AUSTIN, Texas - The Trump administration's proposed 2021 budget takes aim at a number of safety-net programs, including $21 billion in cuts to the Temporary Assistance for Needy Families (TANF).

Ife Floyd, senior policy analyst with the Center on Budget and Policy Priorities, says if it's approved Texas would lose more than $100 million federal dollars in the first year alone. Because only families with children younger than 18 qualify for short-term assistance, she says Texas children would be at risk.

"It really is targeting families with kids, and making sure that kids are provided for while the parent is either looking for a job or trying to stabilize themselves," says Floyd.

TANF is meant to help the nation's poorest families if a parent loses their job, if they can't work due to disability or a health crisis, or if they're fleeing domestic violence. The funds can be used to pay overdue rent and purchase diapers, groceries and other essentials.

The Trump administration says cuts to the program, and earmarking funds for additional work requirements, are necessary to promote self-sufficiency.

Texas currently serves just four out of every 100 families in the state living in poverty, one of the lowest rates in the country.

Floyd says historically, when states face budget pressures, assistance programs for families tend to be first on the chopping block. She says when families are facing a crisis, programs such as TANF help parents get back on their feet.

"It's hard for families to focus on finding work if they are trying to figure out how to pay the rent, if they're trying to figure out how to put gas in their car," says Floyd. "So that financial assistance really helps make parents better workers."

The Trump administration also has proposed cutting SNAP, the program formerly known as food stamps, by $182 billion over 10 years. The proposal would cut overall safety-net spending by nearly $300 billion over the next decade.




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More than one million children in Texas no longer have health insurance through Medicaid, despite being eligible for coverage, according to a new report from the Georgetown University Center for Children and Families.

During the COVID-19 pandemic, states were not allowed to cancel coverage - then last year, state health departments were tasked with rechecking the eligibility of Medicaid recipients.

Brittney Taylor-Ross, senior policy analyst with the advocacy group Every Texan, said despite the option to slowly complete the task, Texas chose to do it in one year's time.

"We didn't take up a lot of the flexibilities that were offered, so that was a state choice at the leadership level. We also chose to go through this unwinding process pretty quickly. Other states have paused their process when they've seen that things don't look right," Taylor-Ross said.

The report shows Texas has disenrolled more children than any other state. Anyone who lost coverage must reapply. Taylor-Ross said as of April, the median amount of time to process a new Medicaid application is 95 days. Federal law requires this number to be 45 days or less.

Most families don't realize they no longer have coverage until they go to the doctor's office.

Joan Alker, research professor, McCourt School of Public Policy, and executive director, Georgetown University Center for Children and Families, said the problem affects not only families, but the pediatricians and clinics that treat them.

"Kids are going to miss out on those well-child visits, they're going to miss out on getting the medications they need - be it an inhaler for their asthma or an ADHD medication. And that really sets them back, both in their health and their success in school," she said.

Because of the unwinding, more than 4 million fewer children are enrolled in Medicaid. One out of four of those children lives in Texas.

Wyoming's suicide rate ranks first in the nation, according to the most recent data, and state lawmakers are taking steps to improve access to mental health care. The state budget recently passed by legislators prioritized ten million dollars for investments in mental health for K-12 students.

Rep. Jon Conrad, R-Evanston, was also able to earmark nearly $11 million for the Wyoming 9-8-8 Suicide and Crisis Lifeline. Conrad said children are more vulnerable now than ever before.

"The challenges that they face - with not only peer pressure, but world events, local events, bullying - have really led us to a point where we are seeing an increase in suicides, unfortunately," he said.

Suicide is the seventh leading cause of death in Wyoming, but it's the second leading cause of death for residents between the age of 10 and 44. Nationally, more than 49,000 people died by suicide in 2022. That's one death every 11 minutes. The Biden administration recently launched a new national suicide prevention plan to address what it calls an urgent and growing public health crisis.

If you or someone you know is in crisis, please call 9-8-8, or text W-Y-O to 741-741.

More than 20% of high school students seriously considered suicide in 2021, and nearly one in ten tried to take their own lives. Conrad was unable to secure $40 million in this year's budget for the 9-8-8 Suicide and Crisis Lifeline, enough to permanently fund the program. Conrad says since August of 2022, the lifeline has answered more than 15,000 calls from Wyomingites.

"And only 2% of those required elevation to the next level, specifically ambulance, or law enforcement, etc. So it is working, the challenge for us and me is to get it to be permanently funded," Conrad said.

Stigma has long been a barrier for people struggling with suicidal thoughts, depression and anxiety disorders, and other mental-health challenges. Conrad believes the prevailing sentiment that individuals should "man up" or "cowboy up" needs to change.

"But you know what, I think manning up and cowboying up is reaching out a hand of fellowship to that person that seems a little distant - whether you like him or not - but someone you see disengaging, and reaching out and saying, 'How can I help?' " Conrad said.


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A new report from Georgetown University's Center for Children and Families says nationwide, 4.16 million fewer children were enrolled in Medicaid and the Children's Health Insurance Program.

The report tracks the impacts of lifting COVID-19 coverage protections on Medicaid enrollment, showing that Tennessee experienced more than 59,000 disenrollments.

Michele Johnson, executive director of the Tennessee Justice Center, said 76% of people in Tennessee who've lost coverage did so due to procedural reasons, meaning the state doesn't know whether they're eligible or not.

"A couple of weeks ago, we had a two-year-old who had recently had a heart transplant. His family got the packet, they mailed the packet back, and then the response they got back was, 'The income you submitted showed you were over the income.' The two-year-old with a heart transplant got a notice that said, 'Because you never responded to the packet, you're losing coverage,'" she lamented.

Johnson added a persistent issue they are seeing is, the state has been sending Medicaid renewal packets to the wrong addresses, causing families to lose coverage, and continuing the process without fixing the issues.

Johnson said half of children in Tennessee rely on Medicaid for their health coverage. While Tennessee is a low-income state, the Medicaid income eligibility threshold allows many children to qualify for this insurance program, which is crucial for their well-being.

"We know with comprehensive health coverage, children do better as adults, are more likely to finish college, and they're more likely to have jobs as adults that don't require them to ever be on public assistance," Johnson explained. "At least 60,000 children have lost coverage -- and probably more like 100,000 children -- have lost coverage."

Joan Alker, research professor, McCourt School of Public Policy, and executive director of the Georgetown University Center for Children and Families, said they have closely monitored how ending the pandemic's continuous Medicaid coverage policy has affected children's enrollment. She called it a lack of political leadership, since governors are ultimately accountable for administering Medicaid and CHIP programs in their states.

As Alker put it, "States that saw a really large number of children disenrolling, I place that squarely on the governor -- because the folks doing the work needed the resources, they needed the staffing, they needed the procedures and the effort to make this a smoother process than it has been."