PITTSBURGH -- The number of children without health insurance was rising nationwide and here in Pennsylvania before the COVID pandemic, and a new report predicts that trend will continue.

The report, from the Georgetown University Center for Children and Families, says after years of progress getting more kids covered by health insurance, between 2016 and 2019, most of the gains for children achieved through the Affordable Care Act were wiped out. According to Laura Stephany, health policy coordinator with Allies for Children, an estimated 726,000 children nationwide are uninsured - and Pennsylvania has the eighth-highest number in the country.

"We have now 128,000 children across the Commonwealth who are uninsured," Stephany said. "And our percentage of uninsured children also rose."

She added those losses occurred when the economy was strong and unemployment was low - before the economic impact of the COVID pandemic.

The increase in uninsured children in Pennsylvania was relatively small, about 2,000 additional children. But Joan Alker, executive director of the Georgetown Center, cautions no increase should be ignored.

"If you look at your state and you see that the number's going in the wrong direction but it's not statistically significant, that doesn't mean that you shouldn't be worried," Alker said. "This year, 2020, more kids are probably losing. So, it's a red flag."

Research shows children who have health insurance are more likely to graduate from high school, attend college and to be healthier and more productive as adults.

Stephany points out many families have lost health insurance along with parent's jobs, and the Trump administration's efforts to undermine the Affordable Care Act will mean more children will be without coverage.

"Pennsylvania has been hit hard by the economic crisis," Stephany said. "And there is no national effort to inform newly unemployed families about their public coverage options."

In November, the Trump administration and 18 state attorneys general will ask the U.S. Supreme Court to rule the entire Affordable Care Act unconstitutional.

Statistics show one in five children in Texas struggles with hunger.

Approximately 10,000 students a day are getting a nutritious meal through the Summer Food Service Program offered by the Houston Food Bank. The meals are distributed across the food bank's 18-county region.

Jourdan Stansberry, senior manager of education programs for Houston Food Bank, said they partner with summer camps, churches and other nonprofit organizations to serve the students. She added anyone who is not near a meal site can take advantage of their non-congregate option.

"Sites that are considered rural by the Texas Department of Agriculture," Stansberry explained. "It's a grab-and-go model where families can pick up the meals, It's like a five-day bundle of frozen meals, breakfast and snacks, so 10 meals all together. They're able to pick it up and take it home."

Locations of the meal sites in the Houston area and across Texas are available at the Department of Agriculture's Summer Meal Site Map. The meals are available to anyone 18 years old or younger or students with a disability, up to 21 years old.

The meals are distributed at more than 250 sites around the Houston area. Students do not have to register to take advantage of the meals. Stansbury emphasized it is a great way to ensure kids have access to fresh fruits and vegetables during the summer. She added the menus consist of more than just a sandwich and chips.

"One thing that I know has been pretty popular is our orange chicken with rice, and we also have broccoli, vegetable-medley side that goes along with that. We saw also chicken tikka masala," Stansbury outlined. "We try to expose them to different meals, not only healthwise but also culturally."

The Houston Food Bank expects to distribute around 800,000 meals this summer. The meal program runs through Aug. 8.


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When South Dakota's new budget kicks in this week, there will be money to address potential funding shortfalls for rape kits. At the same time, a key lawmaker says he's looking at other improvements.

The Legislature has set aside $180,000 for purchasing, storing, and distributing sexual-assault kits. These are packages of items used to collect evidence after an attack with the contents sent to a lab for testing.

State Sen. Tim Reed, R-Brookings, said he pushed for the bill amid funding uncertainty for a federal program that covers those costs.

He said maintaining supplies aids investigations, while serving as a training tool for hospital staff who assist survivors.

"It's a little different than a medical examination, because you are collecting evidence," said Reed. "Yet, it's still a medical situation because the victim has been assaulted. And so, it's really critical that we have the best trained nurses to do that."

He said that's the case for all victims, but is especially important for situations where a minor is sexually assaulted.

Reed chairs the advisory board for the Center for the Prevention of Child Maltreatment, which prioritizes hospital training and access regarding the kits.

Before next session, Reed said he's looking at possible ways to improve tracking of evidence after it's processed.

National watchdogs say South Dakota has made progress in reducing its backlog of rape kits, but its approach to tracking them still lags behind.

Reed said he agrees that other reforms are needed, so that investigations aren't fizzling out.

"What we've found, though, is we don't track those kits very well through the whole system," said Reed. "How many of those cases were actually prosecuted?"

As for preventing child sexual abuse, the Annie E. Casey Foundation recently noted that promoting internet safety for teens should be a key part of such efforts.

It says teens need to understand and identify how online predators may attempt to gradually build trust.

Those experts also stress the importance of never meeting online contacts in person without a trusted adult.



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Congress is debating a budget bill that could result in significant cuts to the Supplemental Nutrition Assistance Program benefits.

Those reductions would not only fall squarely on Iowa's most needy families, but trickle down to the food banks that feed them.

At the Northeast Iowa Food Bank alone, the number of meals served has jumped from 6 million to 8 million in the last two years.

Executive Director Barbara Prather said the demand continues to rise - and if Congress cuts SNAP funding, it will spike even higher.

She added that not only will hungry Iowans be affected, but also the businesses and other support services - especially in rural areas.

"You know, we have a lot of rural grocery stores," said Prather. "We have a rural hospitals. So, a lot of them, you know, rural grocery stores, SNAP is a part of their income. Medicaid is a part of the income for hospitals."

Congress has discussed shifting some Medicaid and SNAP costs to states - but in many cases, social service agencies will be unable to afford the increased spending, and some hospitals may be forced to reduce already limited services or close altogether.

Nationally, at least 780,000 people could become food insecure if Congress cuts SNAP benefits.

Lawmakers have said they are addressing fraud and waste.

Feeding America's Chief Government Relations Officer Vince Hall said the cuts are an overreach, and dangerous for the people who rely most on the services.

"Instead of addressing fraud in a thoughtful and effective way," said Hall, "it's using fraud as an excuse to hurt people who are honest, hard-working - seniors who are in their golden years, people with disabilities, active duty military. And it is harming all of those families."

The House has passed the budget bill. It's pending in the Senate.