The Effect of Work Requirements in SNAP in Virginia

Part of paid clinical trials in Glen Allen, Virginia.

Sponsor
Harvard Medical School (HMS and HSDM)
Study ID
NCT04888832
Status
Recruiting

Conditions

  • Food Security
  • Health Disparities

Eligibility Criteria

Sex
ALL
Age
18 Years - 49 Years
Healthy Volunteers
Accepted

Interventions

  • Work requirement exemption months — OTHER
    Cross-randomized intervention will test effect of additional exemption months before work requirements in SNAP become binding and extensions of the standard SNAP recertification period.

Study Details

More than a dozen states have proposed or plan to implement work requirements in Medicaid, and similar requirements already exist nationally in the Supplemental Nutritional Assistance Program (SNAP), yet evidence on the effects of these policies is limited. In cooperation with the state of Virginia, the investigators plan to conduct a randomized controlled trial studying the impacts of work requirements in public programs on insurance coverage, SNAP participation, employment, and health, with a particular focus on changes in racial/ethnic and geographic disparities in these outcomes. The COVID-19 epidemic and concurrent economic downturn creates additional urgency around these issues, and the investigators will use a combination of national administrative data and a new population survey to assess disparities in employment, health care, and food insecurity during this crisis.

Key Dates

Start date
Apr 1, 2024
Status verified
Feb 2025
Primary completion
May 1, 2025
Completion
Dec 31, 2026

Study Design

Enrollment
12,500 participants (estimated)
Allocation
RANDOMIZED
Intervention model
FACTORIAL
Primary purpose
HEALTH_SERVICES_RESEARCH

Arms

  • No Intervention: Control Group
    No change to work requirements or recertification period
  • Active Comparator: Intervention Group 1
    Standard 6-month recertification period, additional 6-month work requirement exemption
  • Active Comparator: Intervention Group 2
    Standard 6-month recertification period, additional 12-month work requirement exemption
  • Active Comparator: Intervention Group 3
    Standard 6-month recertification period, additional 12-month work requirement exemption
  • Active Comparator: Intervention Group 4
    12-month recertification period (6-month extension), additional 6-month work requirement exemption

Primary Outcome Measure

SNAP enrollment [ Time Frame: Up to 24 months after randomization ]

Central Contacts

Locations (1)

FacilityCityStateZIPSite coordinators
Virginia Department of Social Services (Home Office)Glen AllenVirginia23060
Heeju Jang-Paulsen

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