Benefits Cliffs and Financial Stability for the Direct Care Workforce
Sarah Angell, Susan Chapman, Jiyeon Kim, Stephen McCall

TL;DR
This study shows that many direct care workers face financial setbacks when they earn more due to benefits cliffs, where increased income leads to reduced public benefits and higher taxes.
Contribution
The paper introduces a method to quantify benefits cliffs using effective marginal tax rates for direct care workers in multiple U.S. states.
Findings
In Virginia, 16.3% of direct care workers would experience at least one benefits cliff after three $5,000 wage increases.
Median effective marginal tax rates for direct care workers range from 35.4% to 36.2% across wage increases.
Benefits cliffs and high EMTRs leave direct care workers with limited financial resources despite wage gains.
Abstract
Our research examined the risk of benefits cliffs among direct care workers (DCWs) in Florida, Kansas, Massachusetts, New Mexico, and Virginia by analyzing effective marginal tax rates (EMTRs), which measure how much of a worker’s additional earnings are lost due to higher taxes and reduced public benefits. A benefits cliff occurs when the EMTR exceeds 100%, meaning workers end up financially worse off despite earning more. Using the American Community Survey (ACS) to identify DCWs, we estimated earnings thresholds for benefits cliffs with the Federal Reserve Bank of Atlanta’s Policy Rules Database (PRD), which calculates benefits and taxes based on family characteristics. We modeled three consecutive $5,000 wage increases and calculated overall resources as take-home family income plus benefits. We find that DCWs face the risk of benefits cliffs. In Virginia, 8.8% of workers would…
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Taxonomy
TopicsGeriatric Care and Nursing Homes · Gender, Labor, and Family Dynamics · Work-Family Balance Challenges
