The rate of autism among American children has grown steadily over the past three decades, but advocates say funding support is not keeping up with the need for services.
The Centers for Disease Control and Prevention reports one in 30 eight-year-old children is diagnosed with autism spectrum disorder, up 52% from 2017 and 178% since 2000.
Health and social service advocates say early intervention is helping more Illinois children with the developmental disease, but insurance and other assistance plans need to be improved.
Maureen Karwowski, vice president of clinical services for Easterseals of DuPage and Fox Valley, said while Medicaid covers some diagnosis and treatment, its policies have not been updated in years.
"Families that have Medicaid as a funding source are very limited, and providers that provide services are very limited in how many clients with Medicaid they can accept," Karwowski explained. "The ideas always start from need, and then from there we try and figure out a way to fund them and sustain them over time."
Karwowski reported her agency sees as many as 1,000 kids a week to diagnose the condition and provide developmental therapy for families to build healthy social, emotional and intellectual interactions between a caregiver and their children.
Karwowski pointed out the Easterseals clinic specializes in the early evaluation of kids as young as two years old to determine if a child is on the autism spectrum. The clinic also provides occupational, speech and mental-health therapists. She noted each child is evaluated and put on an individualized program.
"We have an autism diagnostic clinic with a psychologist and a host of therapists looking at all the areas of development," Karwowski emphasized. "We just know that early diagnosis and a really good evaluation early on would really assist the family in starting their journey."
Karwowski stressed, on average, there are 1,600 children referred to early intervention providers each month, but there are not enough therapists in Illinois to treat them. She added the state needs to update its decade-old pay scale for Medicaid providers.
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The long-delayed Farm Bill could benefit Virginia farmers by renewing funding for climate-smart investments, but it's been held up for months in Congress.
Some lawmakers want this bill to expand funding for such programs as the Environmental Quality Incentives Program, or EQIP, which gives financial and technical help to farmers and ranchers to make conservation a priority. About $250 million was allocated for the program, but more than 9,000 applications were submitted, bringing it to $475 million.
Gabrielle Walton, federal campaign associate with the Chesapeake Climate Action Network, said these programs' popularity proves their necessity.
"This money allows them not only to practice more efficiently - and to preserve the environment that they love so much and they're so attached to - but it also saves them money that they can devote to other concerns," she said, "and provides them stability for their pocketbooks going forward."
One issue with the new Farm Bill is a proposed increase in so-called "reference pricing," which critics have said only benefits large farming operations and would come at the expense of more widely used social and climate-smart programs.
Walton said she thinks political divisiveness and competing priorities have held up the new Farm Bill.
The previous Farm Bill was extended to this September, but lawmakers have said they aim to have a bill ready by Memorial Day. Along with climate-smart investments, the Farm Bill also funds social safety-net programs.
Geoff Horsfield, a policy director at the Environmental Working Group, said people don't always know how helpful nutrition programs are to families.
"There's a misconception that things like SNAP only benefit urban communities," he said, "and we just know that that's not true - that folks in all counties rely on nutrition assistance programs, some of these social programs, to be able to make ends meet."
SNAP and other nutrition programs received 75% of funding in the 2018 Farm Bill. More than 876,000 Virginians use SNAP and EBT benefits, since food insecurity has been a longstanding issue in the state.
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Today, groups working with lower-income families in Connecticut are raising awareness about the state's "benefits cliff" with a day of action.
The benefits cliff is when a person might get a raise, have a kid with a part-time job, or some other income increase which then makes them ineligible for certain benefits. The changes can have severe impacts on communities and disproportionately affect families with children.
Stephen Monroe Tomczak, professor of social work at Southern Connecticut State University, said it is part of a larger workforce problem.
"People, particularly people of low income, are in a sense disincentivized to participate in the labor force and denied adequate jobs and income when they try to do that," Tomczak explained.
Several General Assembly budget bills could have dealt with the issue but most failed, which inspired today's action, a mock funeral procession to the governor's office to eulogize the bills, including the refundable Child Tax Credit, a housing voucher funding boost bill, and a bill eliminating the asset limit on the HUSKY C medical insurance program.
Social service advocates know the bills will resurface in next year's budget process.
Rose Ferraro, program lead of health justice policy advocacy for the Universal Health Care Foundation of Connecticut, said people are taking alternate steps like going to food banks or avoiding medical care to cover lost benefits.
"Folks will lose their rental assistance and then, they will sort of have to make some tough decisions," Ferraro noted. "'Do I put food on my table or do I make sure to pay rent?' And, so it becomes a sort of untenable position."
Ferraro added interwoven state and federal funding makes it hard to reach the core of the issues leading to benefits cliffs. One eulogized bill would have established a benefits cliff pilot program. For two years, it would have provided subsistence for people who've reached the benefits cliff.
Disclosure: The Universal Health Care Foundation of Connecticut contributes to our fund for reporting on Health Issues, Housing/Homelessness, Human Rights/Racial Justice, and Poverty Issues. If you would like to help support news in the public interest,
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New York towns are reaping many benefits since the Inflation Reduction Act was passed.
Along with funds for larger clean energy projects, the state was awarded $158 million for the IRA's Home Energy Rebates program.
Smaller towns and villages use these grants to implement their climate action plans.
Brighton Town Councilmember Robin Wilt said an IRA grant they applied for will help upgrade the town's HVAC system.
"We will be implementing geothermal and then use a solar array to make the system close to net zero, not quite," said Wilt. "I think we'll get 55% of our energy back with the solar panels."
The bureaucratic process to access the funding was challenging, but some groups are working with the Department of Energy to improve it.
Wilt said feedback on the clean energy projects has been positive. Future projects using IRA funding include increasing walkability and sustainable redevelopment.
Critics have said the IRA includes multiple provisions to increase fossil fuel production.
Towns nationwide are using IRA grants to bolster clean energy projects.
Joel Hicks is a council member for the Borough of Carlisle, Pennsylvania.
They've just applied for a grant to work on energy efficiency and solar projects with Harrisburg. He said this will have positive impacts beyond establishing clean energy.
"We were really excited at this potential," said Hicks, "because we saw that the cost savings we would have for putting in substantial solar projects on our public property would actually fund many of our other public municipal goals."
These include purchasing an electric vehicle fleet and having more efficient solid waste programs.
One thing Hicks said he wants to see in future is state and local governments helping small towns and municipalities with putting together their IRA grant proposals.
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