Estimates of Annual Impact of Potential Disenrollment from Select Non‐Cash Benefits by Immigrants in Philadelphia, PA   Benefit Supplemental Nutrition  Assistance Program  Special Supplemental  Nutrition Program for  Women, Infant and  National School Lunch  Program Estimate number  Estimate  Estimate  Estimate number  of households  Number of  Average value of  economic impact  economic impact  with at  least 1  people  receiving  of households  Examples of impact on Philadelphia  Examples of impact on Philadelphia  if 6% of  if 25%  benefit per  receiving benefit  immigrant  benefit in  economy public and private safety net person  annually disenroll/forgo  disenroll/forgo  Philadelphia in Philadelphia1 receiving benefit  3 4 benefit from benefit in Philadelphia2 ‐ Decrease retail and commercial  ‐ Increase use of and need for  484,873 187,210 34,447 $1,553 $3,209,153 $13,371,472 grocery and food sales emergency food programs ‐ Increase child welfare complaints,  54,943 21,214 3,903 $732 $171,432 $714,301 investigations, and placements ‐ Increase burden on foster care  system 128,102 49,460 9,101 $599 $327,139 $1,363,077 5 413,705 159,732 29,391 $2,973 $5,242,576 $21,844,068 ACA Marketplace  Insurance Subsidies 55,848 21,563 3,968 $5,664 $1,348,342 $5,618,093 Children's Health  Insurance Program (CHIP) 24,873 9,603 1,767 $2,972 $315,098 $1,312,910 Medicaid Low‐Income Home Energy  N/A: Household  Assistance Program  level benefit 6 (LIHEAP) 169,082 31,111 $166 $310,522 $1,293,842 Earned Income Tax Credit  (EITC)7 N/A: Household  level benefit 193,350 35,576 $2,536 $5,413,988 $22,558,284 40,971 15,819 2,911 $3,735 $652,320 $2,718,001 $16,990,572 $70,794,050 Federal Pell Grant Estimate Total  Annual Impact ‐ Increase uncompensated/charity  healthcare ‐ Decrease reimbursement for  healthcare providers ‐ Increase healthcare debt ‐ Increase healthcare costs due to  forgone care ‐ Increase use of and need for  emergency health care services due  to forgone primary care ‐ Increase use of and burden on  safety net health care providers (e.g.  FQHCs, city‐funded health centers) ‐ Increase resources for responding to  public health emergencies (e.g.  disease outbreaks) ‐ Increase energy shutoff costs ‐ Increase use of and need for  ‐ Decrease energy utilization/revenue emergency health care services for  ‐ Increase emergency shelter costs weather‐related illness ‐ Increase child welfare complaints,  investigations, and placements ‐ Slow economic growth and spending ‐ Increase use of and need for  supportive service ‐ Increase unemployment claims ‐ Decrease higher education  enrollment/participation ‐ Decrease in workforce  development/readiness ‐ Increase educational debt 1  Number of households estimated from number of people  using U.S. Census estimate of average 2.59 people per household in Philadelphia, PA  2  Number of households with at least 1 immigrant estimated from number of households receiving benefit  using U.S. Census Bureau estimate of 18.4% of households having at least 1 immigrant in Philadelphia, PA 3  6% drop off estimate given 2% of immigrants apply annually and immigrants who will apply w/i next 3 years  withdraw/forgo; assumes conservatively that only one immigrant per household receives benefit 4  25% drop off estimate given actual drop off  is likely to be much higher; assumes conservatively that only one immigrant per household receives benefit   Medicaid enrollment and benefit value conservatively excludes aged/disability  eligibility categories 5 6  Number of households actually  receiving LIHEAP 9/24/2016 through 9/14/2017 in Philadelphia, PA reported by Pennsylvania Department of Public Welfare  7  Number of households actually  receiving EITC in tax year 2015 in Philadelphia, PA reported by U.S. Internal Revenue Service Produced by: City of Philadelphia ‐ 4/25/2018 Data Sources and Key References for Estimates of Annual Impact of Potential Disenrollment of Select Non‐ Cash Benefits by Immigrants in Philadelphia, PA  Data Sources  A. Supplemental Nutrition Assistance Program (SNAP):   Enrollment ‐ Pennsylvania Department of Human Services Medical Assistance, Food Stamps and Cash  Assistance Monthly Utilization Reports  Benefit Value – Pennsylvania Department of Human Services Medical Assistance, Food Stamps and Cash  Assistance Monthly Spending by County (Averaged to number of enrollee)  B. Special Supplemental Nutrition Program for Women, Infant and Children (WIC):  Enrollment ‐ Pennsylvania Department of Human Services Setting the Table: Blueprint for a Hunger‐Free  PA [http://dhs.pa.gov/ending‐hunger/about/blueprint/index.html]   Benefit Value – Center on Budget and Policy Priorities WIC Works: Address the Nutrition and Health  Needs of Low‐Income Families for 40 Years [https://www.cbpp.org/research/food‐assistance/wic‐ works‐addressing‐the‐nutrition‐and‐health‐needs‐of‐low‐income‐families#_ftn54]  C. National School Lunch Program  Enrollment – School District of Philadelphia School Enrollment & Demographics  [https://www.philasd.org/performance/programsservices/open‐data/school‐ information/#school_enrollment]  Benefit Value – Department of Agriculture, Food and Nutrition Service National School Lunch, Special  Milk, and School Breakfast Programs, National Average Payments/Maximum Reimbursement Rates  [https://www.gpo.gov/fdsys/pkg/FR‐2017‐07‐28/pdf/2017‐15956.pdf]   D. Medicaid  Enrollment ‐ Pennsylvania Department of Human Services Medical Assistance, Food Stamps and Cash  Assistance Monthly Utilization Reports reduced by removing estimated number of Aged and Adults with  Disabilities based on Kaiser Family Foundation Medicaid Enrollment by Enrollment Group  [https://www.kff.org/medicaid/state‐indicator/distribution‐of‐medicaid‐enrollees‐by‐enrollment‐ group/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22% 7D]  Benefit Value – Kaiser Family Foundation Medicaid Spending Per Enrollee (Weighted average for Adults  and Children) [https://www.kff.org/medicaid/state‐indicator/medicaid‐spending‐per‐ enrollee/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%2 2%7D]    E. ACA Marketplace Insurance Subsidies  Enrollment – Centers for Medicare & Medicaid Services 2017 OEP County‐Level Public Use File  [https://www.cms.gov/Research‐Statistics‐Data‐and‐Systems/Statistics‐Trends‐and‐ Reports/Marketplace‐Products/Plan_Selection_ZIP.html]  Benefit Value ‐ Centers for Medicare & Medicaid Services 2017 OEP County‐Level Public Use File  [https://www.cms.gov/Research‐Statistics‐Data‐and‐Systems/Statistics‐Trends‐and‐ Reports/Marketplace‐Products/Plan_Selection_ZIP.html]   F. Children's Health Insurance Program (CHIP)  Enrollment – Pennsylvania’s Children’s Health Insurance Program Enrollment Figures by County  [http://www.chipcoverspakids.com/AboutCHIP/Pages/EnrollmentFigures.aspx]  Benefit Value – Kaiser Family Foundation Total CHIP Spending by State (Divided by enrollment data from  above) [https://www.kff.org/medicaid/state‐indicator/total‐chip‐ spending/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc% 22%7D]  G. Low‐Income Home Energy Assistance Program (LIHEAP)  Enrollment – Pennsylvania Department of Public Welfare Energy Assistance Summary 9‐15‐2017  Benefit Value ‐ Pennsylvania Department of Public Welfare Energy Assistance Summary 9‐15‐2017   H. Earned Income Tax Credit (EITC)  Enrollment – IRS Report by County 2015 [https://www.irs.gov/statistics/soi‐tax‐stats‐county‐data‐2015]  Benefit Value – IRS Report by County 2015 [https://www.irs.gov/statistics/soi‐tax‐stats‐county‐data‐ 2015]  I. Federal Pell Grant  Enrollment – US Department of Education Federal Pell Grant Program Distribution  [https://www2.ed.gov/finaid/prof/resources/data/pell‐institution.html]  Benefit Value ‐ US Department of Education Federal Pell Grant Program Distribution  [https://www2.ed.gov/finaid/prof/resources/data/pell‐institution.html]  Key References  1. Household Conversion Factor  Average number of persons per household, Philadelphia County, PA, US Census QuickFacts  2012‐2016   2. Immigrant Households Conversion Factor  Average number of households with at least 1 immigrant, Migration Policy Institute tabulation  using the U.S. Census' 2016 American Community Survey  Produced by: City of Philadelphia – 4/25/2018