End Notes
[1] The authors thank Anna Zhou, former CBPP intern, 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,” The 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] Based on the share of adults ages 18 to 64 with family incomes below 200 percent of FPL 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. See 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.
[5] 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.
[6] 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 US-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.
[7] 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/cb/report/child-maltreatment-2024.
[8] Children’s Bureau, 2026; Children’s Bureau and 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.
[9] As of 2025, 28 states include exceptions for reasons of financial inability/poverty to 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.
[10] Children’s Bureau, 2026; 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.
[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, Issue 2, Summer 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.
[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, Issue 3, September 2024, https://doi.org/10.1016/j.amepre.2024.05.019.
[14] This review considered papers that are either published in a peer-reviewed journal (16 of the 19 included papers) or published as a working paper through the National Bureau of Economic Research (NBER, 3 of the 19).
[15] 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.
[16] Dottie Rosenbaum et al., “SNAP’s ‘Broad-Based Categorical Eligibility’ Supports Working Families, Older Adults, and Those Saving for the Future,” CBPP, updated March 17, 2026, 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.
[17] Johnson-Motoyama et al., 2022.
[18] Nicole L. Kovski et al., “Short-Term Effects of Tax Credits on Rates of Child Maltreatment Reports in the United States,” Pediatrics, Vol. 150, Issue 1, July 2022, https://doi.org/10.1542/peds.2021-054939; Rittenhouse, 2025.
[19] Bullinger et al., 2023.
[20] Hilary W. Hoynes and Diane W. Schanzenbach, “Work Incentives and the Food Stamp Program,” Journal of Public Economics, Vol. 96, Issues 1-2, February 2012, https://doi.org/10.1016/j.jpubeco.2011.08.006; Lauren Bauer and Chloe N. East, “A primer on SNAP work requirements,” The Hamilton Project, April 9, 2026, https://www.hamiltonproject.org/publication/paper/a-primer-on-snap-work-requirements.
[21] Katherine Maguire-Jack, Michelle Johnson-Motoyama, and Sarah Parmenter, “A scoping review of economic supports for working parents: The relationship of TANF, child care subsidy, SNAP, and EITC to child maltreatment,” Aggression and Violent Behavior, Vol. 65, July – August 2022, https://doi.org/10.1016/j.avb.2021.101639.
[22] Vicki Turetsky and Diana Azevedo-McCaffrey, “Understanding TANF Cost Recovery in the Child Support Program,” CBPP, July 12, 2024, https://www.cbpp.org/research/income-security/understanding-tanf-cost-recovery-in-the-child-support-program.
[23] Cancian et al., 2013.
[24] Donna K. Ginther and Michelle Johnson-Motoyama, “Associations Between State TANF Policies, Child Protective Services Involvement, And Foster Care Placement,” Health Affairs, Vol. 41, No. 12, December 2022, https://www.healthaffairs.org/doi/10.1377/hlthaff.2022.00743.
[25] Andrew Walker, et al., “The Impact of Temporary Assistance for Needy Families Benefit Requirements and Sanctions on Maternal Material Hardship, Mental Health, and Parental Aggravation,” Maternal and Child Health Journal, Vol. 27, Issue 8, August 2023, https://doi.org/10.1007/s10995-023-03699-0.
[26] Thomas and Waldfogel, 2022.
[27] Rosenbaum et al., “SNAP’s ‘Broad-Based Categorical Eligibility’ Supports Working Families, Older Adults, and Those Saving for the Future.”
[28] Austin et al., “State expansion of Supplemental Nutrition Assistance Program eligibility and rates of foster care entries”; Austin et al., “Association of State Expansion of Supplemental Nutrition Assistance Program Eligibility With Rates of Child Protective Services–Investigated Reports”; Johnson-Motoyama et al., 2022.
[29] Johnson-Motoyama et al., 2022.
[30] Rittenhouse, 2025.
[31] Alexandria M. Coffey et al., “The impact of refundable state earned income tax credits on foster care entry rate trends,” Child Abuse & Neglect, Vol. 158, December 2024, https://doi.org/10.1016/j.chiabu.2024.107130; Whitney L. Rostad et al., “Reducing the Number of Children Entering Foster Care: Effects of State Earned Income Tax Credits,” Child Maltreatment, Vol. 25, No. 4, January 24, 2020, https://doi.org/10.1177/1077559519900922.
[32] Amelia M. Biehl and Brian Hill, “Foster care and the earned income tax credit,” Review of Economics of the Household, Vol. 16. No. 3, July 14, 2017, https://doi.org/10.1007/s11150-017-9381-1.
[33] Coffey et al., 2024.
[34] 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, Issue 3, 2022, https://doi.org/10.1177/1077559520987302.
[35] Kovski et al., “Short-Term Effects of Tax Credits on Rates of Child Maltreatment Reports in the United States.”
[36] 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, December 2017, https://doi.org/10.1007/s11150-016-9346-9.
[37] Bullinger, et al., 2023.
[38] 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.
[39] Rx Kids, “About Rx Kids,” 2026, https://rxkids.org/about/.
[40] Sumit Agarwal et al., “Cash Transfers in the Perinatal Period and Investigations of Infant Maltreatment,” JAMA Pediatrics, May 2026, https://doi.org/10.1001/jamapediatrics.2026.1602.
[41] 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/.
[42] Stanford Basic Income Lab, Global Map of Basic Income Experiments, updated May 1, 2026, https://basicincome.stanford.edu/research/basic-income-experiments/.
[43] 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; 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.
[44] 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.
[45] Austin et al., “Association of State Expansion of Supplemental Nutrition Assistance Program Eligibility With Rates of Child Protective Services–Investigated Reports”; Bullinger, et al., 2023; Ginther and Johnson-Motoyama, 2022; Kovski et al., “Association of State-Level Earned Income Tax Credits With Rates of Reported Child Maltreatment, 2004–2017.”
[46] McKernan, Ratcliffe, and Braga, 2021.
[47] Bullinger et al., 2023.
[48] Berger et al., 2017; Kovski et al., “Association of State-Level Earned Income Tax Credits With Rates of Reported Child Maltreatment, 2004–2017”; Austin et al., “Association of State Expansion of Supplemental Nutrition Assistance Program Eligibility With Rates of Child Protective Services–Investigated Reports”; Bullinger et al., 2023.
[49] Lindsey Rose Bullinger and Angela Boy, “Association of Expanded Child Tax Credit Payments with Child Abuse and Neglect Emergency Department Visits,” JAMA Network Open, Vol. 6, No. 2, February 16, 2023, https://doi.org/10.1001/jamanetworkopen.2022.55639; Klevens, et al., “Effect of the Earned Income Tax Credit on Hospital Admissions for Pediatric Abusive Head Trauma, 1995-2013,” Public Health Reports, Vol. 132, Issue 4, June 13, 2017, https://doi.org/10.1177/0033354917710905.
[50] Ginther and Johnson-Motoyama, 2022; Kovski, et al., “Association of State-Level Earned Income Tax Credits With Rates of Reported Child Maltreatment, 2004–2017”; Bullinger et al., 2023.
[51] It is also worth noting that most research on child maltreatment outcomes relies on administrative data generated by referrals, investigations, and substantiations by CPS agencies, which cannot perfectly observe all instances of child maltreatment and likely reflects a conservative estimate.
[52] Dottie Rosenbaum, et al., “SNAP Tracker: People Are Losing Food Assistance as the Republican Megabill Is Implemented,” CBPP, Updated July 13, 2026, https://www.cbpp.org/research/food-assistance/snap-tracker-people-are-losing-food-assistance-as-the-republican-megabill.
[53] Erik Gartland, “Nearly 3.7 Million People at Risk of Losing Needed Rental Assistance to Harsh Time Limit and Work Requirement Proposal,” CBPP, April 24, 2026, https://www.cbpp.org/research/housing/nearly-37-million-people-at-risk-of-losing-needed-rental-assistance-to-harsh-time#estimated-number-of-people-at-cbpp-anchor.
[54] 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, No. 2, 2022, https://doi.org/10.1007/s10560-020-00722-z.
[55] 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.
[56] LeFebvre, Waxman, and Master, 2025.
[57] 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.
[58] 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.
[59] 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.
[60] Rosenbaum et al., “SNAP’s ‘Broad-Based Categorical Eligibility’ Supports Working Families, Older Adults, and Those Saving for the Future”; 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; Trisha Powell Crain, “Alabama officials warn SNAP changes could force stark choice: pay more, cut error rate or end program,” Alabama Daily News, June 11, 2026, https://aldailynews.com/alabama-officials-warn-snap-changes-could-force-stark-choice-pay-more-cut-error-rate-or-end-program/.
[61] 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.
[62] 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.
[63] 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.
[64] 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/.
[65] 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, Issue 2, April 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.
[66] 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.