```

[Federal Register Volume 89, Number 249 (Monday, December 30, 2024)]
[Notices]
[Pages 106753-106760]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2024-31222]

-----------------------------------------------------------------------

DEPARTMENT OF THE TREASURY

Agreement for a Social Impact Partnership Project

AGENCY: Department of the Treasury.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: In accordance with the Social Impact Partnerships to Pay for 
Results Act (``SIPPRA''), the U.S. Department of the Treasury 
(``Treasury'') has entered into six agreements for social impact 
partnership projects (the ``Project Grant Agreement'') with the 
following recipients; (1) City of Boise, ID ($7.5 million), (2) City of 
Jacksonville, FL ($5.8 million), (3) City of New York, NY ($6.3 
million), (4) School Board of Leon County, FL ($4.6 million), (5) 
County of New Castle, DE ($11 million), and (6) County of Spartanburg, 
SC ($11.5 million) for a total award amount of $46.9 million.

SUPPLEMENTARY INFORMATION:

The Project Grant Agreement for the City of Boise, ID (Boise) Contains 
the Following Features

    1. The outcome goals of the social impact partnership project:
    Boise expects to realize a reduction in healthcare expenditures 
covered by Medicaid, including emergency room visits, hospital 
overnight stays, ambulance rides, detox visits, and savings due to a 
reduction in arrests and cost associated with county correctional 
facilities. The project objective is to decrease these expenditures by 
25 percent.
    2. A description of each intervention in the project:
    Boise and its partners (the Idaho Community Foundation (ICF), and 
Terry Reilly Health Services (TRHS)) propose

[[Page 106754]]

the Permanent Supportive Housing Pipeline Pay for Success project (the 
PSHP). The PSHP will provide Permanent Supportive Housing (PSH) and 
services using an Intensive Case Management (ICM) model including wrap-
around services to 143 prioritized households who are experiencing 
long-term homelessness and have high service needs. These households 
are at increased risk for avoidable, high-cost service utilization paid 
through local, state, and federal outlays.
    3. The target population that will be served by the project:
    The target population is households with and without children 
experiencing long-term homelessness with at least one household member 
with at least one morbidity condition (chronic health condition, mental 
health condition, or substance use) in Ada County, Idaho. In Ada 
County, 765 households meet these criteria. Boise expects the project 
to reach 159 adults and 64 children.
    4. The expected social benefits to participants who receive the 
intervention and others who may be impacted:
    The primary expected social benefits from the project include:
     Reduced rate of homelessness among the most vulnerable 
populations;
     Reduced utilization of emergency medical services;
     Decreased criminal justice involvement; and
     Increased housing stability and retention.
    5. The detailed roles, responsibilities, and purposes of each 
Federal, State, or local government entity, intermediary, service 
provider, independent evaluator, investor, or other stakeholder:

------------------------------------------------------------------------
               Role                      Entity        Responsibilities
------------------------------------------------------------------------
Government.......................  City of Boise, ID  Repay investors
                                                       with SIPPRA funds
                                                       if performance
                                                       benchmarks are
                                                       met.
                                                      Coordinate with
                                                       the Treasury
                                                       program team on
                                                       administration of
                                                       the program.
Intermediary.....................  n/a..............  n/a.
Service Provider.................  Terry Reilly       Facilitate housing
                                    Health Services.   accesses with
                                                       program
                                                       enrollment into
                                                       program using
                                                       coordinated entry
                                                       referrals.
                                                      Provide intensive
                                                       case management.
Independent Evaluator............  Idaho Policy       Evaluate the
                                    Institute (IPI),   project using a
                                    Boise State        regression
                                    University.        discontinuity
                                                       design.
Investor.........................  Idaho Community    Provide the
                                    Foundation.        upfront capital
                                                       for the program
                                                       from the
                                                       Supportive
                                                       Housing
                                                       Investment Fund
                                                       (SHIF).
------------------------------------------------------------------------

    6. The payment terms, the methodology used to calculate outcome 
payments, the payment schedule, and performance thresholds:
    Boise will be eligible for a payment from Treasury if there is a 
statistically significant difference between the treatment and the 
comparison group at the 80 percent level using the evaluation design 
strategy defined below. Boise is eligible to be paid each year from 
June 2028 to June 2032 for a total of five eligible payments.
    7. The project budget:

--------------------------------------------------------------------------------------------------------------------------------------------------------
               Project budget                   Year 0     Year 1      Year 2      Year 3      Year 4      Year 5      Year 6      Year 7       Total
--------------------------------------------------------------------------------------------------------------------------------------------------------
TRHS (Family)...............................   $254,719    $764,157    $802,365    $842,483    $884,608    $928,838    $975,280    $341,348   $5,793,798
TRHS (Adult)................................  .........     488,710   1,172,903   1,231,548   1,293,125   1,357,782   1,425,671     498,985    7,468,723
                                             -----------------------------------------------------------------------------------------------------------
    Total Project Costs.....................    254,719   1,252,867   1,975,268   2,074,031   2,177,733   2,286,620   2,400,951     840,333   13,262,522
--------------------------------------------------------------------------------------------------------------------------------------------------------

    8. The project timeline:
    There is a seventy-six month-intervention period for the project 
term to provide IPI with the maximum allowed period to evaluate the 
impact of this project on the SIPPRA outcome of reduced net federal, 
state, and local expenditures. The project will begin the intervention 
in September 2025 and end in December 2031.
    9. The project eligibility criteria:
    Eligible households must have at least 12 points from the Length of 
Time and at least 3 points from the Tri-Morbidity sections of the PSHP 
Prioritization Formula outlined in Table 2. Those households that are 
both eligible for the PSHP and score the highest on the prioritization 
formula will be referred for enrollment. Ties will be broken in through 
coordinated clinical discretion, driven by self-reported health and 
criminal data and corroborating system utilization data available at 
the time of referral.

----------------------------------------------------------------------------------------------------------------
   PSHP prioritization formula          Factor 1             Factor 2                     Factor 3
----------------------------------------------------------------------------------------------------------------
Length of Time Homeless: 22       1 point every month  1 point for every
 points max.                       up to 12 months.     year up to 10
                                                        years (10 max).
FUSE Functionality: 10 points     5 points max:        5 points max: #
 max.                              number of            criminal justice
                                   emergency medical    interactions.
                                   interactions.
Tri-Morbidity: 9 points max.....  3 points: chronic    3 points: mental     3 points: substance use.
                                   illness.             illness.
DV survivor: 6 points max.......  3 points: DV within  3 points: currently
                                   last 6 mo.           fleeing DV.
Dependents: 6 points max........  2 points: any        1 point: kids 6-18.  2 points: kids aged 0-5.
                                   dependents in
                                   household.
Age: 6 points max...............  2 points: 18-24 yrs  4 points: 55-61 yrs  6 point: 62+ yrs.
Unsheltered: 2 points max.......  1 point: HoH has     1 point: HoH facing
                                   been unsheltered     persistent
                                   more than 50% of     barriers in
                                   last 6 months.       assessing
                                                        emergency shelters.
Income Level: 2 points max......  1 point: household   2 points: household
                                   sustainable income   has zero
                                   is at 30% AMI.       sustainable income.
Discrimination: 1 point.........  1 point:
                                   experienced
                                   discrimination
                                   based on protected
                                   class.
----------------------------------------------------------------------------------------------------------------

[[Page 106755]]

    10. The evaluation design:
    To determine significance of impact, IPI will employ the following 
evaluative strategies: (1) a regression discontinuity, (2) Analysis of 
Variance (ANOVA) omnibus test, and (3) paired pairwise t-test. To 
determine the amount of any net reductions in local, state, and federal 
expenditures, IPI will facilitate collection of the utilization and 
costs data for 36 months prior to Participants entering the 
intervention (time 0) and annually thereafter. To determine the amount 
of any net reductions in expenditures, IPI will compare the associated 
utilization costs for enrolled Participants against those not enrolled 
using individual-level data.
    11. The metrics that will be used in the evaluation to determine 
whether the outcomes have been achieved as a result of each 
intervention and how these metrics will be measured:
    The metrics used will be:
     Reduction in costs related to arrests and jail.
     Reduction in costs related to the number of days in mental 
health and substance abuse treatment.
     Reduction in costs associated with paramedic calls, 
emergency department visits, and days in the hospital.
    12. The estimate of the savings to the Federal, State, and local 
government, on a program-by-program basis and in the aggregate, if the 
agreement is entered into and implemented and the outcomes are achieved 
as a result of each intervention:
    The estimated savings to the federal government are $12,434,017.
    The estimated savings to the State of Idaho are $4,034,880.
    The estimated savings to the City of Boise are $1,133,396.

The Project Grant Agreement for the City of Jacksonville, FL 
(Jacksonville) Contains the Following Features

    1. The outcome goals of the social impact partnership project:
    The anticipated outcome goals include substantial improvements in 
early literacy, parental engagement, and school readiness among 
preschool-aged children, and measurable reductions in healthcare 
utilization, especially for newborn ER visits and utilizations 
connected to maternal depression.
    2. A description of each intervention in the project:
    The READ JAX project includes two interventions, Family Connects 
and Reach Out and Read. Family Connects provides a universal nurse home 
visit for new parents to reduce infant emergency medical care visits 
and maternal postpartum depression rates. Reach Out and Read is a 
universal early literacy initiative through which health care providers 
coach parents on reading to their children to improve early literacy, 
parental engagement, and school readiness among preschool-aged 
children.
    3. The target population that will be served by the project:
    The READ JAX is available to each newborn and their family within 
Jacksonville, FL.
    4. The expected social benefits to participants who receive the 
intervention and others who may be impacted:
    The primary expected social benefits from the project include:

 Family Connects
    [cir] Lower emergency department visits
    [cir] Reduced hospital readmissions for infants
 Read Out and Read
    [cir] Reduction in maternal depression

    5. The detailed roles, responsibilities, and purposes of each 
Federal, State, or local government entity, intermediary, service 
provider, independent evaluator, investor, or other stakeholder:

------------------------------------------------------------------------
               Role                      Entity        Responsibilities
------------------------------------------------------------------------
Government.......................  City of            Repay investors
                                    Jacksonville, FL.  with SIPPRA funds
                                                       if performance
                                                       benchmarks are
                                                       met.
                                                      Coordinate with
                                                       the Treasury
                                                       program team on
                                                       administration of
                                                       the program.
Intermediary.....................  Kids Hope          Provide
                                    Alliance.          administrative
                                                       and operational
                                                       support.
Project Manager..................  Institute for      Provide project
                                    Child Success.     management
                                                       services.
Service Provider.................  Reach Out and      Provide pediatric
                                    Read Florida.      literacy support
                                                       for new parents.
                                   Children's Home    Provide home
                                    Society of         visiting services
                                    Florida.           to expectant and
                                                       new mothers.
Independent Evaluator............  Riley Institute..  Evaluate the
                                                       project using a
                                                       quasi-
                                                       experimental
                                                       design supported
                                                       by synthetic
                                                       control
                                                       methodology.
Investor.........................  The Community      Provide the
                                    Outcome Fund at    upfront capital.
                                    Maycomb Capital
                                    Partners.
------------------------------------------------------------------------

    6. The payment terms, the methodology used to calculate outcome 
payments, the payment schedule, and performance thresholds:
    Jacksonville will be eligible for a payment from Treasury if there 
is a reduction in newborn emergency room visits and a reduction in 
treating complications from postpartum depression.
    7. The project budget:

----------------------------------------------------------------------------------------------------------------
                                                 Project budget
-----------------------------------------------------------------------------------------------------------------
                                                                                                   Total project
   Year 1        Year 2        Year 3        Year 4        Year 5        Year 6        Year 7          costs
----------------------------------------------------------------------------------------------------------------
 $4,500,000    $4,500,000    $4,500,000    $4,500,000    $4,500,000    $4,500,000    $4,500,000     $31,500,000
----------------------------------------------------------------------------------------------------------------

    8. The project timeline:
    There is a seven-year intervention period. The project will begin 
the intervention in year two (2025) and end in year seven (2030).
    9. The project eligibility criteria:
    The project program is open to all young, low-income mothers 
residing within the City of Jacksonville, FL
    10. The evaluation design:
    Given the universal deployment of Reach Out and Read and Family 
Connects across Jacksonville, traditional randomized trials are 
impractical. Therefore, a Synthetic Control Method (SCM) will be 
utilized, facilitating a rigorous comparison against control units 
drawn from similar demographic

[[Page 106756]]

and geographic locales without the intervention.
    11. The metrics that will be used in the evaluation to determine 
whether the outcomes have been achieved as a result of each 
intervention and how these metrics will be measured:
    The metric used will be the reduction in costs related to newborn 
ER visits and postpartum depression.
    12. The estimate of the savings to the Federal, State, and local 
government, on a program-by-program basis and in the aggregate, if the 
agreement is entered into and implemented and the outcomes are achieved 
as a result of each intervention:
    The estimated savings to the federal government is $11,202,009.
    The estimated savings to the State of Florida is $4,876,774.

The Project Grant Agreement for the City of New York, NY (New York 
City) Contains the Following Features

    1. The outcome goals of the social impact partnership project:
    The expected outcome for this intervention is a 25-percentage point 
increase in the rate of stable housing or stable shelter (achieving 50% 
for the treatment group versus 25% of the comparison group) with stable 
housing defined as a permanent housing placement (e.g., permanent 
supportive housing, Long Term Nursing Care, family reunification) and 
stable shelter defined as a continuous stay in a low-barrier 
stabilization bed or other emergency housing setting that lasts at 
least 6 months.
    2. A description of each intervention in the project:
    The Coordinated Behavioral Task Force (CBHT)--3 Initiative by the 
New York City Department of Homeless Services (DHS) is a project to 
assist different segments of the unsheltered homeless population in New 
York City by providing homeless individuals with transitional housing 
and connecting them to services through intensive outreach, engagement, 
and care coordination. This project is focused on clients who are 
resistant to service engagement or entrenched in an unsheltered 
setting. The CBHT model coordinates representatives from State and 
local agencies and organizations to provide enhanced clinical and 
thorough case management services and to create service plans which 
will move the individual into supportive housing and connections to 
services through targeted interventions.
    3. The target population that will be served by the project:
    This program targets high acuity (e.g., severity of an illness or 
medical condition) individuals experiencing unsheltered homelessness. 
DHS expects to enroll about 400 individuals aged 18 or older 
experiencing unsheltered homelessness in New York City over 2-years, 
with services provided for up to a 39-month intervention period.
    4. The expected social benefits to participants who receive the 
intervention and others who may be impacted:
    New York City anticipates that this intervention will lead to 
improvements in quality of life associated with improved housing 
stability, increased access to healthcare, and decreased burden of 
disease. In addition, New York City expects that the improvements to 
the individual's housing stability will lower government spending 
related to emergency room visits and criminal justice systems 
interactions. Reducing unsheltered homelessness among this vulnerable 
population is expected to have a wide range of broader social benefits 
as well, including improved conditions on public transit (especially 
increased cleanliness and perceived safety, which could lead to 
increased ridership), and improved conditions in other public spaces.
    5. The detailed roles, responsibilities, and purposes of each 
Federal, State, or local government entity, intermediary, service 
provider, independent evaluator, investor, or other stakeholder:

------------------------------------------------------------------------
               Role                      Entity        Responsibilities
------------------------------------------------------------------------
Government.......................  City of New York,  Coordinate with
                                    NY--Department     the Treasury
                                    of Homeless        program team on
                                    Services.          administration of
                                                       the program.
                                                      Also serves as the
                                                       investor of the
                                                       program.
Intermediary.....................  NYC Department of  Actively
                                    Health and         participate in
                                    Mental Hygiene     CBHT meetings.
                                    (DOHMH), NYC      Review eligibility
                                    Health and         of CBHT
                                    Hospitals (H+H).   participants for
                                                       key service
                                                       interventions and
                                                       facilitate
                                                       enrollment as
                                                       applicable (e.g.,
                                                       DOHMH: IMT, AOT,
                                                       ACT Programs;
                                                       H+H: CPEP, THU).
Service Provider.................  Bowery Residents   Contracted
                                    Committee,         outreach teams
                                    Manhattan          that will provide
                                    Outreach           the services to
                                    Consortium,        the target
                                    Project            population.
                                    Hospitality,
                                    Bronxworks,
                                    Breaking Ground
                                    Queens, and
                                    Breaking Ground
                                    Brooklyn.
Independent Evaluator............  TBD..............  Evaluate the
                                                       project using a
                                                       combination of
                                                       propensity score
                                                       matching and
                                                       random
                                                       assignment.
------------------------------------------------------------------------

    6. The payment terms, the methodology used to calculate outcome 
payments, the payment schedule, and performance thresholds:
    New York City will be eligible for payments from Treasury if there 
is a statistically significant difference between the treatment and the 
comparison group at the 80 percent level using the evaluation design 
strategy defined below.
    7. The project budget:

----------------------------------------------------------------------------------------------------------------
                                      2025          2026          2027         2028        2029         Total
----------------------------------------------------------------------------------------------------------------
Project costs...................   $1,539,209    $1,539,209    $1,044,462    $563,129     $12,720    $4,698,729
----------------------------------------------------------------------------------------------------------------

    8. The project timeline:
    This project has a five-year project timeline from January 1, 2025, 
through December 31, 2029. The project intervention period, defined as 
the period in which services will be delivered, will be 39 months, from 
July 1, 2025, through September 30, 2028.
    9. The project eligibility criteria:
    The CBHT-3 initiative will include 3 task forces serving high needs 
individuals experiencing unsheltered homelessness: High Needs 
Individuals--Subway System, High

[[Page 106757]]

Needs Individuals--Above Ground, and End of Line (EOL) High Service 
Utilizers. Eligibility criteria for the first two task forces were 
determined by DHS in collaboration with operational and social services 
partners. Based on recommendations from DHS's partners, it was 
determined that in order to be selected for inclusion in the Subway 
System or Above Ground CBHT, an individual would have to meet 4 of 10 
criteria related to medical vulnerability, older age, long-term street 
homelessness, a history of hospitalizations, a history of involuntary 
removals, repeated service refusal, significant behavioral health 
diagnosis, heightened NYPD/MTA interactions, excessive belongings with 
them, and propensity for violence.
    Eligibility criteria for the EOL High Utilizers Task Force were 
developed based on early outcomes from the DHS EOL initiative. The EOL 
initiative focuses on engaging individuals at ``End of line'' 
stations--that is, the first and last stations of a given subway line--
and bringing individuals into transitional housing beds. A January 2024 
study by the DSS Office of Evaluation and Research identified a small 
group of individuals that repeatedly cycled between transitional 
housing and EOL stations. While accounting for less than 6% of 
approximately 5,000 unique clients served by the EOL initiative during 
a 17-month study period, this group accounted for roughly one-third of 
all transitional housing placements made in that time. This population 
will serve as the target population for the EOL task force.
    10. The evaluation design:
    The evaluation will employ a quasi-experimental design to 
rigorously assess the CBHT-3 Initiative's effectiveness in achieving 
its goal of stably housing individuals with complex health and mental 
health needs and long histories of unsheltered homelessness. 
Specifically, the evaluation will assess whether the initiative meets 
the outcome target of a 25-percentage point increase in the rate of 
stable housing or stable shelter. The initiative expects to achieve 
this impact by transitioning 50% of the treatment group into stable 
housing as compared to a 25% rate among the comparison group, with 
stable housing defined as a permanent housing placement and stable 
shelter defined a continuous stay in a low-barrier stabilization bed or 
other emergency housing setting that lasts at least 6 months. The 
evaluation will also measure any associated reductions in 
hospitalization (after an expected initial increase to stabilize health 
and mental health conditions), emergency room visits, transports to 
emergency housing, and arrests. An implementation evaluation will offer 
further insight into the initiative's activities and participants' 
experiences. Comparison groups for the Subway System and Above Ground 
task force clients will be identified using propensity score matching, 
drawing on a rich set of longitudinal case management data to ensure 
matched groups. A comparison group for the EOL task force will be 
identified using random assignment from among those repeatedly cycling 
through the EOL initiative.
    11. The metrics that will be used in the evaluation to determine 
whether the outcomes have been achieved as a result of each 
intervention and how these metrics will be measured:
    Whether New York City has successfully transitioned 50% of the 
treatment group into stable housing or stable shelter as compared to a 
25% rate among the comparison group, with stable housing defined as a 
permanent housing placement and stable shelter defined as a continuous 
stay in a low-barrier stabilization bed or other emergency housing 
setting that lasts at least 6 months.
    12. The estimate of the savings to the Federal, State, and local 
government, on a program-by-program basis and in the aggregate, if the 
agreement is entered into and implemented and the outcomes are achieved 
as a result of each intervention:
    The estimated savings to the federal government are $19,893,775.
    The estimated savings to the State of New York are $9,912,081.
    There are not estimated savings to the City of New York.
    The total net savings are $23,822,017.

The Project Grant Agreement for the School Board of Leon County, FL 
(Leon County) Contains the Following Features

    1. The outcome goals of the social impact partnership project:
    Leon County will seek outcomes from two interventions, (1) Family 
Connects, a universal postpartum nurse home visiting program under 
which Leon County expects to see a significant reduction in newborn 
emergency room visits and (2), Reach Out and Read a literacy initiative 
working through pediatric care providers which seeks to reduce maternal 
depression.
    2. A description of each intervention in the project:
    As stated above, Leon County's project has two interventions. The 
first, Family Connects, is a universal nurse home visit for new parents 
to reduce infant emergency medical care visits and maternal postpartum 
depression rates. The second, Reach Out and Read, is a universal early 
literacy initiative through which health care providers coach parents 
on reading to their children to improve early literacy, parental 
engagement, and school readiness among preschool-aged children.
    3. The target population that will be served by the project:
    The program is designed with an inclusive, universal approach to 
serve all families with newborns and young children in Leon County, 
with a specific emphasis on ensuring that low-income families benefit 
from early interventions that are crucial for the health and 
development of their children.
    4. The expected social benefits to participants who receive the 
intervention and others who may be impacted:
    The primary expected social benefits from the project include:

 Family Connects
    [cir] Lower number of emergency department visits
    [cir] Reduced hospital readmissions for infants
 Reach Out and Read
    [cir] Reduction in maternal depression

    5. The detailed roles, responsibilities, and purposes of each 
Federal, State, or local government entity, intermediary, service 
provider, independent evaluator, investor, or other stakeholder:

------------------------------------------------------------------------
               Role                      Entity        Responsibilities
------------------------------------------------------------------------
Government.......................  Leon County        Repay investors
                                    Public Schools,    with SIPPRA funds
                                    FL.                if performance
                                                       benchmarks are
                                                       met.
                                                      Coordinate with
                                                       the Treasury
                                                       program team on
                                                       administration of
                                                       the program.
Intermediary.....................  Institute for      Project Manager.
                                    Child Success.

[[Page 106758]]

 
Service Provider.................  Capital Area       Provide community-
                                    Healthy Start      based doulas to
                                    Coalition.         expecting
                                                       mothers.
                                   Reach Out and      Provide pediatric
                                    Read.              literacy to new
                                                       families.
Independent Evaluator............  Florida Center     Evaluate the
                                    for Reading        project using a
                                    Research,          quasi-
                                    Florida State      experimental
                                    University.        design supported
                                                       by synthetic
                                                       control
                                                       methodology.
Investor.........................  Maycomb Capital    Provide the
                                    Partners.          upfront capital.
------------------------------------------------------------------------

    6. The payment terms, the methodology used to calculate outcome 
payments, the payment schedule, and performance thresholds:
    Leon County will be eligible for a payment from Treasury if there 
is an expected decrease in infant emergency medical care usage rates 
through the Family Connects program and a reduction in maternal 
depression.
    7. The project budget:

--------------------------------------------------------------------------------------------------------------------------------------------------------
                                                                     Project budget
---------------------------------------------------------------------------------------------------------------------------------------------------------
   Year 1           Year 2              Year 3             Year 4             Year 5              Year 6               Year 7        Total project costs
--------------------------------------------------------------------------------------------------------------------------------------------------------
                  $466,666.00         $706,666.80       $706,666.80         $706,666.80         $706,666.80         $1,306,666.80        $4,600,000.00
--------------------------------------------------------------------------------------------------------------------------------------------------------

    8. The project timeline:
    There is a seven-year intervention period. The project will begin 
the intervention in year two (2025) and end in year seven (2030), 
allowing for sufficient time for the independent evaluator to compete 
their assessment.
    9. The project eligibility criteria:
    The project is providing universal access to every family with 
newborns and young children within Leon County.
    10. The evaluation design:
    The use of quasi-experimental design is particularly suitable given 
the non-randomizable nature of the interventions being assessed. The 
use of synthetic control methodology accommodates the study's needs by 
allowing the integration of multiple data points (encompassing both 
health and educational metrics) to create a holistic view of each 
participant group. This methodology not only supports the establishment 
of a strong causal linkage between the interventions and observed 
outcomes but also provides a detailed counterfactual analysis.
    11. The metrics that will be used in the evaluation to determine 
whether the outcomes have been achieved as a result of each 
intervention and how these metrics will be measured:
    The number of emergency room visits per newborn, the prevalence of 
depressive symptoms among mothers, assessed at regular intervals, and 
school readiness indicators such as school entry assessments and 
teacher evaluations of readiness.
    12. The estimate of the savings to the Federal, State, and local 
government, on a program-by-program basis and in the aggregate, if the 
agreement is entered into and implemented and the outcomes are achieved 
as a result of each intervention:
    The estimated savings to the federal government is $11,418,762.
    The estimated savings to the State of Florida is $5,132,751.

The Project Grant Agreement for the County of New Castle, DE (New 
Castle County) Contains the Following Features

    1. The outcome goals of the social impact partnership project:
    The expected outcomes include a 26.1% increase in permanent housing 
retention (proportion of families living in own rental home) and 29.7% 
decrease in avoidance of shelter stays (proportion of families with at 
least one night in emergency shelter).
    2. A description of each intervention in the project:
    The Family Housing Opportunities for Purposeful Empowerment Project 
(the Family HOPE Project)--a partnership between New Castle County and 
the Hope Center, an emergency shelter--will provide up to 90 days of 
temporary housing at the Hope Center, two years of rental assistance 
(disbursed as direct cash payments), and two years of case management 
and supportive services (such as financial counseling) for 120 families 
over about four years.
    3. The target population that will be served by the project:
    The target population is homeless families who are not currently 
receiving a rental subsidy, housing voucher, or other form of public 
housing and have a household income less than 50% of the Area Median 
Income (AMI) in New Castle County.
    4. The expected social benefits to participants who receive the 
intervention and others who may be impacted:
    The program aims to reduce family homelessness by (1) improving 
permanent housing retention and (2) decreasing emergency shelter stays. 
Through permanent housing retention, the Recipient expects to reduce 
state and local expenditures on (a) the judicial and legal system cost 
of intimate partner violence, (b) police protection costs of intimate 
partner violence, (c) costs to child welfare agencies of out-of-home 
placements, and (d) reductions from eviction-related costs. The 
Recipient also expects that reducing shelter stays will lower federal, 
state, and local expenditures on emergency shelter stays, transitional 
housing stays, and public-school transportation.
    5. The detailed roles, responsibilities, and purposes of each 
Federal, State, or local government entity, intermediary, service 
provider, independent evaluator, investor, or other stakeholder:

------------------------------------------------------------------------
               Role                      Entity        Responsibilities
------------------------------------------------------------------------
Government.......................  County of New      Repay investors
                                    Castle, DE.        with SIPPRA funds
                                                       if performance
                                                       benchmarks are
                                                       met.
                                                      Coordinate with
                                                       the Treasury
                                                       program team on
                                                       administration of
                                                       the program.
Intermediary.....................  Social Finance...  Serve as financial
                                                       intermediary,
                                                       leading project
                                                       design and
                                                       contracting
                                                       activities.
                                                      Provide
                                                       performance
                                                       management
                                                       services and
                                                       facilitate
                                                       governance
                                                       committees.
Service Provider.................  New Castle County  Lead service
                                    Hope Center.       provisions
                                                       through providing
                                                       emergency shelter
                                                       stay to eligible
                                                       families,
                                                       coordination of
                                                       rental
                                                       assistance, and
                                                       ongoing case
                                                       management.

[[Page 106759]]

 
                                                      Lead outreach and
                                                       enrollment of
                                                       families.
                                                      Report data and
                                                       coordinate with
                                                       the Evaluator and
                                                       Intermediary, as
                                                       needed.
Independent Evaluator............  Tech Impact, Data  Evaluate the
                                    Innovation Lab.    project using
                                                       propensity score
                                                       matching.
Investors........................  private and        Provide upfront
                                    philanthropic      funding to
                                    investors.         support service
                                                       provision.
------------------------------------------------------------------------

    6. The payment terms, the methodology used to calculate outcome 
payments, the payment schedule, and performance thresholds:
    New Castle County will be eligible for a payment from Treasury if 
there is a statistically significant difference between the treatment 
and the comparison group at the 80 percent level using the evaluation 
design strategy defined below. Outcome payments will be generated from 
2026 to 2031 for a total of six planned payments.
    7. The project budget:

----------------------------------------------------------------------------------------------------------------
                                                 Project budget
-----------------------------------------------------------------------------------------------------------------
                                     2025         2026          2027          2028         2029         Total
----------------------------------------------------------------------------------------------------------------
Project costs..................    $864,710    $2,044,595    $2,248,966    $1,076,581    $220,000    $7,844,268
----------------------------------------------------------------------------------------------------------------

    8. The project timeline:
    This project has a 7.25-year project timeline from January 1, 2025, 
through March 31, 2032. The project intervention period, defined as the 
period in which services will be delivered, will be 66 months, from 
July 1, 2025, through December 31, 2031.
    9. The project eligibility criteria:
    Participants are eligible if they are a family who (1) have at 
least one adult, aged 19 and older, and one or more children, aged 15 
and younger, upon enrollment (inclusive of pregnant caregivers), (2) 
have family household income under 50% of the Area Median Income (AMI) 
in New Castle County, and (3) are not currently receiving a rental 
subsidy, housing voucher, or other form of public housing. Sex 
offenders are not eligible for the Family HOPE Project.
    10. Evaluation design:
    The study is a quasi-experimental design that compares the housing 
security outcomes of two groups: (1) a program group who receives a 2-
year 90% fair market rent (FMR) monthly cash assistance following a 
temporary maximum 90-day stay at the Hope Center (n=120) and (2) a 
household socio-demographic matched control group sourced from CMIS, 
which is composed of families on any waitlist for the Delaware State 
Housing Authority (DSHA)--or local-level housing authorities in New 
Castle County--Public Housing and Housing Choice Voucher Program as 
well as with start and exit dates to any housing program (e.g., 
emergency shelters, temporary housing, rapid re-rehousing) that match 
our study inclusion period (n=120). They will randomize controls at the 
family unit but will observe outcomes at the individual participant 
family head of household level, potentially boosting the study's power. 
There are 2 independent matched groups of 60 in this overall study, 
totaling 120 controls and 120 families receiving cash rental 
assistance. Cohort 1 begins in Q3 of 2025, with cohort 2 following a 
year later, begins in Q3 of 2026. The design incorporates one-to-one 
propensity score matching.
    11. The metrics that will be used in the evaluation to determine 
whether the outcomes have been achieved as a result of each 
intervention and how these metrics will be measured:
    The following metrics will be used:

 Permanent Housing Retention: The proportion of families 
ultimately living in their own rental home
 Avoidance of the Shelter Stay: The proportion of families with 
at least 1 night in emergency shelter

    12. The estimate of the savings to the Federal, State, and local 
government, on a program-by-program basis and in the aggregate, if the 
agreement is entered into and implemented and the outcomes are achieved 
as a result of each intervention:
    The estimated savings to the federal government are $269,257.
    The estimated savings to the State of Delaware are $12,843,519.
    The estimated savings to the County of New Castle are $361,404.

The Project Grant Agreement the County of Spartanburg, SC (County of 
Spartanburg) Contains the Following Features

    1. The outcome goals of the social impact partnership project:
    The Hello Family Spartanburg County Expansion seeks to address 
critical early childhood and family development needs across 
Spartanburg County. Building on the Hello Family Initiative launched in 
the City of Spartanburg in 2021, this county-wide project seeks to 
enhance access to prenatal care, support healthy birth outcomes, 
incentivize breastfeeding, and reduce preventable medical interventions 
and child maltreatment through two different interventions: the 
BirthMatters Community Doula Program (BirthMatters) and Family 
Connects.
    2. A description of each intervention in the project:
    The County of Spartanburg will address critical early childhood and 
family development needs by expanding their Hello Family program 
county-wide. The Hello Family program has two different interventions: 
the BirthMatters Community Doula Program and Family Connects. 
BirthMatters enhances access to prenatal care through doula services 
until the infant is 12 months old. Family Connects' nurses are trained 
to assess newborns and mothers, provide immediate medical care when 
necessary, and recommend other supportive services as needed.
    3. The target population that will be served by the project:
    Family Connects is open to all mothers, and all young, low-income 
mothers are eligible for BirthMatters within Spartanburg County.
    4. The expected social benefits to participants who receive the 
intervention and others who may be impacted:
    The primary expected social benefits from the project include:

 BirthMatters
    [cir] Reduced cesarean deliveries

[[Page 106760]]

    [cir] Increased breastfeeding rates
    [cir] Improved maternal-infant bonding
 Family Connects
    [cir] Lower emergency department visits
    [cir] Reduced hospital readmissions for infants
    5. The detailed roles, responsibilities, and purposes of each 
Federal, State, or local government entity, intermediary, service 
provider, independent evaluator, investor, or other stakeholder:

------------------------------------------------------------------------
               Role                      Entity        Responsibilities
------------------------------------------------------------------------
Government.......................  County of          Repay investors
                                    Spartanburg, SC.   with SIPPRA funds
                                                       if performance
                                                       benchmarks are
                                                       met.
                                                      Coordinate with
                                                       the Treasury
                                                       program team on
                                                       administration of
                                                       the program.
Intermediary.....................  Institute for      Fiscal and project
                                    Child Success.     manager.
Service Provider.................  BirthMatters.....  Provide community-
                                                       based doulas to
                                                       expecting
                                                       mothers.
                                   Family Connects..  Provide nurse-led
                                                       home visits.
Independent Evaluator............  Urban Institute..  Evaluate the
                                                       project using a
                                                       quasi-
                                                       experimental
                                                       design supported
                                                       by synthetic
                                                       control
                                                       methodology.
Independent Validator............  Riley Institute..  Ensure the
                                                       integrity and
                                                       accuracy of
                                                       project data
                                                       through
                                                       validation.
Investor.........................  Maycomb Capital    Provide the
                                    Partners,          upfront capital.
                                    Spartanburg
                                    Academic
                                    Movement.
------------------------------------------------------------------------

    6. The payment terms, the methodology used to calculate outcome 
payments, the payment schedule, and performance thresholds:
    County of Spartanburg will be eligible for a payment from Treasury 
if there is an expected decrease in low birthweight births through the 
BirthMatters program and an expected reduction of infant emergency 
medical care usage rates through the Family Connects program.
    7. The project budget:

----------------------------------------------------------------------------------------------------------------
                                                 Project budget
-----------------------------------------------------------------------------------------------------------------
                                                                                                        Total
    Year 1        Year 2         Year 3        Year 4        Year 5        Year 6        Year 7        project
                                                                                                        costs
----------------------------------------------------------------------------------------------------------------
  $1,400,000     1,400,000     $1,400,000    $1,400,000    $1,400,000    $1,400,000    $1,500,000    $9,900,000
----------------------------------------------------------------------------------------------------------------

    8. The project timeline:
    There is a seven-year intervention period. The project will begin 
the intervention in year two (2025) and end in year seven (2030), 
allowing for sufficient time for the independent evaluator to compete 
their assessment.
    9. The project eligibility criteria:
    The BirthMatters program is open to all young, low-income mothers 
residing in Spartanburg County. The Family Connects program is open to 
all mothers in Spartanburg County.
    10. The evaluation design:
    The choice of a Quasi-Experimental Design (QED), supported by 
Synthetic Control Methodology (SCM), is driven by the need for an 
assessment framework that allows for the control of confounding 
variables in non-randomized environments, especially given the prospect 
of bringing to scale models that are offered to all families. This 
evaluation seeks to quantify the effects of targeted interventions on 
key parameters such as Kindergarten Readiness and specific health 
outcomes indicative of infant and maternal health.
    11. The metrics that will be used in the evaluation to determine 
whether the outcomes have been achieved as a result of each 
intervention and how these metrics will be measured:
    The metrics used in the evaluation include costs associated with a 
reduction in newborn ER visits and a reduction in costs associated with 
low birthweight.
    12. The estimate of the savings to the Federal, State, and local 
government, on a program-by-program basis and in the aggregate, if the 
agreement is entered into and implemented and the outcomes are achieved 
as a result of each intervention:
    The estimated savings to the federal government is $11,2029.
    The estimated savings to the State of South Carolina is $4,876,774.

Eric Van Nostrand,
P.D.O. Assistant Secretary for Economic Policy Department of the 
Treasury.
[FR Doc. 2024-31222 Filed 12-27-24; 8:45 am]
BILLING CODE 4810-AK-P
```