[Federal Register Volume 89, Number 249 (Monday, December 30, 2024)]
[Notices]
[Pages 106753-106760]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-31222]
-----------------------------------------------------------------------
DEPARTMENT OF THE TREASURY
Agreement for a Social Impact Partnership Project
AGENCY: Department of the Treasury.
ACTION: Notice.
-----------------------------------------------------------------------
SUMMARY: In accordance with the Social Impact Partnerships to Pay for
Results Act (``SIPPRA''), the U.S. Department of the Treasury
(``Treasury'') has entered into six agreements for social impact
partnership projects (the ``Project Grant Agreement'') with the
following recipients; (1) City of Boise, ID ($7.5 million), (2) City of
Jacksonville, FL ($5.8 million), (3) City of New York, NY ($6.3
million), (4) School Board of Leon County, FL ($4.6 million), (5)
County of New Castle, DE ($11 million), and (6) County of Spartanburg,
SC ($11.5 million) for a total award amount of $46.9 million.
SUPPLEMENTARY INFORMATION:
The Project Grant Agreement for the City of Boise, ID (Boise) Contains
the Following Features
1. The outcome goals of the social impact partnership project:
Boise expects to realize a reduction in healthcare expenditures
covered by Medicaid, including emergency room visits, hospital
overnight stays, ambulance rides, detox visits, and savings due to a
reduction in arrests and cost associated with county correctional
facilities. The project objective is to decrease these expenditures by
25 percent.
2. A description of each intervention in the project:
Boise and its partners (the Idaho Community Foundation (ICF), and
Terry Reilly Health Services (TRHS)) propose
[[Page 106754]]
the Permanent Supportive Housing Pipeline Pay for Success project (the
PSHP). The PSHP will provide Permanent Supportive Housing (PSH) and
services using an Intensive Case Management (ICM) model including wrap-
around services to 143 prioritized households who are experiencing
long-term homelessness and have high service needs. These households
are at increased risk for avoidable, high-cost service utilization paid
through local, state, and federal outlays.
3. The target population that will be served by the project:
The target population is households with and without children
experiencing long-term homelessness with at least one household member
with at least one morbidity condition (chronic health condition, mental
health condition, or substance use) in Ada County, Idaho. In Ada
County, 765 households meet these criteria. Boise expects the project
to reach 159 adults and 64 children.
4. The expected social benefits to participants who receive the
intervention and others who may be impacted:
The primary expected social benefits from the project include:
Reduced rate of homelessness among the most vulnerable
populations;
Reduced utilization of emergency medical services;
Decreased criminal justice involvement; and
Increased housing stability and retention.
5. The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
Role Entity Responsibilities
------------------------------------------------------------------------
Government....................... City of Boise, ID Repay investors
with SIPPRA funds
if performance
benchmarks are
met.
Coordinate with
the Treasury
program team on
administration of
the program.
Intermediary..................... n/a.............. n/a.
Service Provider................. Terry Reilly Facilitate housing
Health Services. accesses with
program
enrollment into
program using
coordinated entry
referrals.
Provide intensive
case management.
Independent Evaluator............ Idaho Policy Evaluate the
Institute (IPI), project using a
Boise State regression
University. discontinuity
design.
Investor......................... Idaho Community Provide the
Foundation. upfront capital
for the program
from the
Supportive
Housing
Investment Fund
(SHIF).
------------------------------------------------------------------------
6. The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
Boise will be eligible for a payment from Treasury if there is a
statistically significant difference between the treatment and the
comparison group at the 80 percent level using the evaluation design
strategy defined below. Boise is eligible to be paid each year from
June 2028 to June 2032 for a total of five eligible payments.
7. The project budget:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Project budget Year 0 Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
TRHS (Family)............................... $254,719 $764,157 $802,365 $842,483 $884,608 $928,838 $975,280 $341,348 $5,793,798
TRHS (Adult)................................ ......... 488,710 1,172,903 1,231,548 1,293,125 1,357,782 1,425,671 498,985 7,468,723
-----------------------------------------------------------------------------------------------------------
Total Project Costs..................... 254,719 1,252,867 1,975,268 2,074,031 2,177,733 2,286,620 2,400,951 840,333 13,262,522
--------------------------------------------------------------------------------------------------------------------------------------------------------
8. The project timeline:
There is a seventy-six month-intervention period for the project
term to provide IPI with the maximum allowed period to evaluate the
impact of this project on the SIPPRA outcome of reduced net federal,
state, and local expenditures. The project will begin the intervention
in September 2025 and end in December 2031.
9. The project eligibility criteria:
Eligible households must have at least 12 points from the Length of
Time and at least 3 points from the Tri-Morbidity sections of the PSHP
Prioritization Formula outlined in Table 2. Those households that are
both eligible for the PSHP and score the highest on the prioritization
formula will be referred for enrollment. Ties will be broken in through
coordinated clinical discretion, driven by self-reported health and
criminal data and corroborating system utilization data available at
the time of referral.
----------------------------------------------------------------------------------------------------------------
PSHP prioritization formula Factor 1 Factor 2 Factor 3
----------------------------------------------------------------------------------------------------------------
Length of Time Homeless: 22 1 point every month 1 point for every
points max. up to 12 months. year up to 10
years (10 max).
FUSE Functionality: 10 points 5 points max: 5 points max: #
max. number of criminal justice
emergency medical interactions.
interactions.
Tri-Morbidity: 9 points max..... 3 points: chronic 3 points: mental 3 points: substance use.
illness. illness.
DV survivor: 6 points max....... 3 points: DV within 3 points: currently
last 6 mo. fleeing DV.
Dependents: 6 points max........ 2 points: any 1 point: kids 6-18. 2 points: kids aged 0-5.
dependents in
household.
Age: 6 points max............... 2 points: 18-24 yrs 4 points: 55-61 yrs 6 point: 62+ yrs.
Unsheltered: 2 points max....... 1 point: HoH has 1 point: HoH facing
been unsheltered persistent
more than 50% of barriers in
last 6 months. assessing
emergency shelters.
Income Level: 2 points max...... 1 point: household 2 points: household
sustainable income has zero
is at 30% AMI. sustainable income.
Discrimination: 1 point......... 1 point:
experienced
discrimination
based on protected
class.
----------------------------------------------------------------------------------------------------------------
[[Page 106755]]
10. The evaluation design:
To determine significance of impact, IPI will employ the following
evaluative strategies: (1) a regression discontinuity, (2) Analysis of
Variance (ANOVA) omnibus test, and (3) paired pairwise t-test. To
determine the amount of any net reductions in local, state, and federal
expenditures, IPI will facilitate collection of the utilization and
costs data for 36 months prior to Participants entering the
intervention (time 0) and annually thereafter. To determine the amount
of any net reductions in expenditures, IPI will compare the associated
utilization costs for enrolled Participants against those not enrolled
using individual-level data.
11. The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
The metrics used will be:
Reduction in costs related to arrests and jail.
Reduction in costs related to the number of days in mental
health and substance abuse treatment.
Reduction in costs associated with paramedic calls,
emergency department visits, and days in the hospital.
12. The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
The estimated savings to the federal government are $12,434,017.
The estimated savings to the State of Idaho are $4,034,880.
The estimated savings to the City of Boise are $1,133,396.
The Project Grant Agreement for the City of Jacksonville, FL
(Jacksonville) Contains the Following Features
1. The outcome goals of the social impact partnership project:
The anticipated outcome goals include substantial improvements in
early literacy, parental engagement, and school readiness among
preschool-aged children, and measurable reductions in healthcare
utilization, especially for newborn ER visits and utilizations
connected to maternal depression.
2. A description of each intervention in the project:
The READ JAX project includes two interventions, Family Connects
and Reach Out and Read. Family Connects provides a universal nurse home
visit for new parents to reduce infant emergency medical care visits
and maternal postpartum depression rates. Reach Out and Read is a
universal early literacy initiative through which health care providers
coach parents on reading to their children to improve early literacy,
parental engagement, and school readiness among preschool-aged
children.
3. The target population that will be served by the project:
The READ JAX is available to each newborn and their family within
Jacksonville, FL.
4. The expected social benefits to participants who receive the
intervention and others who may be impacted:
The primary expected social benefits from the project include:
Family Connects
[cir] Lower emergency department visits
[cir] Reduced hospital readmissions for infants
Read Out and Read
[cir] Reduction in maternal depression
5. The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
Role Entity Responsibilities
------------------------------------------------------------------------
Government....................... City of Repay investors
Jacksonville, FL. with SIPPRA funds
if performance
benchmarks are
met.
Coordinate with
the Treasury
program team on
administration of
the program.
Intermediary..................... Kids Hope Provide
Alliance. administrative
and operational
support.
Project Manager.................. Institute for Provide project
Child Success. management
services.
Service Provider................. Reach Out and Provide pediatric
Read Florida. literacy support
for new parents.
Children's Home Provide home
Society of visiting services
Florida. to expectant and
new mothers.
Independent Evaluator............ Riley Institute.. Evaluate the
project using a
quasi-
experimental
design supported
by synthetic
control
methodology.
Investor......................... The Community Provide the
Outcome Fund at upfront capital.
Maycomb Capital
Partners.
------------------------------------------------------------------------
6. The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
Jacksonville will be eligible for a payment from Treasury if there
is a reduction in newborn emergency room visits and a reduction in
treating complications from postpartum depression.
7. The project budget:
----------------------------------------------------------------------------------------------------------------
Project budget
-----------------------------------------------------------------------------------------------------------------
Total project
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 costs
----------------------------------------------------------------------------------------------------------------
$4,500,000 $4,500,000 $4,500,000 $4,500,000 $4,500,000 $4,500,000 $4,500,000 $31,500,000
----------------------------------------------------------------------------------------------------------------
8. The project timeline:
There is a seven-year intervention period. The project will begin
the intervention in year two (2025) and end in year seven (2030).
9. The project eligibility criteria:
The project program is open to all young, low-income mothers
residing within the City of Jacksonville, FL
10. The evaluation design:
Given the universal deployment of Reach Out and Read and Family
Connects across Jacksonville, traditional randomized trials are
impractical. Therefore, a Synthetic Control Method (SCM) will be
utilized, facilitating a rigorous comparison against control units
drawn from similar demographic
[[Page 106756]]
and geographic locales without the intervention.
11. The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
The metric used will be the reduction in costs related to newborn
ER visits and postpartum depression.
12. The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
The estimated savings to the federal government is $11,202,009.
The estimated savings to the State of Florida is $4,876,774.
The Project Grant Agreement for the City of New York, NY (New York
City) Contains the Following Features
1. The outcome goals of the social impact partnership project:
The expected outcome for this intervention is a 25-percentage point
increase in the rate of stable housing or stable shelter (achieving 50%
for the treatment group versus 25% of the comparison group) with stable
housing defined as a permanent housing placement (e.g., permanent
supportive housing, Long Term Nursing Care, family reunification) and
stable shelter defined as a continuous stay in a low-barrier
stabilization bed or other emergency housing setting that lasts at
least 6 months.
2. A description of each intervention in the project:
The Coordinated Behavioral Task Force (CBHT)--3 Initiative by the
New York City Department of Homeless Services (DHS) is a project to
assist different segments of the unsheltered homeless population in New
York City by providing homeless individuals with transitional housing
and connecting them to services through intensive outreach, engagement,
and care coordination. This project is focused on clients who are
resistant to service engagement or entrenched in an unsheltered
setting. The CBHT model coordinates representatives from State and
local agencies and organizations to provide enhanced clinical and
thorough case management services and to create service plans which
will move the individual into supportive housing and connections to
services through targeted interventions.
3. The target population that will be served by the project:
This program targets high acuity (e.g., severity of an illness or
medical condition) individuals experiencing unsheltered homelessness.
DHS expects to enroll about 400 individuals aged 18 or older
experiencing unsheltered homelessness in New York City over 2-years,
with services provided for up to a 39-month intervention period.
4. The expected social benefits to participants who receive the
intervention and others who may be impacted:
New York City anticipates that this intervention will lead to
improvements in quality of life associated with improved housing
stability, increased access to healthcare, and decreased burden of
disease. In addition, New York City expects that the improvements to
the individual's housing stability will lower government spending
related to emergency room visits and criminal justice systems
interactions. Reducing unsheltered homelessness among this vulnerable
population is expected to have a wide range of broader social benefits
as well, including improved conditions on public transit (especially
increased cleanliness and perceived safety, which could lead to
increased ridership), and improved conditions in other public spaces.
5. The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
Role Entity Responsibilities
------------------------------------------------------------------------
Government....................... City of New York, Coordinate with
NY--Department the Treasury
of Homeless program team on
Services. administration of
the program.
Also serves as the
investor of the
program.
Intermediary..................... NYC Department of Actively
Health and participate in
Mental Hygiene CBHT meetings.
(DOHMH), NYC Review eligibility
Health and of CBHT
Hospitals (H+H). participants for
key service
interventions and
facilitate
enrollment as
applicable (e.g.,
DOHMH: IMT, AOT,
ACT Programs;
H+H: CPEP, THU).
Service Provider................. Bowery Residents Contracted
Committee, outreach teams
Manhattan that will provide
Outreach the services to
Consortium, the target
Project population.
Hospitality,
Bronxworks,
Breaking Ground
Queens, and
Breaking Ground
Brooklyn.
Independent Evaluator............ TBD.............. Evaluate the
project using a
combination of
propensity score
matching and
random
assignment.
------------------------------------------------------------------------
6. The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
New York City will be eligible for payments from Treasury if there
is a statistically significant difference between the treatment and the
comparison group at the 80 percent level using the evaluation design
strategy defined below.
7. The project budget:
----------------------------------------------------------------------------------------------------------------
2025 2026 2027 2028 2029 Total
----------------------------------------------------------------------------------------------------------------
Project costs................... $1,539,209 $1,539,209 $1,044,462 $563,129 $12,720 $4,698,729
----------------------------------------------------------------------------------------------------------------
8. The project timeline:
This project has a five-year project timeline from January 1, 2025,
through December 31, 2029. The project intervention period, defined as
the period in which services will be delivered, will be 39 months, from
July 1, 2025, through September 30, 2028.
9. The project eligibility criteria:
The CBHT-3 initiative will include 3 task forces serving high needs
individuals experiencing unsheltered homelessness: High Needs
Individuals--Subway System, High
[[Page 106757]]
Needs Individuals--Above Ground, and End of Line (EOL) High Service
Utilizers. Eligibility criteria for the first two task forces were
determined by DHS in collaboration with operational and social services
partners. Based on recommendations from DHS's partners, it was
determined that in order to be selected for inclusion in the Subway
System or Above Ground CBHT, an individual would have to meet 4 of 10
criteria related to medical vulnerability, older age, long-term street
homelessness, a history of hospitalizations, a history of involuntary
removals, repeated service refusal, significant behavioral health
diagnosis, heightened NYPD/MTA interactions, excessive belongings with
them, and propensity for violence.
Eligibility criteria for the EOL High Utilizers Task Force were
developed based on early outcomes from the DHS EOL initiative. The EOL
initiative focuses on engaging individuals at ``End of line''
stations--that is, the first and last stations of a given subway line--
and bringing individuals into transitional housing beds. A January 2024
study by the DSS Office of Evaluation and Research identified a small
group of individuals that repeatedly cycled between transitional
housing and EOL stations. While accounting for less than 6% of
approximately 5,000 unique clients served by the EOL initiative during
a 17-month study period, this group accounted for roughly one-third of
all transitional housing placements made in that time. This population
will serve as the target population for the EOL task force.
10. The evaluation design:
The evaluation will employ a quasi-experimental design to
rigorously assess the CBHT-3 Initiative's effectiveness in achieving
its goal of stably housing individuals with complex health and mental
health needs and long histories of unsheltered homelessness.
Specifically, the evaluation will assess whether the initiative meets
the outcome target of a 25-percentage point increase in the rate of
stable housing or stable shelter. The initiative expects to achieve
this impact by transitioning 50% of the treatment group into stable
housing as compared to a 25% rate among the comparison group, with
stable housing defined as a permanent housing placement and stable
shelter defined a continuous stay in a low-barrier stabilization bed or
other emergency housing setting that lasts at least 6 months. The
evaluation will also measure any associated reductions in
hospitalization (after an expected initial increase to stabilize health
and mental health conditions), emergency room visits, transports to
emergency housing, and arrests. An implementation evaluation will offer
further insight into the initiative's activities and participants'
experiences. Comparison groups for the Subway System and Above Ground
task force clients will be identified using propensity score matching,
drawing on a rich set of longitudinal case management data to ensure
matched groups. A comparison group for the EOL task force will be
identified using random assignment from among those repeatedly cycling
through the EOL initiative.
11. The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
Whether New York City has successfully transitioned 50% of the
treatment group into stable housing or stable shelter as compared to a
25% rate among the comparison group, with stable housing defined as a
permanent housing placement and stable shelter defined as a continuous
stay in a low-barrier stabilization bed or other emergency housing
setting that lasts at least 6 months.
12. The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
The estimated savings to the federal government are $19,893,775.
The estimated savings to the State of New York are $9,912,081.
There are not estimated savings to the City of New York.
The total net savings are $23,822,017.
The Project Grant Agreement for the School Board of Leon County, FL
(Leon County) Contains the Following Features
1. The outcome goals of the social impact partnership project:
Leon County will seek outcomes from two interventions, (1) Family
Connects, a universal postpartum nurse home visiting program under
which Leon County expects to see a significant reduction in newborn
emergency room visits and (2), Reach Out and Read a literacy initiative
working through pediatric care providers which seeks to reduce maternal
depression.
2. A description of each intervention in the project:
As stated above, Leon County's project has two interventions. The
first, Family Connects, is a universal nurse home visit for new parents
to reduce infant emergency medical care visits and maternal postpartum
depression rates. The second, Reach Out and Read, is a universal early
literacy initiative through which health care providers coach parents
on reading to their children to improve early literacy, parental
engagement, and school readiness among preschool-aged children.
3. The target population that will be served by the project:
The program is designed with an inclusive, universal approach to
serve all families with newborns and young children in Leon County,
with a specific emphasis on ensuring that low-income families benefit
from early interventions that are crucial for the health and
development of their children.
4. The expected social benefits to participants who receive the
intervention and others who may be impacted:
The primary expected social benefits from the project include:
Family Connects
[cir] Lower number of emergency department visits
[cir] Reduced hospital readmissions for infants
Reach Out and Read
[cir] Reduction in maternal depression
5. The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
Role Entity Responsibilities
------------------------------------------------------------------------
Government....................... Leon County Repay investors
Public Schools, with SIPPRA funds
FL. if performance
benchmarks are
met.
Coordinate with
the Treasury
program team on
administration of
the program.
Intermediary..................... Institute for Project Manager.
Child Success.
[[Page 106758]]
Service Provider................. Capital Area Provide community-
Healthy Start based doulas to
Coalition. expecting
mothers.
Reach Out and Provide pediatric
Read. literacy to new
families.
Independent Evaluator............ Florida Center Evaluate the
for Reading project using a
Research, quasi-
Florida State experimental
University. design supported
by synthetic
control
methodology.
Investor......................... Maycomb Capital Provide the
Partners. upfront capital.
------------------------------------------------------------------------
6. The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
Leon County will be eligible for a payment from Treasury if there
is an expected decrease in infant emergency medical care usage rates
through the Family Connects program and a reduction in maternal
depression.
7. The project budget:
--------------------------------------------------------------------------------------------------------------------------------------------------------
Project budget
---------------------------------------------------------------------------------------------------------------------------------------------------------
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 Total project costs
--------------------------------------------------------------------------------------------------------------------------------------------------------
$466,666.00 $706,666.80 $706,666.80 $706,666.80 $706,666.80 $1,306,666.80 $4,600,000.00
--------------------------------------------------------------------------------------------------------------------------------------------------------
8. The project timeline:
There is a seven-year intervention period. The project will begin
the intervention in year two (2025) and end in year seven (2030),
allowing for sufficient time for the independent evaluator to compete
their assessment.
9. The project eligibility criteria:
The project is providing universal access to every family with
newborns and young children within Leon County.
10. The evaluation design:
The use of quasi-experimental design is particularly suitable given
the non-randomizable nature of the interventions being assessed. The
use of synthetic control methodology accommodates the study's needs by
allowing the integration of multiple data points (encompassing both
health and educational metrics) to create a holistic view of each
participant group. This methodology not only supports the establishment
of a strong causal linkage between the interventions and observed
outcomes but also provides a detailed counterfactual analysis.
11. The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
The number of emergency room visits per newborn, the prevalence of
depressive symptoms among mothers, assessed at regular intervals, and
school readiness indicators such as school entry assessments and
teacher evaluations of readiness.
12. The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
The estimated savings to the federal government is $11,418,762.
The estimated savings to the State of Florida is $5,132,751.
The Project Grant Agreement for the County of New Castle, DE (New
Castle County) Contains the Following Features
1. The outcome goals of the social impact partnership project:
The expected outcomes include a 26.1% increase in permanent housing
retention (proportion of families living in own rental home) and 29.7%
decrease in avoidance of shelter stays (proportion of families with at
least one night in emergency shelter).
2. A description of each intervention in the project:
The Family Housing Opportunities for Purposeful Empowerment Project
(the Family HOPE Project)--a partnership between New Castle County and
the Hope Center, an emergency shelter--will provide up to 90 days of
temporary housing at the Hope Center, two years of rental assistance
(disbursed as direct cash payments), and two years of case management
and supportive services (such as financial counseling) for 120 families
over about four years.
3. The target population that will be served by the project:
The target population is homeless families who are not currently
receiving a rental subsidy, housing voucher, or other form of public
housing and have a household income less than 50% of the Area Median
Income (AMI) in New Castle County.
4. The expected social benefits to participants who receive the
intervention and others who may be impacted:
The program aims to reduce family homelessness by (1) improving
permanent housing retention and (2) decreasing emergency shelter stays.
Through permanent housing retention, the Recipient expects to reduce
state and local expenditures on (a) the judicial and legal system cost
of intimate partner violence, (b) police protection costs of intimate
partner violence, (c) costs to child welfare agencies of out-of-home
placements, and (d) reductions from eviction-related costs. The
Recipient also expects that reducing shelter stays will lower federal,
state, and local expenditures on emergency shelter stays, transitional
housing stays, and public-school transportation.
5. The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
Role Entity Responsibilities
------------------------------------------------------------------------
Government....................... County of New Repay investors
Castle, DE. with SIPPRA funds
if performance
benchmarks are
met.
Coordinate with
the Treasury
program team on
administration of
the program.
Intermediary..................... Social Finance... Serve as financial
intermediary,
leading project
design and
contracting
activities.
Provide
performance
management
services and
facilitate
governance
committees.
Service Provider................. New Castle County Lead service
Hope Center. provisions
through providing
emergency shelter
stay to eligible
families,
coordination of
rental
assistance, and
ongoing case
management.
[[Page 106759]]
Lead outreach and
enrollment of
families.
Report data and
coordinate with
the Evaluator and
Intermediary, as
needed.
Independent Evaluator............ Tech Impact, Data Evaluate the
Innovation Lab. project using
propensity score
matching.
Investors........................ private and Provide upfront
philanthropic funding to
investors. support service
provision.
------------------------------------------------------------------------
6. The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
New Castle County will be eligible for a payment from Treasury if
there is a statistically significant difference between the treatment
and the comparison group at the 80 percent level using the evaluation
design strategy defined below. Outcome payments will be generated from
2026 to 2031 for a total of six planned payments.
7. The project budget:
----------------------------------------------------------------------------------------------------------------
Project budget
-----------------------------------------------------------------------------------------------------------------
2025 2026 2027 2028 2029 Total
----------------------------------------------------------------------------------------------------------------
Project costs.................. $864,710 $2,044,595 $2,248,966 $1,076,581 $220,000 $7,844,268
----------------------------------------------------------------------------------------------------------------
8. The project timeline:
This project has a 7.25-year project timeline from January 1, 2025,
through March 31, 2032. The project intervention period, defined as the
period in which services will be delivered, will be 66 months, from
July 1, 2025, through December 31, 2031.
9. The project eligibility criteria:
Participants are eligible if they are a family who (1) have at
least one adult, aged 19 and older, and one or more children, aged 15
and younger, upon enrollment (inclusive of pregnant caregivers), (2)
have family household income under 50% of the Area Median Income (AMI)
in New Castle County, and (3) are not currently receiving a rental
subsidy, housing voucher, or other form of public housing. Sex
offenders are not eligible for the Family HOPE Project.
10. Evaluation design:
The study is a quasi-experimental design that compares the housing
security outcomes of two groups: (1) a program group who receives a 2-
year 90% fair market rent (FMR) monthly cash assistance following a
temporary maximum 90-day stay at the Hope Center (n=120) and (2) a
household socio-demographic matched control group sourced from CMIS,
which is composed of families on any waitlist for the Delaware State
Housing Authority (DSHA)--or local-level housing authorities in New
Castle County--Public Housing and Housing Choice Voucher Program as
well as with start and exit dates to any housing program (e.g.,
emergency shelters, temporary housing, rapid re-rehousing) that match
our study inclusion period (n=120). They will randomize controls at the
family unit but will observe outcomes at the individual participant
family head of household level, potentially boosting the study's power.
There are 2 independent matched groups of 60 in this overall study,
totaling 120 controls and 120 families receiving cash rental
assistance. Cohort 1 begins in Q3 of 2025, with cohort 2 following a
year later, begins in Q3 of 2026. The design incorporates one-to-one
propensity score matching.
11. The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
The following metrics will be used:
Permanent Housing Retention: The proportion of families
ultimately living in their own rental home
Avoidance of the Shelter Stay: The proportion of families with
at least 1 night in emergency shelter
12. The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
The estimated savings to the federal government are $269,257.
The estimated savings to the State of Delaware are $12,843,519.
The estimated savings to the County of New Castle are $361,404.
The Project Grant Agreement the County of Spartanburg, SC (County of
Spartanburg) Contains the Following Features
1. The outcome goals of the social impact partnership project:
The Hello Family Spartanburg County Expansion seeks to address
critical early childhood and family development needs across
Spartanburg County. Building on the Hello Family Initiative launched in
the City of Spartanburg in 2021, this county-wide project seeks to
enhance access to prenatal care, support healthy birth outcomes,
incentivize breastfeeding, and reduce preventable medical interventions
and child maltreatment through two different interventions: the
BirthMatters Community Doula Program (BirthMatters) and Family
Connects.
2. A description of each intervention in the project:
The County of Spartanburg will address critical early childhood and
family development needs by expanding their Hello Family program
county-wide. The Hello Family program has two different interventions:
the BirthMatters Community Doula Program and Family Connects.
BirthMatters enhances access to prenatal care through doula services
until the infant is 12 months old. Family Connects' nurses are trained
to assess newborns and mothers, provide immediate medical care when
necessary, and recommend other supportive services as needed.
3. The target population that will be served by the project:
Family Connects is open to all mothers, and all young, low-income
mothers are eligible for BirthMatters within Spartanburg County.
4. The expected social benefits to participants who receive the
intervention and others who may be impacted:
The primary expected social benefits from the project include:
BirthMatters
[cir] Reduced cesarean deliveries
[[Page 106760]]
[cir] Increased breastfeeding rates
[cir] Improved maternal-infant bonding
Family Connects
[cir] Lower emergency department visits
[cir] Reduced hospital readmissions for infants
5. The detailed roles, responsibilities, and purposes of each
Federal, State, or local government entity, intermediary, service
provider, independent evaluator, investor, or other stakeholder:
------------------------------------------------------------------------
Role Entity Responsibilities
------------------------------------------------------------------------
Government....................... County of Repay investors
Spartanburg, SC. with SIPPRA funds
if performance
benchmarks are
met.
Coordinate with
the Treasury
program team on
administration of
the program.
Intermediary..................... Institute for Fiscal and project
Child Success. manager.
Service Provider................. BirthMatters..... Provide community-
based doulas to
expecting
mothers.
Family Connects.. Provide nurse-led
home visits.
Independent Evaluator............ Urban Institute.. Evaluate the
project using a
quasi-
experimental
design supported
by synthetic
control
methodology.
Independent Validator............ Riley Institute.. Ensure the
integrity and
accuracy of
project data
through
validation.
Investor......................... Maycomb Capital Provide the
Partners, upfront capital.
Spartanburg
Academic
Movement.
------------------------------------------------------------------------
6. The payment terms, the methodology used to calculate outcome
payments, the payment schedule, and performance thresholds:
County of Spartanburg will be eligible for a payment from Treasury
if there is an expected decrease in low birthweight births through the
BirthMatters program and an expected reduction of infant emergency
medical care usage rates through the Family Connects program.
7. The project budget:
----------------------------------------------------------------------------------------------------------------
Project budget
-----------------------------------------------------------------------------------------------------------------
Total
Year 1 Year 2 Year 3 Year 4 Year 5 Year 6 Year 7 project
costs
----------------------------------------------------------------------------------------------------------------
$1,400,000 1,400,000 $1,400,000 $1,400,000 $1,400,000 $1,400,000 $1,500,000 $9,900,000
----------------------------------------------------------------------------------------------------------------
8. The project timeline:
There is a seven-year intervention period. The project will begin
the intervention in year two (2025) and end in year seven (2030),
allowing for sufficient time for the independent evaluator to compete
their assessment.
9. The project eligibility criteria:
The BirthMatters program is open to all young, low-income mothers
residing in Spartanburg County. The Family Connects program is open to
all mothers in Spartanburg County.
10. The evaluation design:
The choice of a Quasi-Experimental Design (QED), supported by
Synthetic Control Methodology (SCM), is driven by the need for an
assessment framework that allows for the control of confounding
variables in non-randomized environments, especially given the prospect
of bringing to scale models that are offered to all families. This
evaluation seeks to quantify the effects of targeted interventions on
key parameters such as Kindergarten Readiness and specific health
outcomes indicative of infant and maternal health.
11. The metrics that will be used in the evaluation to determine
whether the outcomes have been achieved as a result of each
intervention and how these metrics will be measured:
The metrics used in the evaluation include costs associated with a
reduction in newborn ER visits and a reduction in costs associated with
low birthweight.
12. The estimate of the savings to the Federal, State, and local
government, on a program-by-program basis and in the aggregate, if the
agreement is entered into and implemented and the outcomes are achieved
as a result of each intervention:
The estimated savings to the federal government is $11,2029.
The estimated savings to the State of South Carolina is $4,876,774.
Eric Van Nostrand,
P.D.O. Assistant Secretary for Economic Policy Department of the
Treasury.
[FR Doc. 2024-31222 Filed 12-27-24; 8:45 am]
BILLING CODE 4810-AK-P