End Notes
[1] The authors thank Anna Zhou, former intern with CBPP, for excellent research assistance.
[2] Signe-Mary McKernan, Caroline Ratcliffe, and Breno Braga, “The Effect of the US Safety Net on Material Hardship over Two Decades,” Journal of Public Economics, Vol. 197, May 2021, https://doi.org/10.1016/j.jpubeco.2021.104403.
[3] Katherine Rittenhouse, “Income and Child Maltreatment: Evidence from a Discontinuity in Tax Benefits,” Review of Economics and Statistics, December 2025, https://doi.org/10.1162/REST.a.1690; Lindsey R. Bullinger, Analisa Packham, and Kerri M. Raissian, “Effects of Universal and Unconditional Cash Transfers on Child Abuse and Neglect,” (Working Paper No. 31733), National Bureau of Economic Research (NBER), September 2023, https://doi.org/10.3386/w31733.
[4] Administration for Children and Families Administration on Children, Youth and Families, Children’s Bureau, “Child Maltreatment 2024,” U.S. Department of Health and Human Services, January 16, 2026, https://acf.gov/sites/default/files/documents/cb/cm2024.pdf.
[5] As of 2025, 28 states include exceptions for reasons of financial inability/poverty in their statutory definitions of child neglect. Stephen Christian, “How States Define Child Neglect: A 50-State Review,” Bipartisan Policy Center, April 2025, https://bipartisanpolicy.org/wp-content/uploads/2025/08/Child-Neglect-State-Definitions.pdf.
[6] Samita Wilson et al., “Children’s experiences with Child Protection Services: A synthesis of qualitative evidence,” Children and Youth Services Review, Vol. 113, June 2020, https://www.sciencedirect.com/science/article/pii/S0190740919311697.
[7] Children’s Bureau, 2026; Children’s Bureau, Child Welfare Information Gateway, “How the Child Welfare System Works,” May 2025, https://cwig-prod-prod-drupal-s3fs-us-east-1.s3.amazonaws.com/public/documents/how-child-welfare-system-works.pdf
[8] Based on the share of adults ages 18 to 64 with family incomes below 200 percent of the federal poverty level experiencing material hardship in the past 12 months relative to share of all adults ages 18 to 64, by presence of children younger than 18 in the household in Urban Institute’s Well-Being and Basic Needs Survey, December 2023. Margot Crandall-Hollick et al., “An Expanded Child Tax Credit Could Help Low-Income Families Facing Material Hardships,” Urban Institute, December 16, 2024, https://www.urban.org/research/publication/expanded-child-tax-credit-could-help-low-income-families-facing-material-hardships.
[9] Margaret M.C. Thomas and Jane Waldfogel, “What kind of ‘poverty’ predicts CPS contact: Income, material hardship, and differences among racialized groups,” Children and Youth Services Review, Vol. 136, May 2022, https://doi.org/10.1016/j.childyouth.2022.106400. Controls included: child sex at birth; child low birthweight; mother U.S.-born status; child age, mother age; mother education level; mother housing status; mother marital/co-residence status; mother number of children; father’s contact w/child; mother poor health status; mother depression.
[10] Nia Heard-Garris et al., “Structuring Poverty: How Racism Shapes Child Poverty and Child and Adolescent Health,” Academic Pediatrics, Vol. 21, No. 8, 2021, https://doi.org/10.1016/j.acap.2021.05.026; Rebecca Dixon and Amy M. Traub, “Desegregating Opportunity: Why Uprooting Occupational Segregation Is Critical to Building a Good-Jobs Economy,” National Employment Law Project, May 2024, https://www.nelp.org/app/uploads/2024/05/Desegregating-Opportunity-May-2024.pdf.
[11] Kathi L.H. Harp and Amanda M. Bunting, “The Racialized Nature of Child Welfare Policies and the Social Control of Black Bodies,” Social Politics, Vol. 27, No. 2, 2020, https://doi.org/10.1093/sp/jxz039.
[12] Children’s Rights and Columbia Law School Human Rights Institute, “Racial (In)Justice in the U.S. Child Welfare System,” July 2022, https://e1.nmcdn.io/assets/crsite/wp-content/uploads/imported-files/Childrens-Rights-2022-UN-CERD-Report-FINAL.pdf; National Child Welfare Workforce Institute and Children’s Bureau, “Indian Child Welfare Timeline,” 2022, https://ncwwi.org/wp-content/uploads/2022/03/Indian-Child-Welfare-Timeline.pdf.
[13] Tia Palermo et al., “Systematic Review of the Impacts of U.S. Social Safety Nets on Child Maltreatment,” American Journal of Preventive Medicine, Vol. 67, No. 3, September 2024, https://doi.org/10.1016/j.amepre.2024.05.019.
[14] Maria Cancian, Mi-Youn Yang, and Kristen Shook Slack, “The Effect of Additional Child Support Income on the Risk of Child Maltreatment,” Social Service Review, Vol. 87, No. 3, September 2013, https://doi.org/10.1086/671929.
[15] Dottie Rosenbaum et al., “SNAP’s ‘Broad-Based Categorical Eligibility’ Supports Working Families, Older Adults, and Those Saving for the Future,” CBPP, March 17, 2025, https://www.cbpp.org/research/food-assistance/snaps-broad-based-categorical-eligibility-supports-working-families-and-0; Anna E. Austin et al., “State expansion of Supplemental Nutrition Assistance Program eligibility and rates of foster care entries,” Child Abuse & Neglect, Vol.145, November 2023, https://doi.org/10.1016/j.chiabu.2023.106399; Anna E. Austin et al., “Association of State Expansion of Supplemental Nutrition Assistance Program Eligibility With Rates of Child Protective Services–Investigated Reports,” JAMA Pediatrics, Vol. 177, No. 3, January 2023, https://doi.org/10.1001/jamapediatrics.2022.5348; Michelle Johnson-Motoyama et al., “Association Between State Supplemental Nutrition Assistance Program Policies, Child Protective Services Involvement, and Foster Care in the US, 2004-2016,” JAMA Network Open, Vol. 5, No. 7, July 13, 2022, https://doi.org/10.1001/jamanetworkopen.2022.21509.
[16] Johnson-Motoyama et al., 2022.
[17] Nicole L. Kovski et al., “Short-Term Effects of Tax Credits on Rates of Child Maltreatment Reports in the United States,” Pediatrics, Vol. 150, No. 1, July 2022, https://doi.org/10.1542/peds.2021-054939; Rittenhouse, 2025.
[18] Bullinger et al., 2023.
[19] Compared to estimates on overall maltreatment or neglect-related outcomes, estimates of protective effects of income supports against physical abuse are generally smaller and less precise. A small number of studies estimate the effects of income support programs on sexual, psychological, or emotional abuse of children, which make up a small share of substantiated reports, and find no significant relationship. Lawrence M. Berger et al., “Income and Child Maltreatment in Unmarried Families: Evidence from the Earned Income Tax Credit,” Review of Economics of the Household, Vol. 15, No. 4, 2017, https://doi.org/10.1007/s11150-016-9346-9; Nicole L. Kovski et al., “Association of State-Level Earned Income Tax Credits With Rates of Reported Child Maltreatment, 2004–2017,” Child Maltreatment, Vol. 27, No. 3, 2022, https://doi.org/10.1177/1077559520987302; Austin et al., “Association of State Expansion of Supplemental Nutrition Assistance Program Eligibility With Rates of Child Protective Services–Investigated Reports.”
[20] Stanford Basic Income Lab, Global Map of Basic Income Experiments, 2025, https://basicincome.stanford.edu/research/basic-income-experiments/.
[21] In ORUS, parenting quality was measured using the Alabama Parenting Questionnaire, a series of survey questions measuring parenting behavior across five domains: use of corporal punishment, inconsistent discipline, parental involvement, poor monitoring/supervision, and positive parenting. Tentative findings from the ORUS study suggest that the improvement in parenting quality may be driven by declines in corporal punishment and improved supervision. BFY saw a significant increase in the Parent-Child Activities Index, which measures the frequency with which mothers report engaging in activities such as reading books or playing with their children, as well as a reduction in spanking at age 2. Patrick K. Krause et al., “The Impact of Unconditional Cash Transfers on Parenting and Children,” (Working Paper No. 34040), NBER, July 2025, https://doi.org/10.3386/w34040; Katherine A. Magnuson et al., “Effects of unconditional cash transfers on family processes and wellbeing among mothers with low incomes,” Nature Communications, Vol. 16, No. 1, August 13, 2025, https://doi.org/10.1038/s41467-025-62438-x.
[22] The Rx Kids research team uses the term “expectant mothers” to refer to the study participants. Only birthing parents are eligible to receive the prenatal payment ($1,500), as it’s intended to support development in utero. Infant payments are intended to follow the child, so if a birthing parent is not the baby’s primary caregiver, the primary caregiver, including fathers, adoptive and foster parents, and other guardians can sign up for the program.
[23] Rx Kids, “About Rx Kids,” 2026, https://rxkids.org/about/.
[24] Sumit Agarwal et al., “Cash Transfers in the Perinatal Period and Child Welfare System Involvement Among Infants: Evidence from the Rx Kids Program in Flint, Michigan,” November 2025, https://arxiv.org/abs/2511.19570; Jospeh Ryan et al., “Unconditional Cash Transfers and Early Child Maltreatment,” Social Science Research Network, 2026, https://doi.org/10.2139/ssrn.5798869. Agarwal et al. use a synthetic difference-in-difference design and Ryan et al. use a class synthetic control design; the two papers use different inclusion criteria for the donor pool of control cities.
[25] Rx Kids, “Rx Kids Reaches 42 Michigan Communities With New Expansion to Mount Clemens and Center Line,” April 9, 2026, https://rxkids.org/rx-kids-launches-in-mount-clemens-center-line/.
[26] Natalie De Rosa, “ ‘A little bit of cash may help’: Grantees pilot nation’s largest guaranteed income program for child welfare system-involved families,” William T. Grant Foundation, January 10, 2025, https://wtgrantfoundation.org/grantees-testing-the-largest-guaranteed-income-pilot-program-in-the-u-s-ask-do-cash-transfers-reduce-involvement-in-the-child-welfare-system; Empower Parenting With Resources (EmPwR), “Exploring EmPwR: Early Insights,” 2026, https://www.empwrstudy.com/uploads/5/7/4/9/57497137/empwr_earlyinsights_v1.winter2026final.pdf.
[27] Guaranteed Income Pilots Dashboard, “Stories from Participants,” 2022, https://guaranteedincome.us/stories.
[28] Open Research Lab, “Participant Perspectives on Parenting,” July 20, 2025, https://www.openresearchlab.org/findings/participant-perspectives-on-parenting.
[29] Open Research Lab, 2025.
[30] Joanna LeFebvre , Samantha Waxman, and Sonali Master, “States Should Invest in Their Communities by Enacting and Expanding Child Tax Credits and Earned Income Tax Credits,” CBPP, August 28, 2025, https://www.cbpp.org/research/state-budget-and-tax/states-should-invest-in-their-communities-by-enacting-and-expanding.
[31] LeFebvre, Waxman, and Master, 2025.
[32] Diana Azevedo-McCaffrey and Tonanziht Aguas, “Continued Increases in TANF Benefit Levels Are Critical to Helping Families Meet Their Needs and Thrive,” CBPP, February 26, 2025, https://www.cbpp.org/research/income-security/continued-increases-in-tanf-benefit-levels-are-critical-to-helping.
[33] Aditi Shrivastava, Maria Manansala, and Tonanziht Aguas, “TANF’s Non-Recurrent Short-Term Benefits Can Provide Necessary Assistance to Meet Families’ Immediate Needs,” CBPP, April 10, 2025, https://www.cbpp.org/research/income-security/tanfs-non-recurrent-short-term-benefits-can-provide-necessary-assistance; CBPP, “TANF and Domestic Violence: Cash Assistance Matters to Survivors,” October 26, 2021, https://www.cbpp.org/research/income-security/tanf-and-domestic-violence-cash-assistance-matters-to-survivors.
[34] Vicki Turetsky and Diana Azevedo-McCaffrey, “Directing Child Support Payments to Families, Not Government, Would Help Families Afford Basic Needs and Thrive,” CBPP, October 8, 2024, https://www.cbpp.org/research/income-security/directing-child-support-payments-to-families-not-government-would-help.
[35] Rosenbaum et al., 2025; Austin et al., “Association of State Expansion of Supplemental Nutrition Assistance Program Eligibility With Rates of Child Protective Services–Investigated Reports”; Jennifer Wagner et al., “Looking Across the Landscape: State Opportunities to Increase Access to SNAP, Medicaid, and WIC,” CBPP, June 27, 2025, https://www.cbpp.org/research/health/looking-across-the-landscape-state-opportunities-to-increase-access-to-snap#snap-cbpp-anchor; Steven Carlson and Joseph Llobrera, "SNAP Is Linked With Improved Health Outcomes and Lower Health Care Costs,” CBPP, December 14, 2022, https://www.cbpp.org/research/food-assistance/snap-is-linked-with-improved-health-outcomes-and-lower-health-care-costs.
[36] Aditi Shrivastava and Urvi Patel, “Research Reinforces: Providing Cash to Families in Poverty Reduces Risk of Family Involvement in Child Welfare,” CBPP, May 1, 2023, https://www.cbpp.org/research/income-security/research-reinforces-providing-cash-to-families-in-poverty-reduces-risk-of#lack-of-assistance-increases-likelihood-cbpp-anchor.
[37] Mona Hanna and H. Luke Shaefer, “Playbook for Replicating Rx Kids: Utilizing TANF and Protecting Public Benefits,” Rx Kids, July 19, 2024, https://rxkids.org/wp-content/uploads/2024/08/Rx_Kids_TANF_Playbook.pdf.
[38] CBPP, “State Landscape: Detailing Eligibility & Enrollment Practices in Medicaid, SNAP, TANF, and WIC,” January 29, 2026, https://www.cbpp.org/research/health/state-landscape-detailing-eligibility-enrollment-practices-in-medicaid-snap-tanf#; Pamela Herd et al., “Introduction: Administrative Burden as a Mechanism of Inequality in Policy Implementation,” RSF: The Russell Sage Foundation Journal of the Social Sciences, Vol. 9, No. 4, September 2023, https://www.rsfjournal.org/content/rsfjss/9/4/1.full.pdf.
[39] Randy Alison Aussenberg et al., “Drug Testing and Crime-Related Restrictions in TANF, SNAP, and Housing Assistance,” Congressional Research Service, November 28, 2016, https://www.congress.gov/crs-product/R42394; Darrel Thompson and Ashley Burnside, “No More Double Punishments: Lifting the Ban on SNAP and TANF for People with Prior Felony Drug Convictions,” Center for Law and Social Policy, April 2022, https://www.clasp.org/publications/report/brief/no-more-double-punishments/.
[40] Mari Castaldi and Urvi Patel, “State and Local Policymakers Should Invest in Rental Assistance to Reduce Homelessness and Increase Economic Security,” CBPP, August 6, 2025, https://www.cbpp.org/research/housing/state-and-local-policymakers-should-invest-in-rental-assistance-to-reduce; Rong Bai et al., “Exploring the Association Between Housing Insecurity and Child Welfare Involvement: A Systematic Review,” Child and Adolescent Social Work Journal, Vol. 39, 2022, https://doi.org/10.1007/s10560-020-00722-z; Urvi Patel, “States Should Pursue New Revenue Options to Expand Access and Prevent Cuts to Affordable Housing and Homelessness Solutions,” CBPP, January 12, 2026, https://www.cbpp.org/research/housing/states-should-pursue-new-revenue-options-to-expand-access-and-prevent-cuts-to.
[41] Elizabeth Zhang, “Medicaid Plays an Important Role in Providing Health Coverage to Key Populations,” CBPP, February 25, 2026, https://www.cbpp.org/research/health/medicaid-plays-an-important-role-in-providing-health-coverage-to-key-populations; Katie Bergh, “Congress Must Address SNAP Cost Shift Before Even More Low-Income Families Lose Food Assistance,” CBPP, April 17, 2026, https://www.cbpp.org/blog/congress-must-address-snap-cost-shift-before-even-more-low-income-families-lose-food.