Geographic inequality between regions of the United States has grown substantially over the past 40 years, and is an increasingly urgent topic for scholarship and policy. In this paper we consider the role that national social insurance programs, such as Social Security and the Earned Income Tax Credit, play in reducing geographic inequality. Although these programs do not have an explicit goal of reducing geographic inequality, they nonetheless have that effect, because they are disproportionately used by residents of low-income regions. We show that transfers from social insurance programs had the effect of reducing interregional inequality in 2019 by 12%, equivalent to reversing 28.6% of the growth in pretransfer inequality since the 1970s. We also use simulations to evaluate the geographic consequences of proposed expansions to the US welfare state such as the expanded Child Tax Credit enacted in 2021 or a Universal Basic Income, showing that these programs could achieve further reductions in interregional inequality.Reducing the economic inequality between regions of the country is a key step toward reversing the political polarization and extremism that is destabilizing US democracy (Axelrod, Daymude, and Forrest 2021). Policymakers and scholars have begun to explore the ways in which federal government policy can be used to reduce geographic inequality (e.g. Bartik 2020b; Liu et al. 2022). Many proposals fall under the broad category of "place-based policies," which spatially target government investments or subsidies to economically struggling locations. Specific proposals run the gamut from subsidies for investment in economically struggling areas (Austin, Glaeser, and Summers 2018; Gaubert, Kline, and Yagan 2021) to spatially targeted research and development expenditures (Atkinson, Muro, and Whiton 2019; Gruber and Johnson 2019) to labor market assistance programs (Bartik 2020a). Yet place-based policies have also been met with skepticism from both policymakers and scholars, who worry that they can be challenging to administer and prone to mistargeting and corruption (Glaeser and Gottlieb 2008; Neumark and Simpson 2015).This paper considers an alternative framework for reducing interregional inequality, which we term "place-conscious policies" (Manduca 2021). Unlike place-based policies, place-conscious policies do not explicitly target expenditures based on geography. Rather, they are universally available policies that are designed to have a disproportionate impact on economically lagging regions. In this, they apply the logic of "targeting within universalism" that has been effective in maintaining broad support for programs to reduce other forms of inequality (powell, Menendian, and Ake 2019;Skocpol 1991).Place-conscious policies can take a variety of forms, from trade policy to government procurement to industry regulation. Here we evaluate the geographic implications of an underappreciated set of place-conscious policies that already exist: cash and near cash transfer payments from the US social ...