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Teenage Pregnancy, The Case for Prevention [PDF]

Appendix B: Expenditures and Investments Cost Formulas

Expenditures Cost Formula.§ Advocates for Youth used the following cost formula to calculate the total fiscal year 1996 federal expenditures to support families in which the first birth occurred while the mother was a teenager.

Fiscal Year 1996 Expenditures

TOTAL

Medicaid

{[(Annual number of adult Medicaid recipients eligible based on AFDC status) x (Average annual Medicaid outlay per AFDC adult)] + [(Annual number of child Medicaid recipients eligible based on AFDC status) x (Average annual Medicaid outlay per AFDC child)]} x (55%*)

= A

Medicaid (Administrative Costs)

(Medicaid total administrative costs) x (55%*)

= B

Aid to Families with Dependent Children (AFDC)

(AFDC expenditures) x (55%*)

= C

Food Stamp Program

(Average monthly number of Food Stamp recipients) x (Average monthly Food Stamp allocation) x (% of AFDC recipients also receiving Food Stamp Program) x (12 [months]) x (47%*)

= D

Food Stamp Program (Administrative Costs)

(Food Stamp Program total administrative costs) x (47%*)

= E

Special Supplemental Nutrition Program for Women, Infants, and Children (WIC)

(Total WIC budget) x (55%*)

= F

Social Services Block Grant (SSBG)

(Total SSBG funding level) x (% of SSBG funds dedicated to programs for pregnant and parenting teens)

= G

Maternal and Child Health Services Block Grant

(Total MCH budget) x (% of MCH budget dedicated to programs for pregnant and parenting teens)

= H

Adolescent Family Life (AFL) Program

(Total AFL budget) x (% of AFL budget dedicated to programs for pregnant and parenting teens)

= I

Total Expenditures

= (A + B + C + D + E + F + G + H + I)

Investments Cost Formula. Advocates for Youth used the following cost formula to calculate the total fiscal year 1996 federal investments in the prevention of teenage pregnancy.

Fiscal Year 1996 Investments

TOTAL

Medicaid

(Total Medicaid appropriations for family planning) x (% recipients of Medicaid family planning who are teens)

= A

Healthy Schools, Healthy Communities (HSHC)

(Total HSHC appropriations dedicated to health education in each site) x (Number of HSHC sites providing health education)

= B

Healthy People 2000 (Preventive Health and Health Services Block Grant)

(Total budget dedicated to Objective 5.1 of Healthy People 2000)

= C

Community Health Center (CHC) Program

(Total CHC budget dedicated to implement GAPS)

= D

Community Coalition Partnership Program for the Prevention of Teen Pregnancy (CCPPPTP)

(Total CCPPPTP grant awarded to each community) x (Number of CCPPPTP communities)

= E

National Family Planning Program

(Total Title X appropriations) x (% recipients of Title X services who are teens)

= F

Maternal and Child Health Services Block Grant

(Total MCH budget) x (% of MCH budget dedicated to teen pregnancy prevention)

= G

Adolescent Family Life (AFL) Program

(Total AFL budget) x (% of AFL budget dedicated to teen pregnancy prevention)

= H

Total Investments

= (A + B + C + D + E + F + G + H)

______________________________
§ The expenditures cost formula is adapted from Expenditures and Investments: Adolescent Pregnancy in the South, Volume II (1997).

* Estimated percent of recipients who were teens at the birth of their first child and/or children of families begun by a teenage birth.


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Appendix A: Percent Change in Teen Birth Rate

Appendix C: Key Differences Between AFDC & TANF

Source/Citation:
Feijoo AN. Teenage Pregnancy, the Case for Prevention: An Updated Analysis of Recent Trends & Federal Expenditures Associated with Teenage Pregnancy. Washington, DC: Advocates for Youth, 1999.

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