The Benefits Cliff in Forsyth County

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Benefit Programs

Types of Benefits

Click to expand the sections below for overviews of the various benefit programs that people in Forsyth County are participating in, including eligibility and the market value.

Earned Income Tax Credits

Earned Income Tax Credits (EITC) provide low-income households a tax break. The credits distributed by the Internal Revenue Service can be used to reduce the taxes a household owes to the federal government or increase one’s refund. Eligible households are permitted to claim up to three dependents or relatives to increase their credit amount.

Individuals or married couples who file their taxes may claim EITC if they have an admissible earned income that falls below the maximum adjusted gross income limits based on the number of children or relatives claimed as well as their filing status for the current, previous, and upcoming tax years.

Food and Nutrition Services

Food and Nutrition Services (FNS), commonly known as food stamps and federally referred to as Supplemental Nutrition Assistance Program (SNAP), provides low-income families with cash assistance for food. Families receive an Electronic Benefits Transfer (EBT) card that is pre-loaded monthly with their benefit amount. Families can then use their EBT card at grocery stores to purchase select food items.

Our information on FNS came from the program manual.

Eligibility

The household income threshold for FNS benefits is 130% of the federal poverty guidelines for most households and 200% for those categorically eligible. Since most recipients are not categorically eligible, we use the 200% threshold.

Market Value of Benefit

FNS beneficiaries receive benefits proportional to their monthly net income. To calculate net income, we start with gross income and take the following deductions, which are outlined in the benefits level manual. All citations below are to the benefits level manual.

  • Excess shelter deduction is shelter and utility expenses exceeding 50% of monthly income after other deductions have been subtracted, with a maximum of $597, 360.01(F);
    • Utility expenses are based on the table in 360.01(A);
    • Rent for all families is estimated at $600, which represents the 25th percentile rental value in Forsyth County;
  • Standard deduction based on the table in 360.01(B);
  • Earned income deduction of 20%, 285.04(E)(12);
  • Dependent care deduction of $200 per child per month, 360.01(E).

We can determine the benefit amount once net income is calculated. In general, households are expected to spend 30% of their own net income on food, 360.04(E)(27), with FNS covering the rest. So, we take the maximum monthly income allotment as specified in 360.02(B) and subtract 30% of net income from this amount to arrive at the value of the benefit.

One and two-person households must receive benefits of at least $20 to receive anything, 285.04(E)(28).

More information on calculating FNS benefits, called SNAP federally, can be found in this review by the Center on Budget and Priorities.

North Carolina Child Care Subsidies

The North Carolina Child Care Subsidy Program provides subsidized child care to families using state and federal funds. Most families pay 10% of their gross income in child care costs and the subsidy program covers the rest, up to a given maximum.

For a zero- to five-year-old to initially qualify for subsidies, a household’s income must fall under 200% of the Federal Poverty Guidelines. If a household’s income rises above this level, but still falls under 85% of the state median income, the children can continue receiving subsidies for an additional year.

 

Eligibility

Initial eligibility:

  • 0 to 5-year-olds: household income less than 200% of the federal poverty guidelines
  • 6 to 12-year-olds: household income less than 133% of the federal poverty guidelines

Continued eligibility:

  • All ages: household income less than 85% of the state median income

Since our focus is on when families lose benefits, we use the continued eligibility threshold when simulating the Benefits Cliff. An overview of the eligibility requirements for subsidies is on the state’s website. The administrative regulations are also available, which were used when conducting our analysis.

Market Value of Benefit

The market value of NC Child Care subsidies is based on the 2022 subsidized NC market rate for 4-star child care centers in Forsyth County.

Subsidy recipients must pay 10% of their gross income as a copay. Therefore, to calculate the market value of the benefit, we subtract 10% of household income from the 2022 NC market rate of the subsidy.

We did not incorporate other child care programs such as NC PreK because children in programs such as these are only in the program for a year.  As a result, families cannot phase out due to passing an income threshold.  Instead, they phase out of the program when their year expires.

North Carolina Housing Choice Vouchers
The Housing Choice Voucher program, often referred to as Section 8 vouchers, is administered by the Housing Authority of Winston-Salem and provides rent subsidies to low-income households. Families can choose any housing in the private market, assuming the owner agrees to rent under the program. In general, families must pay 10% of their gross income or 30% of their adjusted gross income towards rent, and the housing voucher covers the remainder.

 

Eligibility

The initial eligibility threshold is 50% of an area’s median income, but households continue receiving benefits once they qualify. There is no cliff.  Since families must pay 30% of their income in rent, they ease themselves off the program when their share of rent equals their actual rent payments.

Market Value of Benefit

The market value of the benefit is the market value of the rental unit minus the voucher recipient’s share of the rent. Fair market rental rates for reimbursement are capped by HUD. Since we know no rental rates are above these amounts, we assume that rental rates are 80% of the fair market rental.

Calculating the recipient’s share of rent first requires calculating the recipient’s total tenant payment. Information on the total tenant payment and the recipient’s share comes from the HUD manual.

Total tenant payment is the greater of (HUD manual, pg. 5-67):

  • 30% of monthly adjusted income,
  • 10% of monthly gross income, or
  • $25.

We make the following deductions and assumptions in calculating monthly adjusted income:

  • Dependent deduction: $480 year ($40 / month) for each child under 18 (HUD manual, pg. 5-41);
  • Child Care Deduction: $4000 per year / per child ($333.33 per month), but 10 year old in three person home will not have any child care costs;
    • The value comes from the example on page 5-43.

We subtract the utility allowance from the total tenant payment (HUD manual, pg. 5-67) to calculate tenant rent. The average Forsyth County utility allowance in 2021 was $174, so all families were assumed to receive this allowance.

Now we can calculate the fair market value of the benefit, which is the rental rate minus the tenant rent.

North Carolina Medicaid/Health Choice

The Benefits Cliff simulator combines three North Carolina health insurance programs: (1) Medicaid for Families with Dependent Children, (2) Medicaid for Infants and Children, and (3) NC Health Choice. Here’s an overview of each program:

Medicaid for Families with Dependent Children (MAF): Full Medicaid coverage for parents, caretakers relatives, and spouses who are caring for a related child under 18 in their household. The family must be very low income. For example, the monthly income of a family of four cannot exceed $744.

Medicaid for Infants and Children (MIF): Full Medicaid coverage for children 18 and under living in low-income households. Children under 6 receive coverage when their family income is less than 210% of the Federal Poverty Guidelines, while children 6 to 18 gain coverage when their family income is less than 133% of the Federal Poverty Guidelines.

NC Health Choice: Limited Medicaid coverage for children 6 to 18 who live with families earning too much to qualify for Medicaid for Infants and Children. Family income must fall under 210% of the Federal Poverty Guidelines to qualify for NC Health Choice. The reason that only children 6 to 18 qualify for the program is because children 1 to 5 will qualify for Medicaid for Infants and Children. This is because Medicaid for Infants Children and NC Health Choice have the same income threshold for children 1 to 5, and children eligible for both must elect Medicaid for Infants and Children.

Families with incomes between 100% and 400% of the Federal Poverty Guidelines may also qualify for health insurance tax credits under the Affordable Care Act (ACA). ACA tax credits help mitigate the cost of health insurance purchased on the ACA marketplace. Our simulator does not account for ACA tax credits, but their availability could turn the Medicaid / NC Health Choice cliff into a slope for some.

 

Eligibility

Income eligibility thresholds for all programs were retrieved from the 2022 Basic Medicaid Eligibility chart.

Market Value of Benefit

The market value of all insurance programs was assumed to equal the equivalent price of a 2023 silver plan in Forsyth County on the ACA marketplace. We pulled plan prices from the Kaiser Family Foundation’s health insurance marketplace calculator.

In calculating the value of the silver plan, all adults were assumed to be 30 years old and non-tobacco users. Children’s ages depend on family size and break down as follows:

  • 1 child: 2 years old,
  • 2 children: 2 and four years old,
  • 3 children: 2, 4, and 10 years old.
Smart Start Child Care Scholarships

Smart Start child care scholarships are managed by Smart Start of Forsyth County and mirror NC child care subsidies. The Smart Start child care scholarships help pay for child care expenses for children between zero to five years old. Families must generally pay a copay equaling 10% of gross income. Like NC child care subsidies, the initial eligibility threshold is 200% of the Federal Poverty Guidelines.

Special Supplemental Nutrition Program or Women, Infants, and Children (WIC)
Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides food for women, infants, and children under five through an Electronic Benefit Transfer (EBT) card that can be used at grocery stores. WIC participants also receive coupons for use at farmers’ markets.

 

Eligibility

Mothers and children up to 5 can receive WIC benefits if their household income is less than 185% of the federal poverty guidelines. The ages of children are assumed as follows:

  • 1 child: 2 years old,
  • 2 children: 2 and four years old,
  • 3 children: 2, 4, and 10 years old.

Therefore, one child gets benefits in one child households and two children receive benefits in two and three child households.

Market Value of Benefit

Average monthly food benefits per person in 2023 for North Carolina were $38.91. To verify, go to the USDA’s WIC data site, scroll down to “Monthly Data – State Level Participation by Category and Program Costs: FY 2023 (preliminary),” and then open the dataset labeled “Average Monthly Food Cost Per Person.” We assume all eligible family members receive WIC benefits in this amount.

Work First Cash Assistance (TANF)

North Carolina’s Work First Cash Assistance Program, called Temporary Assistance for Needy Families (TANF) federally, provides cash assistance and job training to low-income families.

Our information for Work First comes from the NC TANF State Plan, hereinafter “State Plan”.

 

Eligibility

Only families with children 17 or younger are eligible for Work First Financial Assistance, State Plan pg. 12. We assume all children are 17 or younger.

Market Value of Benefit

The benefit’s market value is the payment amount. This amount is 50% of the difference between total countable income and the need standard listed on pg. 18 of the State Plan. But, payments must be at least $25.

Benefit Terminations

The following tables show the 2023 income levels at which households no longer qualify for various benefits.  Housing Choice Vouchers are not included in the tables since their benefits gradually decline to zero based on income, which means that they do not have a cliff.

Here are the abbreviations used in the tables:

    • FNS: Food and Nutrition Service
    • WIC: Women, Infants, and Children
    • MAF: Medicaid for Families with Dependent Children
    • MIF: Medicaid for Infants and Children
    • FPG: Federal Poverty Guidelines
View Table 1
Household SizeFNS
200% FPG
Work First
Need standard
WIC
185% FPG
NC Child Care Subsidy
200% FPG
Smart Start
200% FPG
1$2,430$362---
2$3,286$472$3,040$3,286$3,286
3$4,144$544$3,833$4,144$4,144
4$5,000$594$4,625$5,000$5,000
5$5,856$648$5,417$5,856$5,856
6$6,714$698$6,210$6,714$6,714
7$7,570$746$7,002$7,570$7,570
8$8,426$772$7,794$8,426$8,426
View Table 2
Household SizeMAF
Need standard
MIF child under 6
210% FPG
MIF child 6 - 18
133% FPG
NC Health Choice
211% FPG
1----
2$569$3,450$2,185$3,467
3$667$4,351$2,756$4,372
4$744$5,250$3,325$5,275
5$824$6,149$3,894$6,178
6-$7,050$4,465$7,083
7-$7,948$5,034$7,986
8-$8,847$5,603$8,889

As shown by the tables above, benefit thresholds depend on either the Federal Poverty Guidelines or state median income. The poverty guidelines are issued each year by the U.S Department of Health and Human Services and are the same for the entire 48 contiguous states. They vary only by household size.

The federal poverty guidelines should not be confused with the federal poverty thresholds. The poverty thresholds are the values that US Census poverty rates are based on and vary by household size, age, and family composition. The poverty guidelines are a simpler implementation of the thresholds, only varying by household size. Federal benefits use the guidelines instead of the thresholds due to their simpler and more uniform structure.

Asset Limits

So far we’ve focused on how income thresholds create a benefits cliff; however, some benefits have asset thresholds as well, where recipients no longer qualify for the benefit if their household assets exceed a predetermined limit. The threshold level and what qualifies as an asset depends on the benefit, both of which are highlighted below.

View Table
BenefitAsset limitWhat counts as an asset
Food and Nutrition ServicesNone
Women, Infants, and ChildrenNone
Work FirstNone
Housing ChoiceNone
Child Care SubsidyNone
Medicaid for Families with Dependent Children$3,000Home, car, home furnishings, clothing, and jewelry not counted. Retirement accounts are counted.
Medicaid for Infants and ChildrenNone
NC Health ChoiceNone

Asset limits may disincentivize savings since people might be weary of accumulating assets to avoid a loss of benefits. But, as the Pew Center reports, the research on the disincentivizing effects is mixed. In general, Pew’s review found that asset limits have little impact on household savings. But, asset limits that include vehicles under the definition of assets do impair vehicle ownership.

Disincentivizing vehicle ownership can be especially problematic since vehicle ownership increases people’s job opportunities and wages. However, none of the North Carolina benefits that we examined include vehicles as assets.