Lived Experiences of Families Navigating Safety Net Expansions and Retractions During the Pandemic: A Qualitative Study.

Abstract

<b>Objectives.</b> To understand the experiences of families with low income in California with pandemic safety net support expansions and retractions, including barriers to program access. <b>Methods.</b> Using open-ended questions, we explored the self-reported experiences of pandemic-era safety net expansions and expirations between January and June 2023 among a group of caregivers of young children (n = 44). We used the Immersion-Crystallization technique to analyze the data, creating a codebook and identifying themes as they emerged. <b>Results.</b> We identified 4 main themes, including appreciation for safety net expansions, varied experiences because of the timing of supports, challenges meeting basic needs after expirations, and administrative burdens significantly impairing program access. <b>Conclusions.</b> The study themes highlighted how expansions to policies like the Child Tax Credit and Supplemental Nutrition Assistance Program improved food and housing security, and that unpredictable benefits, although appreciated, also added stress. <b>Public Health Implications.</b> State and federal policymakers should consider the poverty reduction and food and housing security benefits of expansions to pandemic-era supports that have expired when crafting future policy. They should pay special attention to addressing administrative barriers to reduce poverty-related health inequities. (<i>Am J Public Health</i>. 2025;115(11):1836-1847. https://doi.org/10.2105/AJPH.2025.308201).