Urban Institute

The Trump administration's GENEROUS Model creates incentives for pharmaceutical manufacturers to offer Medicaid programs drug prices comparable to what other wealthy countries pay. This study estimates how much each state could save if these "Most-Favored-Nation" prices replaced existing Medicaid drug rebates. Published as a research letter in JAMA, the analysis covers 82 high-spending brand-name drugs across all 50 states and the District of Columbia.

As climate change intensifies, low-income communities and communities of color continue to bear a disproportionate share of climate risk while receiving fewer benefits from climate investment. Transformative climate action (TCA) seeks to address the root causes of this climate inequity by changing how decisions are made, who benefits, and how resources are distributed.

Homeownership remains the largest source of household wealth in the United States. But for low- and moderate-income households and Black and Latino families, the path to building and keeping that wealth can be full of obstacles that traditional homeownership programs often miss. Most homeownership programs focus on a single moment: helping families put together a down payment to have a chance at purchasing a home.

Students with caregiving responsibilities—including raising children or supporting elders and other family members—make up more than 40 percent of enrollment at tribal colleges and universities (TCUs), yet they are underrepresented in institutional data, underserved by college supports, and largely absent from higher education research.

In 2025, many families relied on credit and savings to meet their food needs. Families with low incomes and those who reported that their grocery costs had increased a lot in the past year were the most likely to take on debt to pay for groceries, which could leave them less able to meet their basic needs in the future. Groceries are one of the largest household budget items for families. Today, families face persistently higher grocery prices than they did five years ago.

Assessing child care supply and how it meets families’ needs is a key to ensuring access to care that supports parental employment and children’s development. If providers cannot meet these needs, it can undercut parents’ ability to work, go to school, and help their children thrive.

Most people who bet on sports do so relatively infrequently. Nearly half (48 percent) say they’ve bet just “once or twice” in the past 12 months, while 38 percent say they bet weekly or monthly. Only 4 percent of sports bettors say they bet daily. A majority of sports bettors bet relatively small amounts of money. More than half (55 percent) have bet less than $100 on sports in the past 12 months. But a sizeable minority (11 percent) have bet more than $1,000 in the past year.

Earlier this year, the White House, aiming to boost homeownership, proposed allowing workers to use retirement accounts for first home down payments by waiving the current 10 percent early withdrawal penalty. President Trump vetoed the plan because “401(k)s are doing so well.” This may create more favorable outcomes than a simple comparison of home prices and stock market performance might suggest.

Several federal and state policy changes altered the coverage landscape for new mothers during the 2019–24 period.

This page presents the Ohio Opportunity Indices, developed in partnership with the Ohio Housing Finance Agency (OHFA). The Low-Income Housing Tax Credit (LIHTC) program is a federal incentive used to finance the construction and rehabilitation of affordable rental housing. Ohio Housing Finance Agency’s 9 Percent LIHTC Qualified Allocation Plan (QAP) sets forth the selection criteria used to determine housing priorities and direct credits to developments across the state.