Policy Resource

Utah’s Leadership: A Pay for Success Model for Home Visiting

Mar 15, 2019

Senator Luz Escamilla and Representative Ed Redd introduced and led the bipartisan passage of Utah Senate Bill 161 the Nurse Home Visiting Pay-for-success Program in March of 2018.

Senator Luz Escamilla and Representative Ed Redd introduced and led the bipartisan passage of Utah Senate Bill 161 the Nurse Home Visiting Pay-for-success Program in March of 2018, which created an evidence-based nurse home visiting pay for success program within the Utah Department of Health. The Bill works to hold evidence-based home visiting programs, like Nurse-Family Partnership (NFP), accountable to achieving the following outcomes for families in Utah: reducing preterm births and child injuries and increasing child immunizations and maternal post-partum depression screenings. The pay for success structure established in the bill calls for private investors to provide the upfront capital for the program expansion, and then state government will pay back investors when the program achieves the outlined measurable results. By investing in proven supports like Home Visiting through the pay for success model, the State is working to improve birth outcomes and maternal and child health for vulnerable moms and babies, leading to healthier outcomes for families and strong communities.

Research shows home visiting can be an effective method of delivering family support and child development services. Quality, voluntary home visiting leads to fewer children in social welfare, mental health, and juvenile corrections systems, with considerable cost saving for states. Evidence-based home visiting programs like NFP have been proven to improve birth outcomes, child development and school readiness, reduce child abuse and neglect and juvenile crime, among other outcomes. According to recent research, for every $1 invested in NFP it can yield up to $5.70 in return for the highest-risk families involved. Read more about Home Visiting here.

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