Original Investigation

Cash Transfers in the Perinatal Period and Investigations of Infant Maltreatment

JAMA Pediatrics 10.1001/jamapediatrics.2026.1602

May 07, 2026 at 5:30 PM EDT

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Was implementation of the Rx Kids prenatal and infant cash prescription program in Flint, Michigan, associated with changes in Children’s Protective Services (CPS) investigations?In this cross-sectional study, the implementation of Rx Kids was associated with a statistically significant 7.0–percentage-point decrease in the investigated allegation rate among infants born in Flint, corresponding to a 32% decrease relative to the preintervention period.Rx Kids was associated with substantial, population-level reductions in investigations of maltreatment among infants in the earliest months of life.

Corresponding Author: Sumit Agarwal, MD, MPH, PhD, Institute for Healthcare Policy and Innovation, University of Michigan, 2800 Plymouth Rd, Ann Arbor, MI 48109 (sumitag@umich.edu).

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