WonkCast #34: Financing Policy Pop Quiz

WonkCast #34: Financing Policy Pop Quiz

Episode # 34: Don Winstead Welcome to our latest edition of WonkCast: People Power Policy. Have you ever wondered why states may balk at seemingly obvious opportunities to draw down federal funding? When Congress is so divided and polarized that renaming a post office is no small feat, it can feel like passing legislation is the biggest step. But in federal financing, what matters more than the size, scope, or ambition of legislative change is the gap between existing capacity and what’s possible under new authority. As one of the leading national thinkers on child welfare financing policy, today’s guest spends a lot of time exploring that gap. Don Winstead [https://www.linkedin.com/company/winstead-consulting/about/] has over four decades of state and federal experience in health and human services policy, including as Deputy Secretary of the Florida Department of Children and Families, and Deputy Assistant Secretary for Human Services Policy at the U.S. Department of Health and Human Services under George W. Bush. We discussed why a minor administrative change can shift spending as much as a landmark law, where our models for how financing changes incentives are inaccurate, and what the Title IV-E waivers can teach us about future child welfare financing reforms. If you want to understand what actually matters for determining whether a new policy changes practice and makes an impact, this conversation is for you. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.childwelfarewonk.com [https://www.childwelfarewonk.com?utm_medium=podcast&utm_campaign=CTA_1]

WonkCast #33: When Foster Care Unlocks Medicaid

Episode # 33: Here Now Health Founder & CEO Michelle Turner Welcome to our latest edition of WonkCast: People Power Policy. Something we’ve been exploring across our work is the issue of custody for care. This is when children enter foster care not because of abuse or neglect, but because parents have no other way to access behavioral health services for their child. We’ve previously analyzed [https://www.childwelfarewonk.com/i/194029653/mental-healths-shadow-ticket-when-the-cost-of-care-is-custody] how seemingly unrelated and rational policy design decisions combine to make this inevitable, and heard from child welfare agency leaders about it [https://www.childwelfarewonk.com/p/wonkcast-32-why-custody-for-care?r=8fh1cb&utm_campaign=post&utm_medium=web&triedRedirect=true]. Today’s guest has a unique vantage point because she’s encountered this issue as a foster parent and as a telehealth company founder. Michelle Turner is the founder and CEO of Here Now Health [https://www.herenow.health], which provides virtual mental health services for children and young people who experienced foster care. We discussed the policy barriers that impede access, why there’s still so little collaboration across child health and child welfare policy, and how future health financing policy design could make the custody for care conundrum obsolete. This conversation surfaces new ways to start thinking about the future of mental health policy for anyone who works in children’s health or child welfare. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.childwelfarewonk.com [https://www.childwelfarewonk.com?utm_medium=podcast&utm_campaign=CTA_1]

WonkCast #32: Why Custody for Care Continues

Episode # 32: Oklahoma Child Welfare Director Michael Williams Welcome to our latest edition of WonkCast: People Power Policy. Five percent of children entering foster care nationally do so not from abuse or neglect, but because it’s the only way to unlock Medicaid financing for behavioral health care [https://www.childwelfarewonk.com/i/194029653/mental-healths-shadow-ticket-when-the-cost-of-care-is-custody]. Custody for care is not a quirk or conspiracy. Instead, that datapoint reflects the distortions of tacitly designing child welfare policy as a backstop system of last resort. It also captures key tensions constraining child welfare leaders: * What’s the appropriate role of data in decision-making, especially when it inherently collapses complexity? * Where’s the boundary line between insufficient accountability controls and ineffective process theater? * How can states upgrade their partnerships with the federal government amid simultaneously declining investment and rising expectations? Today’s guest makes decisions shaped by these constraints every day. Michael Williams currently serves as Oklahoma’s Child Welfare Director, and previously was Deputy Commissioner of Operations for Connecticut’s child welfare agency. We talked about why Oklahoma was the first state to join the Administration for Children and Families’ A Home for Every Child initiative, and why he takes the approach of data informing and influencing decisions, rather than driving them. If you wonder why a policy like custody for care persists when everyone involved decries its poor outcomes and clear cost inefficiency, this is a look behind the curtain. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.childwelfarewonk.com [https://www.childwelfarewonk.com?utm_medium=podcast&utm_campaign=CTA_1]

WonkCast #31: What Keeps Popular Ideas from Becoming Policy?

Episode # 31: Michelle Feit Welcome to our latest edition of WonkCast: People Power Policy. There is often a significant gap between the way issues poll with the general public and how they move through policy-making institutions. That often gets vaguely characterized as “political will”, obscuring its origins. Child and family policy has many high-salience issues that are popular in general and encounter friction in moving through the legislative process. The finite resource that matters is political capacity; the coalition power required to simultaneously align on a workable policy design and assemble the votes to move it. Paid leave is emblematic of this dynamic, and we’re going to be exploring perspectives from an array of thinkers grappling with those questions of coalition and policy strategy. Today’s guest has led advocacy campaigns on paid leave at every level of government, from a successful initiative in DC to a federal proposal that came quite close in 2021. Michelle Feit [https://nationalpartnership.org/member/feit-michelle/] is the Director of Congressional Relations for Economic Justice at the National Partnership for Women and Families, where she leads paid leave campaigns. She previously worked on the Hill for Representative Jackie Speier and Senator Barbara Mikulski. We talked about how unified government constrains coalitions, the tension between state and national policy development, and how family policy moves through Congress. Amid cross-partisan deliberation over what comes next in child and family policy, this is a window into why popular ideas often struggle to become durable national policies. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.childwelfarewonk.com [https://www.childwelfarewonk.com?utm_medium=podcast&utm_campaign=CTA_1]

WonkCast #30: The Wrong Pockets Problem

Episode # 30: Erinn Kelley-Siel Welcome to our latest edition of WonkCast: People Power Policy. Our laws and funding task the same agency with removing children from families when there’s a safety risk, and helping those same families avoid crisis and heal. Today’s guest says that asking one agency to hold both is a fundamental problem. Erinn Kelley-Siel Spent over thirteen years in public service leadership in the state of Oregon, including four as Director of the Oregon Department of Human Services. In 2016 she joined Friends of the Children [https://friendsofthechildren.org], serving as Chief Officer of Strategy & Innovation to scale a long-term professional mentorship model for children who have experienced multiple Adverse Childhood Experiences before kindergarten. She reframes that safety and support tension into shared partnership, with government leading on safety and community supporting families through durable relationships. We talked about how this tension shapes the way leaders make decisions, and how the wrong pockets problem complicates sustainable financing. These fundamental questions of accountability, governance, and funding are essential for anyone interested in shaping what comes next. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.childwelfarewonk.com [https://www.childwelfarewonk.com?utm_medium=podcast&utm_campaign=CTA_1]