Variation In State Policies Research Articles

Variability in youth coach concussion education requirements across states.

Youth sports coaches play a critical role in proper concussion recognition and management, reinforcing the need for coach concussion education. As of 2021, most states have statutory and policy measures mandating concussion education for coaches. In practice, these mandates have been enacted through state legislatures and their respective youth sport governing bodies. Prior studies have found significant variations in the contents of state-level concussion risk reduction policies and have raised questions about their specificity. To expand on previous analyses to provide an overview of youth sports coach concussion education, highlighting variations in state policies and discrepancies between state mandates and youth sport governing bodies. This report utilized qualitative content analysis to characterize and compare U.S. state and governing body concussion education requirements for youth sport coaches. State concussion statutes were identified via the National Conference of State Legislatures and Open States databases, and governing body handbooks/bylaws were obtained via their websites. Two researchers independently coded the policies, and discrepancies were resolved through consensus meetings with additional youth traumatic brain injury experts. We found significant variability in educational requirements and their implementation. A majority (68%; n = 34) of states require the completion of concussion education training for coaches. Notably, many states designate responsibility for enforcement and implementation of provisions to another party but just four state statutes delineate explicit consequences for noncompliance. Additionally, only 12 state statutes extend mandates to noninterscholastic sports, limiting their reach. In most cases, independent sanctioning authorities implement more stringent policies than the minimum acceptable standard established by state law. Our findings provide a coded data set of youth coach concussion laws and independent sanctioning authority guidelines that can be used in future research efforts. Further research investigating a relationship between the strength of coach concussion education policies and relevant youth and adolescent concussion-related metrics is required.

Qualifications and supports for teaching teams in state-funded preschool in the United States

In the United States, state-funded preschool is a critical component of both K-12 public education and the early childhood education and care system. In 2021, 44 states and the District of Columbia operated 63 school/center-based preschool programs serving over 1.3 million children. The vast majority of state-funded preschool programs require two adults in each classroom: typically, a lead teacher and an assistant teacher, with an expectation for team teaching. This paper examines the trends and variations in state policies that address the qualifications requirements, compensation, and professional development supports for preschool lead and assistant teachers in state-funded preschool programs that provide a foundation for supporting a culture of collective success and potential quality of the classroom.

Indigenous Students and English Learner Identification: A Fifty-State Policy Review

English learner (EL) education is widely conceived as services for immigrant-origin students, however nearly one in ten American Indian, Alaska Native, and Native Hawaiian students are classified in school as EL. Title III of the Every Student Succeeds Act (2015) defines EL eligibility differently for Indigenous, compared to non-Indigenous, students with implications for who is identified as an EL and how best to serve their academic and linguistic interests. This study presents findings from a 50-state review of Indigenous EL identification policy. We find that states fall into four categories ranging from no differentiation in Indigenous EL identification to clear differentiation. We describe each of these four categories and conclude with reflections on how this wide variation in state policies has implications for Indigenous students’ educational resources and experiences.

Fragmentation of Political Authority and Bureaucratic Entrepreneurship: Explaining Instances of Minority Accommodation in Israel and Estonia

Why do some ethnic nation-states committed to preferential treatment of the dominant nation choose to accommodate their ethnic minorities in some realms? I argue that power struggles between elected and non-elected officials account for the variation in the treatment of ethnic minorities. Fragmentation of authority creates opportunities for entrepreneurial bureaucrats to initiate policy changes and lead to unanticipated outcomes. Drawing on nationalism studies in comparative politics and principal-agent scholarship in public administration, this article outlines a theoretical framework focused on domestic factors accounting for variation in state policies toward minorities in a novel way. I apply this framework to education policy in Israel and Estonia vis-à-vis the Palestinian Arab and Russian-speaking minorities. This article illuminates an empirical puzzle of minority accommodation under nationalist governments and explains the conditions under which it occurs, offering generalizable theoretical expectations for similar contexts.

Associations Among Select State Policies and the Nutritional Quality of Household Packaged Food Purchases in the United States from 2008 Through 2017

BackgroundPolicy interventions are important public health tools because they can reach large numbers of people. State context has been associated with health outcomes, yet few studies have examined the extent to which state-level policies are associated with dietary quality. ObjectivesThe objective of this study was to evaluate whether state policies are associated with the nutritional quality of household packaged food purchases. DesignThis observational study used data from Nielsen Homescan, an open-cohort household panel where participants track purchases, and a combination of state-level food and social safety net policy variables from 2008 through 2017. Participants and settingThis study included 615,634 household-year observations in the United States from 2008 through 2017. Household-year observations were excluded in the case that a household did not make a minimum number of purchases and in the case that they had incorrect geographic information. The final analytic sample was 611,719 household-years. Main outcome measuresStudy outcomes included a set of nutrition-related measures of public health interest, including nutrients of concern (eg, sugar, saturated fat, and sodium) and calories from specific food groups (eg, fruits, nonstarchy vegetables, processed meats, mixed dishes, sugar-sweetened beverages, and desserts and snacks). Statistical analysisThis study used multilevel generalized linear models with state fixed effects on three samples: all households, only households with low income, and only households with low educational attainment. ResultsFew significant associations were found between healthy food retail policies and the nutritional quality of purchases, and mixed associations were found between social safety net policies and lower or higher quality packaged food purchases. ConclusionsLittle evidence was found that state policy context in 2008 through 2017 was associated with the quality of packaged food purchases. However, variation in state policies is increasing over time, warranting future research into the relationship between these policies, the quality of packaged food purchases, and the rest of the diet.

How Variations in State Policies and Practices Impact Student Outcomes: What Principals and Professors Need to Know

American high school graduates’ readiness for higher education or employment in the global economy may depend on the state where they live. Since the 10th Amendment to the United States Constitution makes education a state function, the 50 states and the District of Columbia vary significantly in their policies and practices for (a) preschool access and enrollment, (b) compulsory attendance, (c) instructional standards, (d) school funding, and (e) student outcomes. The variance in state requirements and student outcomes is a high-stakes equity issue. If every child is to be well educated and prepared to live productively in the 21st century, principals, professional associations, and allies can assess their own states’ policies and outcomes on these five criteria and determine where their advocacy may be needed to strengthen them.

Much Ado about Nothing? New Evidence on the Effects of Payday Lending on Military Members

We evaluate the effect that payday loan access has on credit and labor market outcomes of individuals in the U.S. Army. Using the conditional random assignment of service members to different locations, we employ three identification strategies: cross-sectional variation in state policies, within-term variation in payday lending access, and a difference-in-difference analysis using the national Military Lending Act. We find few adverse effects of payday loan access on service members when using any of these methods, even when we examine dozens of subsamples that explore potential differential treatment effects.

The influence of early childhood teacher certification on kindergarten and first-grade students’ academic outcomes

ABSTRACTThere is considerable variation in state policies related to the certification required for teachers in kindergarten and first grade, and relatively little is known about these policies’ effects on student learning. This study considers whether children who have kindergarten and first-grade teachers with certification in early childhood education (ECE) experience greater gains in reading and math compared to children whose teachers have only elementary education certification, using data from the Early Childhood Longitudinal Study–Kindergarten cohort (ECLS-K). Results suggest that the ECE certification of the kindergarten has a small, positive effect on children’s academic gains. Implications and future directions for research and policy are discussed based on the findings.

In the Shadow of the States: The Informalities of Chinese Petty Entrepreneurship in Nigeria

The burgeoning interstate relation between China and Nigeria is in fact hiding the vulnerable condition of transnational Chinese petty entrepreneurship. Small-scale Chinese entrepreneurs in Nigeria are faced with everyday corruption practised by both Nigerian authorities and ordinary Nigerian people, the dominance of self-interest over cohesion and mutual support among the Chinese compatriots, and variations in state policies due to dynamic and changing interstate relations. To overcome their position of weakness, small-scale Chinese entrepreneurs strategize their interactions with both Nigerian and Chinese nationals. Informality is a characteristic of such interactions. Economic informality is primarily embodied in the documentation service businesses that are indebted to those popular corrupt practices in Nigeria; while social informality takes place in cyberspace. Interaction via the Internet among Chinese involved in Chinese–Nigerian businesses helps small-scale Chinese entrepreneurs to cope with fluctuations in interstate links at the macro-level and to develop a sense of community.

Medicaid Home and Community-Based Services: How Consumer Access Is Restricted by State Policies

State Medicaid programs have expanded home and community-based services (HCBS). This article compares trends and variations in state policies for Medicaid HCBS programs in 2005 and 2010. State limitations on financial eligibility criteria and service benefits have remained stable. Although the use of consumer direction, independent providers, and family care providers has increased, some states do not have these options. The increased adoption of state cost control policies have led to large increases in persons on waiver wait lists. Access could be improved by standardizing and liberalizing state HCBS policies, but state fiscal concerns are barriers to rebalancing between HCBS and institutional services.

Industry Strength and Immigrant Policy in the American States

Despite the negative rhetoric surrounding the immigration issue, recent policy in many states has provided significant benefits to both legal and undocumented immigrants. Previous scholarship on state-level immigrant policy suggests that differences in the degree of public animosity toward this group may help to explain variation in state policy, but that work largely neglects the influence that industries that employ immigrants may have on state policy decisions. This essay develops the argument that industries that employ immigrants have a substantial impact on policy decisions in some states. It also suggests that the response of state policy makers to public pressure for more restrictive immigrant policy may be moderated by the political and economic importance of those industries. The authors test specific assertions drawn from this argument in an analysis of immigrant policy making in the American states between 2005 and 2007.

Is direct access to obstetricians/gynecologists effective at improving maternal health behaviors?

To examine the effects of state legislation mandating direct access to obstetricians and gynecologists (OB/GYNs) on maternal health behaviors and infant health outcomes. 1992-2002 Natality Detail File; 1994-2002 Pregnancy Assessment and Monitoring Survey (PRAMS). Using variation in state policy over time, we use individual-level data from two sources to consider the effects of direct access legislation on prenatal care utilization, maternal health behaviors during pregnancy, and infant health outcomes. Our results suggest that there is little evidence that direct access laws are effective at improving prenatal care access or conferring benefits to mothers and infants. These results are consistent across two data sets, a variety of specifications, and specific subgroups of women who are most likely to be affected by direct access legislation. We conclude that direct access to OB/GYNs is not related to improvements in maternal health behaviors or infant health outcomes. If policy makers are interested in reforms that improve maternal and infant health, we recommend a focus on alternative policies.

United we restrain, divided we rule: Neoliberal Reforms and Labor Unions in Turkey and Mexico

This article explores the variation in state policy toward labor unions in the context of neoliberal market reforms by cross-examining the cases of Turkey and Mexico. Although taming the power of unions so as to decrease resistance to market reforms and increase labor market flexibility remained a somewhat common objective to the neoliberal agenda across nations, governments understood “labor’s challenge” in different ways, due to their nations’ distinct histories of unionization, and utilized different strategies and means to deal with it. We show that such differences help explain why the union movement in Turkey has become more centralized and concentrated in the neoliberal era, while the union movement in Mexico has become more fragmented and decentralized.

Shifting Winds: Explaining Variation in State Policies to Promote Small‐Scale Wind Energy

States have increasingly taken leading roles in U.S. environmental policymaking over the past two decades. As laboratories of democracy, states have developed different levels and mixes of policies to address climate change, nonpoint source pollution, alternative energy, and other challenging environmental issues. Policy scholars have sought to explain variation in state environmental policy through two primary theoretical lenses: internal determinants and regional diffusion. While our understanding of state environmental policy adoption has grown to identify which variables are most important, less is known about how these variables interact in particular states to influence policy adoption. This study examines the interactions of variables from both theories to explain how state policies for small‐scale wind energy promotion were adopted in three U.S. states. Our results highlight the nuanced role of citizen ideology, which may be important in contexts at either end of the ideological spectrum but less important in the middle—where economic development is more critical. Results also indicate that interstate competition may be over environmental as well as economic leadership. Interestingly, strength of the wind resource is not necessarily correlated with policy adoption for small‐scale wind energy promotion.

The challenge of program evaluation: When increasing program participation decreases the relative well-being of participants

Two goals of food assistance programs are to improve well-being and to increase participation among those in need. Progress in meeting the first goal can be measured by the difference in well-being between participants and eligible non-participants. This gap in well-being though can be affected by progress made toward the second goal of increasing participation rates. In particular, if those with the lowest levels of well-being disproportionately enter the program, the gap can increase. To examine whether this tension between goals exists empirically, we consider the case of the Food Stamp Program and its effect on food insecurity in the United States, using data from the Survey of Income and Program Participation (SIPP). In particular, we use variation in State policies (the change in administrative error rates and the combined value of Temporary Assistance for Needy Families (TANF) and food stamp benefits) to analyze whether increasing participation rates leads to increases in the difference in food insecurity rates. Controlling for other factors, we find evidence of the tension between these two program goals insofar as States with policies which encourage participation have higher differences in the food insecurity rates of participants and non-participants.

Development of a School Nutrition–Environment State Policy Classification System (SNESPCS)

As policy strategies are rapidly being developed to address childhood overweight, a system was developed to systematically and reliably classify state policies related to the school nutrition environment. This study describes the development process, the inter-rater reliability to code state policies enacted as of December 2003, and the variability in state policies related to the school nutrition environment. The development of the School Nutrition Environment State Policy Classification System (SNESPCS) included a comprehensive review of published literature, reports from government and nongovernmental sources, input from an expert panel, and select experts. Baseline statutes and regulations for each of the 50 states and the District of Columbia were retrieved from Westlaw (data retrieved in 2005-2006 and analyzed in 2006) and pilot testing of the system was conducted. SNESPCS included 11 policy areas that relate to a range of environmental and surveillance domains. At baseline, states had no (advertising/promotion and preferential pricing) or modest (school meal environment, reimbursable school meals, coordinating or advisory councils, body mass index screening) activities in many of the policy areas. As of 2003, 60% of the states had policies related to the sale of foods in school that compete with the school meal program. Evaluation of policies that affect the school-nutrition environment is in its earliest stage. SNESPCS provides a mechanism for assessing variation in state policies that can be incorporated in an evaluation framework aimed at elucidating the impact of state policies on the school environment, social norms, and children's dietary behaviors in schools.

Upstream Competition and Vertical Integration in Electricity Markets

Many studies have found substantial market failures in electricity markets that have been restructured to allow wholesalers to set prices. Vertical integration of firms may partially mitigate market power since integrated firms have a reduced interest in setting high prices. These producers sell electricity and also are required to buy power, which they provide to their retail customers at set rates. This paper examines the importance of vertical integration in explaining firm behavior during the first summer following the restructuring of the Pennsylvania, New Jersey, and Maryland wholesale market. I compare the behavior of other firms with that of two producers that, owing to variation in state policy, had relatively few retail customers. I conclude that restructuring led to an increase in anticompetitive behavior by large net sellers but that overall vertical integration both mitigates market power and diminishes its distributional impacts.

Variation in availability of emergency contraception in pharmacies

Objective The availability of emergency contraception (EC) depends on pharmacy stocking practices and pharmacist willingness to dispense the medication. We aimed to describe the availability of EC in areas governed by different state policies regarding pharmacist behavior. Study Design A telephone survey was conducted between October 1 and December 31, 2005, of every pharmacy listed in the metropolitan areas of Atlanta, Philadelphia and Boston. We asked whether pharmacies could fill a prescription for EC within 24 h and, if not, why not. Results We interviewed pharmacists at 1085 pharmacies (response rate of 75%). Overall, 23% were unable to fill a prescription for EC within 24 h. The rate of being unable to fill was 35% in Atlanta, 23% in Philadelphia and 4% in Boston (p<.001). Refusal rates were low: 4% overall; 8% in Atlanta; 3% in Philadelphia and 0% in Boston. Conclusions Variation in state policy predicted the availability of EC. The most common reason for not being able to fill a prescription within 24 h was not having the medication in stock.

The Effect of State Cost Containment Strategies on the Insurance Status and Use of Antiretroviral Therapy (HAART) for HIV Infected People

In an effort to balance their budgets many states are considering reducing eligibility for Medicaid. Using variation in state policies, this paper models the effect of more stringent eligibility criteria for Medicaid on the insurance status and the use of antiretroviral therapy (HAART) for people living with HIV, a group heavily dependent on Medicaid. Using nationally representative data from the mid-1990's, we find that stricter eligibility thresholds for Medicaid raise uninsurance rates and reduce the use of antiretroviral therapy among HIV+ patients, especially for those who are disabled. These stricter eligibility thresholds in turn adversely affect the survival prospects of HIV+ patients by lowering the rate of HAART use. Our estimates suggest approximately 13,000 lives could have been saved if all states had adopted the eligibility thresholds of California. We do not find any evidence of a "crowding out" effect of public insurance on private coverage among these patients.

The Promises and Pitfalls of Devolution: Water Pollution Policies in the American States

This article investigates state reactions to the relatively decentralized federal policy structures that are now in place for non-point source water pollution control and assesses the extent to which state policies are living up to the promises of the policy devolution agenda. It develops and presents measures of state non-point source policy activism for all fifty states and analyzes the likely sources of variation in state policies. In so doing, it finds evidence that the “promises of devolution” are not being fulfilled across all states. The analysis also yields insights that can contribute to the development of new and more flexible federal-state policy arrangements in a policy area that has been characterized by command-and-control regulation. Copyright 2005, Oxford University Press.