Actively Recruiting
Disparities in Medicaid and SNAP Participation: the Effects of Work Requirements and the COVID-19 Pandemic
Led by Harvard Medical School (HMS and HSDM) · Updated on 2025-03-05
12500
Participants Needed
1
Research Sites
82 weeks
Total Duration
On this page
Sponsors
H
Harvard Medical School (HMS and HSDM)
Lead Sponsor
A
Abdul Latif Jameel Poverty Action Lab
Collaborating Sponsor
AI-Summary
What this Trial Is About
Researchers are studying the effects of work requirements in public assistance programs like Medicaid and the Supplemental Nutritional Assistance Program (SNAP) in Virginia. This randomized controlled trial aims to understand how these policies impact insurance coverage, SNAP participation, employment, food insecurity, and health outcomes, with a focus on racial, ethnic, and geographic disparities. The study also considers the added challenges from the COVID-19 pandemic and economic downturn. The trial involves different groups with varying work requirement exemptions and recertification periods for SNAP participants. Some groups have no changes, while others have exemptions ranging from 6 to 12 months and recertification periods extended from 6 to 12 months. These variations allow researchers to assess how additional exemption months before work requirements start and changes in recertification timing affect outcomes. Participants will be monitored for up to 24 months after randomization using administrative data and surveys. Researchers will track SNAP enrollment, employment status, earnings, Medicaid participation, hospitalizations, credit scores, evictions, crime records, food insecurity, health status, depression, community engagement, housing stability, reasons for SNAP exit, employment barriers, work hours, medical bill difficulties, and insurance coverage. This comprehensive follow-up aims to evaluate the overall and subgroup effects of these policies during ongoing social and economic challenges.
CONDITIONS
Brief Title
The Effect of Work Requirements in SNAP in Virginia
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Eligible for Virginia's SNAP program as an "able-bodied adult without dependents" (ABAWD) and thus subject to work requirements
- Age between 18 and 49 years
You will not qualify if you...
- Categorical exemption from work requirements for any reason (e.g., has a disability, has dependents, resides in a geographic area where work requirements have been waived due to elevated employment)
AI-Screening
AI-Powered Screening
Complete this quick 3-step screening to check your eligibility
Your Study Journey
Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 screening and enrollment visit
Duration - Up to 24 months after randomization
Participants receive different durations of work requirement exemptions and recertification periods as part of the study interventions.
Survey administered approximately 1 year after randomization begins
Trial Site Locations
Total: 1 location
1
Virginia Department of Social Services (Home Office)
Glen Allen, Virginia, United States, 23060
Actively Recruiting
Research Team
T
Timothy J Layton, PhD
A
Adrianna McIntyre, PhD
How is the study designed?
Study Type
INTERVENTIONAL
Masking
NONE
Allocation
RANDOMIZED
Model
FACTORIAL
Primary Purpose
HEALTH_SERVICES_RESEARCH
Number of Arms
5
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