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Are local governments using ARPA recovery funds to advance equity?

In July 2022, Cook County, Illinois became the very first government entity to launch a medical debt cancellation program using ARPA funds, launching a policy trend that now stretches from California to Florida. Explore our new interactive map documenting the 26 active medical debt relief efforts to date, read our analysis, and watch our December 17 webinar featuring leaders of these innovative initiatives.

Medical Debt Elimination Policy Tracker

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Search ARPA Equity Assessments

Search and view the equity assessments of cities and counties across the United States.

Compare ARPA Equity Assessments

ARPA Equity Assessment image alt text

Compare how 170 large cities and counties performed on our equity assessment, which included 40 performance measures across six arenas: overall equity focus; equity tools and institutional infrastructure; community engagement; equitable labor practices; breadth and depth of equity-focused investments; and transparency/accountability.

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Local ARPA Investment Data Snapshot

Projects Analyzed to Date
7,291
Equity-Focused Projects
4,24258%
Total Investments Analyzed
$44,044,109,683
Equity-Focused Investments
$20,100,973,02946%
Reports
The State of Government-Led Medical Debt Cancellation Efforts

As a part of our research examining whether and how ARPA funds are advancing racial and economic equity, we’ve been tracking the efforts that local and state governments are taking to address medical debt through debt cancellation and additional strategies. To understand these trends, we built a comprehensive database that compiles key information about each effort including the amount of public funding, anticipated impacts, date funds were approved, and outcomes to date, producing an [interactive map](https://budgetequity.racepowerpolicy.org/medical-debt-interactive) illustrating these efforts. This research brief summarizes our findings from this review of existing efforts.

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