety net programs  Medicaid  Temporary Aid to Needy Families (TANF/ VIEW)  Social Security - Supplemental Security Income (SSI)  Supplemental Nutrition Assistance Program (SNAP)  School Lunch Program
    4. 4. State and Federal Programs of Focus
    5. 5. The Quick and Dirty  Medicaid  Insurance program for qualifying low-income individuals or families. Joint state and federal program but operated by the state where coverage may vary.  Temporary Aid to Needy Families (TANF)  Federal block grant administered by states targeted to needy families with children. TANF emphasizes self sufficiency through work participation requirements, benefit time limits, and initiatives to encourage two-parent families.  Supplemental Security Income (SSI)  Federal program pays benefits to disabled adults and children who have limited income and resources.
    6. 6. Once Upon a Time in the West
    7. 7. Once Upon a Time in the West 
    8. 8. Once Upon a Time in the West Source: Virginia Performs
    9. 9. Once Upon a Time in the West
    10. 10. Once Upon a Time in the West
    11. 11. Once Upon a Time in the West
    12. 12. Once Upon a Time in the West Source: Virginia Performs
    13. 13. Medicaid: A Fistful of Dollars  Fact: Virginia ranks 24th in spending per recipient; and 48th in spending per capita (Virginia Medicaid Innovation and Reform Commission )  Good: Compared with other states Virginia plan has more services covered.  Bad: Virginia plan has limited eligibility criteria, physician reimbursement has historically averaged 50% - 75% of provider cost.  Ugly: No coverage for dental care, only extractions in case of severe infection. Provider shortage in SW Virginia. Cuts to mental health services.
    14. 14. TANF: For a Few Dollars More  Fact: Able-to-work parents receiving TANF, unless otherwise exempted, are required to participate in the Virginia Initiative for Employment not Welfare (VIEW) program. Time limited to 60 total months (24;24;12)  Good: Program provides a range of supports from child care, transportation  Bad: Participation requirements allow little or no time for training and education; limited employment opportunities in SW Virginia.  Ugly: Disincentives to risk move to better jobs, employers cutting hours in advance of ACA requirements; move to require drug testing w/o substance abuse treatment
    15. 15. SSI: The Stage Coach (Not the Destination)  Fact: SSI benefits increased in 2013 to $710 for an individual and $1,066 for a couple. Some States supplement the Federal SSI benefit with additional payments.  Good: Most often those qualifying for SSI also automatically qualify for Medicaid. In Virginia this is a separate process. Work incentives allow individuals to maintain benefits and employment.  Bad: SSI benefits do not alone serve to alleviate poverty. Work incentive supports are fragmented and generally not available in Southwest Virginia.  Ugly: The disabled, even those on SSI, make up the largest proportion of homeless individual's and families.
    16. 16. SSI: The Stage Coach (Not the Destination) MSA SSI Monthly Payment 9 (2012) SSI as % of Median Income % of SSI for 1 bedroom apt % of SSI for Efficienc y apt NRV $698 17.5% 92% 79% Roanoke $698 15.6% 129% 121% National $726 19.2% 104% 90%
    17. 17. True Grit: The Voice of the Individual http://www.youtube.com/watch?v=rFzCy4mTBsE&fe ature=youtu.be&noredirect=1
    18. 18. Contact Information Mary Beth Dunkenberger Senior Program Director/Research Faculty Virginia Tech Institute for Policy and Governance (http://www.ipg.vt.edu/) School of Public and International Affairs 205 West Roanoke Street Blacksburg, VA 24061 540-231-3979 mdunkenb@vt.edu

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