{"slug":"alameda-county-community-food-bank","organization":"Alameda County Community Food Bank","program":"Additional CalFresh application assistance","geography":"Alameda County; not San Francisco city","calculator":"benefits","unit":"One assisted application, including unsuccessful applications","how":"Multilingual assistance can turn eligibility into actual enrollment. The model separately estimates approval, enrollment caused by assistance, improved food security, health utility and whether donations add assistance capacity.","costs":"Central $500 is a judgmental allowance oriented by a historical base-program budget/application ratio, not a quote. Expanded implementation allowance $700 adds public processing, partner and participant costs. Illustrative extra benefit payments of $168 per application are a separate fiscal transfer, not a QALY benefit or necessarily a net societal resource cost.","evidence":"A Pennsylvania randomized outreach trial increased SNAP enrollment among older Medicaid adults; its outreach-level effect cannot be multiplied by local application approval. USDA six-month food-security comparisons are nonrandomized. Approval .70, enrollment additionality .40 and a .05 causal food-security effect are judgments. The observational utility contrast is .023; .25 effective health years assumes linear onset over six months, not six months of immediate full health gain.","funding":"The identified county contract ended June 2026; expiration does not establish a funding gap. Current continuation and a marginal donor tranche remain unverified. Do not attribute publicly reimbursed assistance twice.","equation":"Q = financing × (approval × enrollment additionality × security effect × adults × utility × transfer × effective years − harm)","scenarios":[{"name":"Favorable","utility":0.023,"harmQalys":0,"cost":150,"approval":0.8,"enrollmentAdditionality":0.75,"securityEffect":0.12,"adults":2,"transfer":1,"effectiveYears":1,"fundingAdditionality":0.9},{"name":"Central","utility":0.023,"harmQalys":0,"cost":500,"approval":0.7,"enrollmentAdditionality":0.4,"securityEffect":0.05,"adults":1,"transfer":0.5,"effectiveYears":0.25,"fundingAdditionality":0.5},{"name":"Pessimistic positive","utility":0.023,"harmQalys":0,"cost":800,"approval":0.5,"enrollmentAdditionality":0.1,"securityEffect":0.01,"adults":0.5,"transfer":0.25,"effectiveYears":0.25,"fundingAdditionality":0.1}],"version":"large-bay-program-v1","verifiedMarginalOffer":false,"sources":[{"publisher":"Primary source","title":"Local CalFresh assistance","url":"https://www.accfb.org/about-us/calfresh/","published":"Undated","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"County contract amendment","url":"https://www.alamedacountyca.gov/board/bos_calendar/documents/DocsAgendaReg_03_24_26/PUBLIC%20ASSISTANCE/Regular%20Calendar/SSA_401211.pdf","published":"2026-03-24","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"Randomized enrollment assistance","url":"https://economics.mit.edu/sites/default/files/2022-08/aaFinkelstein_Noto_QJE_August_2019%20%281%29.pdf","published":"2019","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"USDA food-security evaluation","url":"https://fns-prod.azureedge.us/sites/default/files/Measuring2013.pdf","published":"2013","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"},{"publisher":"Primary source","title":"Food security and utility study","url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC10406772/","published":"2023","retrieved":"2026-09-07","sourceType":"Primary program, funding or research evidence"}],"evaluatedScenarios":[{"name":"Favorable","utility":0.023,"harmQalys":0,"cost":150,"approval":0.8,"enrollmentAdditionality":0.75,"securityEffect":0.12,"adults":2,"transfer":1,"effectiveYears":1,"fundingAdditionality":0.9,"netQalys":0.0029808000000000005,"costPerTenQalys":503220.611916264,"maximumCostFor100k":29.808000000000003},{"name":"Central","utility":0.023,"harmQalys":0,"cost":500,"approval":0.7,"enrollmentAdditionality":0.4,"securityEffect":0.05,"adults":1,"transfer":0.5,"effectiveYears":0.25,"fundingAdditionality":0.5,"netQalys":0.000020124999999999998,"costPerTenQalys":248447204.96894413,"maximumCostFor100k":0.20124999999999998},{"name":"Pessimistic positive","utility":0.023,"harmQalys":0,"cost":800,"approval":0.5,"enrollmentAdditionality":0.1,"securityEffect":0.01,"adults":0.5,"transfer":0.25,"effectiveYears":0.25,"fundingAdditionality":0.1,"netQalys":3.59375e-8,"costPerTenQalys":222608695652.17392,"maximumCostFor100k":0.000359375}]}