RT Journal Article SR Electronic T1 A Watershed Moment: The Clean Water Act and Birth Weight JF Journal of Human Resources JO J Hum Resour FD University of Wisconsin Press SP 0622-12369R2 DO 10.3368/jhr.0622-12369R2 A1 Flynn, Patrick A1 Marcus, Michelle YR 2023 UL http://jhr.uwpress.org/content/early/2023/03/02/jhr.0622-12369R2.abstract 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.