A Mixed‐Methods Exploration of the Implementation of Policies That Earmarked Taxes for Behavioral Health
Milbank Quarterly,
Journal Year:
2024,
Volume and Issue:
102(4), P. 913 - 943
Published: Sept. 6, 2024
Policy
Points
Earmarked
tax
policies
for
behavioral
health
are
perceived
as
having
positive
impacts
related
to
increasing
flexible
funding,
suggesting
benefits
expand
this
financing
approach.
Implementation
challenges
these
earmarked
taxes
included
base
volatility
that
impedes
long‐term
service
delivery
planning
and
inequities
in
the
distribution
of
revenue.
Recommendations
designing
or
revising
include
developing
clear
guidelines
support
systems
manage
administrative
aspects
programs,
cocreating
reporting
oversight
structures
with
system
agents,
selecting
revenue
streams
relatively
stable
across
years.
Context
Over
200
cities
counties
United
States
have
implemented
earmarking
services.
This
mixed‐methods
study
was
conducted
aim
characterizing
perceptions
policies,
strengths
weaknesses
policy
designs,
factors
influence
decision
making
about
how
is
allocated
Methods
Study
data
came
from
surveys
completed
by
274
officials
involved
implementation
37
interviews
a
sample
jurisdictions
taxes—California
(
n
=
16),
Washington
12),
Colorado
6),
Iowa
3).
Interviews
primarily
explored
advantages
drawbacks
tax,
design,
influencing
decisions
allocation.
Findings
A
total
83%
respondents
strongly
agreed
it
better
than
not,
73.2%
increased
flexibility
address
complex
needs,
65.1%
number
people
served
evidence‐based
practices.
Only
43.3%,
however,
easy
satisfy
tax‐reporting
requirements.
revealed
enabled
funding
services
supports,
such
training
practices,
supplemented
mainstream
sources
(e.g.,
Medicaid).
However,
some
interviewees
also
reported
revenue,
and,
cases,
administratively
burdensome
reporting.
Decisions
allocation
were
influenced
goals
reducing
care
inequities,
being
responsive
community
addressing
constraints
sources,
lesser
degree,
supporting
considered
be
evidence
based.
Conclusions
promising
strategy
improve
access
to,
quality
of,
supplementing
state
federal
financing.
Language: Английский
Public and political acceptability of a food tax shift – An experiment with policy framing and revenue use
Food Policy,
Journal Year:
2024,
Volume and Issue:
130, P. 102772 - 102772
Published: Dec. 5, 2024
Language: Английский
Operational and organizational variation in determinants of policy implementation success: the case of policies that earmark taxes for behavioral health services
Implementation Science,
Journal Year:
2024,
Volume and Issue:
19(1)
Published: Oct. 31, 2024
Research
on
determinants
of
health
policy
implementation
is
limited,
and
conceptualizations
evidence
success
are
evolving
in
the
field.
This
study
aimed
to
identify
perceived
assess
whether
these
vary
according
to:
(1)
how
operationally
defined
[i.e.,
broadly
vs.
narrowly
related
evidence-based
practice
(EBP)
reach]
(2)
role
a
person's
organization
implementation.
The
focuses
policies
that
earmark
taxes
for
behavioral
services.
Language: Английский