The COVID-19 Pandemic and Challenges Facing State and Local Governments
Economic crises bring questions about the design and implications of fiscal systems to the forefront. In the United States, state and local governments employ roughly one in seven workers and spend an amount equivalent to one-fifth of GDP. Because many of these entities operate with balanced budget requirements, downturns create pressure because declines in revenue coincide with a rise in demand for public services. These pressures come with some urgency, as state and local governments play roles in the administration and financing of safety net programs, the delivery of public health services, and the provision of public transit and education.
At the outset of the COVID-19 pandemic, concerns over the budgetary health and service performance of state and local governments were top of federal policymakers’ minds. This was driven in part by the experience of the Great Recession, after which the state and local public sectors were widely perceived as a drag on the broader economy. In an effort to avoid a repeat of this, federal policymakers legislated close to $1 trillion in fiscal assistance to state and local governments, substantially exceeding the roughly $225 billion in fiscal assistance appropriated during the Great Recession through the American Recovery and Reinvestment Act (ARRA).
Three distinct sets of questions relate to the design of federal fiscal assistance. One involves the design of formulas through which the assistance is delivered. Another addresses the macroeconomic impacts of federal fiscal assistance, an issue on which research blossomed following the Great Recession. A third set relates to the core functions of state and local governments: how was fiscal assistance deployed and what impacts did it have on outcomes under the purview of public health officials, safety net program administrators, school districts, and other government agencies?
The Stabilization Problem
At the pandemic’s outset, Stan Veuger and I projected the potential effects of the pandemic on the revenues of state and local governments, as did a number of independent research teams.1 An objective of our work was to inform policymakers regarding the amount of aid that might be justified on revenue stabilization grounds. We illustrated how the Congressional Budget Office’s (CBO’s) early-pandemic forecasts for personal income and personal consumption expenditures could be used as forecasts of the evolution of state and local tax bases. Multiplied by historical estimates of the elasticity of revenues with respect to fluctuations in tax bases, CBO’s forecasts of declines in economic activity could be translated into forecasts of revenue shortfalls.
As Veuger and I explained later, two lessons emerged from our analysis.2 First, in a predictive sense, revenue forecasts tended to perform better when they relied on close rather than distant proxies for state and local governments’ tax bases. At the COVID-19 pandemic’s onset, forecasts that relied on the historical relationship between revenues and states’ unemployment rates produced relatively inaccurate predictions. This is illustrated in Figure 1, which shows one set of projections, by Timothy Bartik of the Upjohn Institute,3 that relied on forecasts of the unemployment rate, and another, by Veuger and me, that was based on projections of aggregate income and consumption. Because realized revenues would ultimately — and, to be clear, surprisingly — exceed prepandemic forecasts, larger shortfall forecasts were less accurate than smaller shortfall forecasts.4 Forecasts that relied on disaggregated consumption and income data performed even better.5 The shift in consumption towards goods and away from services led sales tax revenues to be more robust than most analysts expected. Predictions based on forecasts of disaggregated consumption data thus performed better than predictions based on forecasts of aggregate data.

Second, revenue forecasts suffered from a reliance on forecasts of economic activity that, in CBO’s tradition, reflected “current law.” Consequently, the associated forecasts for the evolution of states’ tax bases did not account for the effects of not-yet-passed pandemic-related aid for households and businesses. As a result, the forecasts of revenue shortfalls were based on a conceptual error of viewing revenue shortfalls and household and business financial stress as separate rather than interconnected phenomena.
The pandemic experience raises interesting questions about the tradeoffs associated with assistance distributed through pre-designed automatic stabilizers versus assistance delivered through ad hoc legislation. On the one hand, the use of automatic stabilizers enables aid to adjust seamlessly in response to economic conditions. This makes either over- or undershooting less likely and eases the pressure to legislate large-scale aid provisions in the midst of a crisis. On the other hand, ad hoc assistance packages might be better suited for targeting states in greatest need, since plans can be drawn up in response to events on the ground.
Veuger and I also examined the design of the specific formulas through which aid is dispensed. In one study, we explored the predictors of variations in per capita aid distributions across states.6 Two interesting results emerged from this analysis, both of which connect aid distributions to variations in political representation. First, small states, which enjoy disproportionate representation in the Senate, received much larger per capita aid distributions than their midsize and large state counterparts. This “small-state bias” is illustrated in Panel A of Figure 2. At the extremes, the smallest, most overrepresented states enjoyed allocations in excess of $3,000 per capita larger than the largest and least represented states. Second, the transition from divided government to unified Democratic control in January 2021 mattered. Consistent with a role for this political shift, the formulas adopted for distributing general fiscal assistance and transportation grants became more favorable to Democratic-leaning states, as illustrated in Panel B of Figure 2. Education aid, by contrast, does not appear to have been reshuffled in a way that correlates with state-level partisanship.


In a second paper on the design of fiscal assistance formulas, Veuger, Benedic Ippolito, and I consider the prominent role of the Medicaid program in the design of fiscal assistance packages.7 During each of the last three recessions, Congress has legislated aid to state governments in part by increasing the Federal Medical Assistance Percentage (FMAP) — the share of Medicaid expenditures reimbursed by the federal government. Such provisions distribute greater aid to states with higher baseline levels of Medicaid spending. It is of interest to know whether this aid targets states that experienced larger shocks to their Medicaid spending needs, rather than simply their baseline spending levels. On this first point, we found that changes in Medicaid enrollment through September 2020 were weakly correlated with the relief funds states received. Second, the Coronavirus Aid, Relief, and Economic Security Act linked the increase in states’ FMAPs to their compliance with a requirement known as the continuous coverage provision. It prevented states from terminating benefits for Medicaid beneficiaries whose incomes rose beyond applicable eligibility thresholds. Congress removed the link between this provision and the availability of pandemic support funds in late 2022, and some states have now dropped it. We found that the projected costs of the continuous coverage requirement and the projected revenues linked to the enhancement of the FMAP were of similar magnitudes, making the net implications of these provisions for state budgets roughly neutral based on forecasts that were available when we conducted our analysis.
Effects of Fiscal Assistance on Macroeconomic Outcomes
Macroeconomic recovery, the preservation of employment, and the delivery of vital health and educational services were the primary stated goals of the federal government’s fiscal assistance to state and local governments during the pandemic. What impact did federal fiscal assistance have on these outcomes in practice?
The key challenge to estimating the effects of fiscal stabilization funds is a standard endogeneity concern: stabilization efforts tend to target areas where conditions are poor, and therefore correlate negatively with economic activity. To overcome this source of bias, Philip Hoxie, Veuger, and I study the macroeconomic effects of pandemic fiscal assistance using an instrumental variables strategy.8 Veuger’s and my earlier work on the relationship between per capita aid distributions and political representation examined whether the large distributions of aid to small states could be explained by other factors. We found that factors including estimated state-level revenue shortfalls, the severity of the threat to public health, or other proxies for funding needs are only weakly correlated with variations in political representation. These findings support the use of the outsize aid distributions received by comparatively high-representation states as a form of natural experiment.
Using the variations in aid predicted by variations in political representation as a source of quasi-experimental variation, Hoxie, Veuger, and I analyzed the effects of fiscal assistance on employment and other macroeconomic outcomes. We estimated that the federal government allocated $855,000 for each state or local government job-year preserved, with plausible estimates ranging from $400,000 to $1.3 million. Further, we found little evidence for spillovers to either the broader labor market or to macroeconomic indicators including output and income. In a companion paper, John Kearns, Beatrice Lee, Veuger, and I found little evidence that pandemic fiscal assistance raised economic activity through spillovers that extended across state lines.9
The estimated effects of fiscal assistance on economic activity and employment are modest when compared to the estimated effects of similar programs during the Great Recession. Studies of the ARRA of 2009 suggest an employment multiplier ranging between $50,000 and $112,000 per job-year.10 Our estimates of the cost per job-year also exceed estimates from analyses of the Paycheck Protection Program.11 Furthermore, we find no effect on aggregate income, and cannot reject an output multiplier of zero for this spending, while estimates of the multiplier from previous periods dating back to the 1930s range from $0.50 to $2 in overall economic activity per dollar of government spending.12
More work on how pandemic fiscal assistance affected macroeconomic outcomes is sorely needed. While macroeconomic research has illuminated a pandemic’s potential influence on both fiscal and monetary policy transmission mechanisms, direct evidence on the effects of pandemic-era fiscal assistance packages is limited.13 In the wake of the Great Recession, by contrast, a wave of research on the stimulus impact of government spending exploited the rules that were used to allocate ARRA funds. Studies focused on variations in funding associated with Medicaid expenditures, highway assistance, and other assorted programs, arguing that the rules by which assistance was allocated were plausibly exogenous for the purpose of estimating jobs multipliers.14 Of course, the renaissance in fiscal policy research following the Great Recession extended well beyond studies of the ARRA.15 To date, few studies have considered the stimulus and jobs multipliers effects of pandemic fiscal assistance to state and local governments. Future research comparing the effects of pandemic and Great Recession-era fiscal assistance may have high returns, as the contrast between these episodes can help to shed further light on mechanisms through which fiscal assistance impacts economic activity.
Effects of Fiscal Assistance on Microeconomic Outcomes
One of the goals of policymakers designing pandemic-era fiscal assistance was the maintenance of education and public health services. The latter include the distribution of tests and vaccines and the collection of data describing the pandemic’s advance. Hoxie, Kearns, Veuger, and I analyzed whether states that received more generous allocations of fiscal assistance established more robust testing and vaccination campaigns.16 We estimated that fiscal assistance had at most a modest impact on the pace of vaccine rollouts, although it did have a substantial impact on the volume of tests administered. With respect to vaccines, these findings are consistent with the possibility that efforts to expand take-up of vaccines had reached their limit, making it difficult for additional federal funds to move the needle further. The demand for tests, by contrast, is less readily satiated, since tests deliver value with repeat rather than one-time use. Additional federal funds thus appear to have had room to expand the demand for and consumption of tests.
The data required to fully analyze the incidence of the pandemic fiscal relief packages on different spending programs and on tax revenues are not yet complete. For example, while data on school enrollments, staffing, and test scores well into the pandemic are now available, data on school district finances from the National Center for Education Statistics are processed with longer lags. Similarly, the Census Bureau’s Annual Survey of State and Local Government Finances was not updated to include 2020 data until July 2022. It will thus take time before the budgetary impacts of pandemic fiscal assistance can be more fully understood.
In contrast, data on major tax policy changes already exist. Veuger and I have found that larger fiscal relief allocations predict a lower likelihood of reductions in corporate tax rates, suggesting that fiscal assistance packages did not initiate a wave of corporate tax competition.17 Future analyses can explore the impact of pandemic fiscal assistance on a richer array of tax policy instruments, budgetary outcomes, educational attainment outcomes, and other outcomes linked to the core functions of state and local governments.
About the Author(s)

Jeffrey (Jeff) Clemens is a research associate in the NBER’s Public Economics and Health Care Programs and an associate professor of economics at the University of California, San Diego (UCSD). His research spans the economics of fiscal federalism, health insurance regulations, healthcare payment systems, and minimum wages. His ongoing projects focus primarily on the effects of intergovernmental grants on the finances and performances of state and local governments, on the economic drivers of medical innovation, and on understanding the broad set of margins through which firms have responded to minimum wage increases in recent years. He currently serves as a coeditor at both the Journal of Public Economics and the Journal of Health Economics.
Clemens received both his BA and PhD in economics from Harvard University. He joined UCSD in 2012 after a year as a postdoctoral scholar at the Stanford Institute for Economic Policy Research. In addition to his NBER affiliation and position at UCSD, he is a visiting fellow at the Hoover Institution and a CESifo Network Fellow. His research has appeared in journals including the American Economic Review, the Journal of Political Economy, the Journal of Economic Perspectives, American Economic Journal: Economic Policy, American Economic Journal: Applied Economics, and a number of leading field journals.