national policy & accountability organization

Making public programs work for the Americans they were built for.

The American Empowerment Fund studies where the country's health, housing, and benefit systems break down, publishes the evidence in full, and works with policymakers across the aisle to fix what the record shows is broken.

A multigenerational family at home, including a child who uses a wheelchair
Evidence first·built for the people these programs serve
By the numbers

The numbers behind the work

The failures we document are national. We investigate them state by state and publish the record in full, every figure sourced.

710,000+
Waiting for Medicaid home care
Disabled and elderly Americans on home and community based service lists across 40 states.
KFF, 2024
3 in 4
Eligible families get no housing help
Only about 1 in 4 very-low-income renter households receive federal rental assistance.
CRS, CBPP
$31B
Improper Medicaid payments a year
Federal payments that fail program rules, much of it undocumented.
CMS, FY2024
A cross-section of Americans of different ages and races standing together
Good policy begins with honest evidence, in public, where anyone can check it.
The American Empowerment Fund
What the record shows

Families left waiting. Dollars no one can trace.

Across the country, the programs built to catch people are missing them, while billions go out the door unaccounted for. State to state, the pattern is the same. Here is the national record, every figure sourced.

Housing
3 in 4
Eligible families get no help
Only about 1 in 4 very-low-income renter households receive any federal rental assistance.
CRS; CBPP
Housing
19M
Very-low-income renters
About 4.8 million of them receive any federal rental help at all.
CRS, 2023
Housing
3–5 yrs
A common wait for a voucher
Local lists run years long and are often closed to new applicants.
HUD
Home care
710,000+
Waiting for Medicaid home care
On home and community based service lists across 40 states.
KFF, 2024
Home care
15 months
Average wait for care
For the waiver programs that serve seniors.
KFF, 2025
Program integrity
$31B
Improper Medicaid payments a year
Federal payments that fail program rules, rising to $37B in FY2025.
CMS, FY2024
Different states, the same story: programs that do not reach the people they were built for. We document it, in full, and press for the fix.
All research
Our priorities

The priorities that carry families and the country forward

Full agenda
01
Housing that reaches families
Open the voucher lists that stay frozen or closed while eligible families wait.
02
Care without the waitlist
Clear the Medicaid home-care backlog for disabled and elderly Americans.
03
Program integrity
Stop improper, unaccountable payments so dollars reach the people who qualify.
04
Fraud and accountability
Expose healthcare fraud and press for stronger oversight and enforcement.
Who we serve

Built to be useful to the people who can act

We write for decision-makers and the public alike. Clear enough for a busy reader, sourced deeply enough for a committee staffer.

01
Policymakers and staff
Briefings and data they can cite, with every figure traced to its source.
02
Journalists
Documented findings, background, and records ready for independent review.
03
Researchers and partners
Methods and underlying data shared openly for scrutiny and collaboration.
A dignified older American by a window
In Washington and the states

Evidence, offered to both sides

We bring documented findings to the committees, agencies, and offices positioned to act, and we work with members of either party when the record points the same way.

Congressional oversight committees
Federal and state agencies
State auditors and inspectors general
Program-integrity and eligibility reform
A congressional committee hearing in session
Independence
No industry funding
We accept nothing from the companies whose programs and billing we study. Our findings answer to the record, not to a donor.
Our commitments

The standard we hold ourselves to

We ask the same of ourselves that we ask of the programs we study. Document everything. Show the sources. Stay independent of the interests involved.

Nonpartisan
We follow the evidence, and work with anyone the evidence points toward.
Independent
No funding from the industries whose programs and billing we study.
Evidence-based
Every claim is documented and sourced before we publish it.
Transparent
Methods and underlying records are open for anyone to check.