Emilie
Stoltzfus
Specialist in Social Policy
Under
Title IV-E of the Social Security Act, states, territories, and tribes are
entitled to claim partial federal reimbursement for the cost of providing
foster care, adoption assistance, and kinship guardianship assistance to
children who meet federal eligibility criteria. The Title IV-E program, as
it is commonly called, provides support for monthly payments on behalf of
eligible children, as well as funds for related case management
activities, training, data collection, and other costs of program
administration. In FY2011, states (including the 50 states and the District of
Columbia) spent $12.4 billion under the Title IV-E program and received federal reimbursement
of $6.7 billion, or 54% of that spending. At the federal level, the Title IV-E program
is administered by the Children’s Bureau, an agency within the U.S. Department
of Health and Human Services (HHS).
More than two-thirds of all Title IV-E spending supports provision of foster
care, which is a temporary living arrangement for children who cannot
remain safely in their own homes. Title IVE foster care maintenance
payments are subsidies provided to foster caregivers to support the daily
living costs of eligible children. Title IV-E program administration primarily
supports caseworker and agency efforts to ensure the safety and well-being
of each child in foster care and to plan for, and achieve, permanency for
them via family reunification, adoption, or legal guardianship. Just 29%
of the $8.3 billion in total (state and federal) Title IV-E foster care spending
for FY2011 was used for maintenance payments, while close to half (46%) of
those Title IV-E foster care dollars supported program administration
(primarily for case planning and case management).
Close to one-third of all Title IV-E spending (state and federal) supports
children in permanent adoption or guardianship placements. Title IV-E
adoption assistance payments are monthly subsidies provided for eligible
adopted children (most of whom were previously in foster care), for whom
the state determined they could not be returned home and that there was a
condition or factor that precluded their adoption without assistance
(e.g., age, medical condition, or membership in a sibling group). Kinship
guardianship assistance payments are ongoing subsidies for eligible
children placed with a legal relative guardian, for whom returning home from
foster care is not possible or appropriate and for whom the agency also
determines adoption is not appropriate. In FY2011, more than 80% of the
total spending for Title IV-E adoption assistance ($4.0 billion) and Title
IV-E kinship guardianship assistance ($51 million) supported ongoing subsidies
for eligible children.
States receiving Title IV-E funding are required to provide foster care and
adoption assistance to eligible children. They may also choose to provide
kinship guardianship assistance to all eligible children. Federal
eligibility for all types of Title IV-E assistance is limited by age.
Additional criteria vary by the kind of assistance but often require
children to have been removed from low income households. Each month
during FY2011, an average of 168,400 children received a Title IV-E foster
care maintenance payment and 413,800 received Title IV-E adoption assistance.
On a national basis, children who received Title IV-E foster care
maintenance payments comprise less than half of all children in foster
care and about one-quarter of those receiving ongoing adoption subsidies.
The number of children in foster care overall, as well as the number of those
children receiving Title IV-E foster care support has been in decline for
most of the past decade; the amount of money spent for Title IV-E foster
care is also declining. During most of the same time period, however, the
number of children receiving Title IV-E adoption assistance and the amount of spending
for Title IV-E adoption assistance grew rapidly. Although representing a small
part of the program now, both the number of children assisted via Title
IV-E kinship guardianship assistance and the amount of spending for that
purpose are expected to increase.
Date of Report: October 26, 2012
Number of Pages: 76
Order Number: R42792
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