PT - JOURNAL ARTICLE AU - Flynn, Patrick AU - Marcus, Michelle TI - A Watershed Moment: The Clean Water Act and Birth Weight AID - 10.3368/jhr.0622-12369R2 DP - 2023 Mar 08 TA - Journal of Human Resources PG - 0622-12369R2 4099 - http://jhr.uwpress.org/content/early/2023/03/02/jhr.0622-12369R2.short 4100 - http://jhr.uwpress.org/content/early/2023/03/02/jhr.0622-12369R2.full AB - The Clean Water Act (CWA) significantly improved surface water quality, but at a cost exceeding the estimated benefits. We quantify the effect of the CWA on a direct measure of health. Using a difference-in-differences framework, we compare birth weight upstream and downstream from wastewater treatment facilities before and after CWA grant receipt. Pollution only decreased downstream from facilities required to upgrade their treatment technology, and we leverage this additional variation with a triple difference. CWA grants increased average birth weight by 8 grams.