May is National Foster Care Month and in Arkansas, the number of foster youths near adulthood has dropped slightly, according to a new report.

The Annie E. Casey Foundation report looked at the transition period for young adults in foster care and found the number of young Arkansans aged 14 and up in the system dropped from 28% in 2006 to 20% in 2021.

Eric Gilmore - executive director of Immerse Arkansas - said his organization is helping youth 14 to 24 escape crises, putting them on a path to healing, growth and transformation.

"Finding a safe and stable place to live, getting a job, finishing their education, and building a community around them - whether that's family or mentors, but people that are going to do life with them," said Gilmore. "We come in at a really critical time, a really hard time in life, and help young people put those pieces together to help make sure that they can be successful."

Gilmore said an Immerse transitional program called LifeBASE provides supportive, stable housing and individualized coaching to equip youth for transition into adulthood.

He added that the coach works with the young person for up to 24 months to hit goals and make progress in the areas of employment, education, well-being, and mental health.

The report shows 81% of 21-year old Arkansans received a high school diploma or General Education Degree in 2021, and Gilmore said the state will help young people financially who want to pursue higher education or vocational certification programs.

But he added that some young people face housing challenges, an unstable support network or other barriers to achieving that goal.

"Most young people, they're thinking about college," said Gilmore. "But these young people have not been prepared educationally to get to that point. So, rather than working on higher education, we're helping them get their high school diploma or their GED."

Gilmore emphasized they are also working with youth who are ready for higher education. For example, he points out a young man who is in the process of transferring to the University of Central Arkansas to finish a degree in graphic design.

He added that another student who came through the Immerse program was recently accepted into the University of Arkansas Clinton School.

Annie E. Casey Foundation Senior Policy Associate Todd Lloyd said there are about half as many adolescents in foster care as there were 15 years ago, but he added that the reasons they are entering the system have changed.

"In the past, young people were coming in for foster care for reasons of behavior, adolescent behavior, child behavior problem," said Lloyd. "But now, there's more of a shift towards them entering care for reasons of neglect, which are often connected to issues of poverty."

Lloyd said neglect is often related to economic insecurity and wants child welfare agencies to work with families to help them address issues of economic challenge and provide support.

More than 300,000 children have been dropped from Medicaid and Peach Care for kids since the pandemic ended.

A report from the Georgetown University Center for Children and Families pinpoints a nationwide trend: More than 4 million kids were left uninsured, soon after the COVID public-health emergency ended.

Georgia ranks third-highest for the number of children who have lost coverage.

Judy Fitzgerald, executive director of Voices for Georgia's Children, said many lost coverage because of procedural reasons rather than eligibility.

"They're not ineligible, but there was missing or incomplete paperwork, or what we know from families is, they felt like they didn't receive the notification, they didn't know," she said. "And so, there are a large number of children who are still eligible."

Fitzgerald said the repercussions of disenrollment can be dire, as when children can't get timely access to health-care services, they're more vulnerable to illnesses and developmental delays. The report also found parents with access to employer-sponsored health plans can't always afford the cost of adding their dependents.

While parents face higher income requirements for Medicaid, many children who lost coverage during the pandemic are still eligible. Fitzgerald said Voices for Georgia's Children is advocating for ways to increase enrollment for children, including a more simplified enrollment process and assistance from state agencies to expedite screening.

"So, we're asking the state to expand the kinds of organizations that could screen kids for eligibility, and enroll them in coverage temporarily while the state processes an official enrollment," she added, "and this is something called presumptive eligibility."

She said programs such as SNAP, and information through the Department of Labor, could be used to facilitate renewals. For families who don't qualify, she said, alternative coverage options are available through the insurance marketplace. Navigators through Georgians for a Healthy Future can help find them.

The Medicaid and Nevada Check Up programs had more than 13,000 fewer children enrolled last year than during the pandemic, according to new research from the Georgetown University Center for Children and Families.

States have been reexamining Medicaid benefits since the pandemic ended, and disenrolling families based on their head-of-household's eligibility. Carissa Pearce, health policy manager for the Children's Advocacy Alliance, said this means some children were also dropped from coverage who are still eligible.

As a result, she said, the Centers for Medicare and Medicaid Services told states to stop disenrolling and ensure they were looking at individual eligibility.

"Meaning that children would be screened separately from their parents, and that was a really important change," Pearce explained. "Specifically in Nevada, every person who had been disenrolled up to that point in August and September of 2023 were reinstated for their coverage, so that they could fix their system and then proceed with disenrollments."

Pearce said Nevada didn't start disenrolling children again until January of this year, giving families more time to check the requirements and submit the documentation to keep their coverage. But from January to February, about 1,500 Nevada children were dropped. She said it's important for families to see if their child is eligible for Nevada Check Up or consider a state marketplace insurance program at nevadahealthlink.com.

Tara Raines, deputy director of the Children's Advocacy Alliance, said her message to families is to not avoid medical appointments if they suspect their child may not be covered. She said there are other programs that families can be directed to, and thinks the state could do more to reach and inform families.

"I think a campaign that lets people know, 'Hey, you were disenrolled from Medicaid, here are your options,' would be incredibly helpful," she said, "and I don't know if that looks like partnering with school districts."

Raines said families' living conditions and circumstances vary in the Silver State. This could mean some may not have a permanent address, but should not mean they go without health coverage.


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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.