Published: February 2024

ID #: 283-5104

Journal: AJPM Focus

Authors: Tsai MM, Yeb JA, Jackson KE, Gosliner W, Fernald LCH, Hamad R

See more related research

Share


The U.S. safety net, which provides critical aid to households with low income, is composed of a patchwork of separate programs, and many people with low income benefit from accessing <1 program. However, little is known about multiprogram take-up, that is, participation conditioned on eligibility. This study examined individual and multiprogram take-up patterns and sociodemographic factors associated with multiprogram take-up of U.S. safety net programs. The Assessing California Communities’ Experiences with Safety Net Supports study interviewed Californians and reviewed their 2019 tax forms between August 2020 and May 2021. Take-up of safety net programs was calculated among eligible participants (n=365), including the Earned Income Tax Credit; Supplemental Nutrition Assistance Program; the Special Supplemental Nutrition Program for Women, Infants, and Children; and Medicaid. Multivariable regressions identified sociodemographic factors associated with take-up of multiple programs. Take-up was highest for Medicaid (90.6%) and lowest for Supplemental Nutrition Assistance Program (57.5%). Among people who received benefits from at least 1 other program, take-up ranged from 81.7% to 84.8% for the Earned Income Tax Credit; 54.4%-62.0% for Supplemental Nutrition Assistance Program; 74.3%-80.1% for Special Supplemental Nutrition Program for Women, Infants, and Children; and 89.7%-98.1% for Medicaid. Having a lower income and being younger were associated with concurrent take-up of Supplemental Nutrition Assistance Program and Special Supplemental Nutrition Program for Women, Infants, and Children. Among Supplemental Nutrition Assistance Program and Special Supplemental Nutrition Program for Women, Infants, and Children recipients, having higher income, being older, and being primarily English speaking were associated with Earned Income Tax Credit take-up.

Related Research

May 2025

Safety net program participation patterns, sociodemographic factors, and health: A latent transition analysis in a US cohort study

U.S. safety net programs provide critical support to Americans with low income. This cohort study examined patterns of safety net program take-up over time and associations with sociodemographics and health. Surveys among California households with low income (N=380) conducted in 2020-2021 and 2023 captured take-up of federal assistance programs (Medicaid; Supplemental Nutrition Assistance Program [SNAP]; More

December 2023

The association of safety-net program participation with government perceptions, welfare stigma, and discrimination

Safety-net programs in the United States offered critical support to counter food insecurity and poverty during the first year of the COVID-19 pandemic. The Supplemental Nutrition Assistance Program (SNAP) and the Earned Income Tax Credit (EITC) are both means-tested programs with significant benefits. Take-up of SNAP and EITC is lower in California than nationwide and More

June 2023

Experiences of distress and gaps in government safety net supports among parents of young children during the COVID-19 pandemic: a qualitative study

The COVID-19 pandemic prompted rapid federal, state, and local government policymaking to buffer families from the health and economic harms of the pandemic. However, there has been little attention to families’ perceptions of whether the pandemic safety net policy response was adequate, and what is needed to alleviate lasting effects on family well-being. This study More

July 2022

Longitudinal Study of Low-Income Families with Young Children: Assessing California Communities’ Experiences with Safety Net Supports Survey (ACCESS)

This is a unique opportunity to assess the longitudinal impact of COVID-19 related relief and recovery policies and existing safety net supports among economically disadvantaged California families raising young children. The goals of this study are to 1) characterize participant’s awareness and understanding of COVID-19 related relief supports such as Pandemic EBT, free school meals, More