AUSTIN, Texas – After more than a decade of progress getting health coverage for more children in the U.S., a new report shows that nationally, more than 800,000 fewer children were enrolled in federal health programs at the end of 2018.

Anne Dunkelberg, associate director at the Center for Public Policy Priorities, says nearly 146,000 fewer children in Texas were enrolled in Medicaid and the Children's Health Insurance Program (CHIP).

She says the new data is cause for alarm because it comes on the heels of the first reversal in coverage progress reported just a year ago.

"If you're concerned about the future of Texas and our competitiveness and to have a strong, well educated work force, you have to be concerned with child well- being, and public schools are a part of that, and so is health care," she stresses.

More than 3 million children in Texas currently are covered through Medicaid and another 400,000 through CHIP.

The Trump administration attributes drops in coverage to a strong economy and lower unemployment, factors that tend to move people from government programs to employer-sponsored health insurance.

Dunkelberg says many Texas families earn too much to qualify for Medicaid, but can't afford employer-subsidized insurance, which costs up to a quarter of their gross income.

Report author Tricia Brooks, a senior fellow at the Georgetown University Center for Children and Families, says employment and economic growth have been steady over the last decade, but the positive trend hasn't translated into coverage gains for children.

"There was no surge in employment or real wage growth that would account for the enrollment plunge in 2018,” she points out. “There also is negligible evidence that any economic factors have substantially increased access to affordable private or employer-based coverage for low- to moderate-income families. "

The report suggests other factors, including budget cuts to services helping families navigate the complicated enrollment process, have contributed to a drop in coverage.

Dunkelberg adds the Trump administration's immigration policies also have created a chilling effect, and many Texas parents have to make difficult decisions.

"I can allow my U.S. citizen child to enroll in this health insurance program, or I can choose to stay out of it because as a family we are afraid that it's going to keep mom or dad from getting their permanent resident status or becoming a U.S. citizen," she states.

Everybody loves to get something free and right now, kids aged 12-17 can get a fishing and hunting license at no cost from the Nevada Department of Wildlife.

The license is good for one year and normally sells for $15.

Bobby Jones, outdoor connection coordinator for the Nevada Department of Wildlife, said the free licenses are funded by donations to the Nevada Youth License Fund.

"This is actually the third year that the program's been active," Jones explained. "We keep it open as much as possible. We're just limited by the amount of donations that we have. Right now, we have almost 2,000 available and they go fast."

Youth can get a free license on the Nevada Department of Wildlife website or wherever the licenses are sold. Children under age 12 do not need a fishing license. The state said almost two-thirds of the kids who have taken advantage of the program in the past have never had a hunting or fishing license before.

Jones emphasized the program is designed to tempt kids to leave the digital world behind for a short time and enjoy some time outdoors. It could lead them to even consider a nature-based career like wildlife biology, forest management or outdoor education.

"Essentially what we're up against is a lot of kids are engaged in their phones and social media, TV," Jones pointed out. "They're constantly bombarded with things. We're trying to make it a little bit easier for them to enjoy the outdoors."

Some of the most popular fishing spots include Lahontan in the Fallon area, Wild Horse and South Fork in Eastern Nevada, and Lake Mead down south.


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The University of Nebraska is addressing a shortage of lawyers who represent the state's most vulnerable children, especially in rural areas.

The attorneys are being equipped to work with kids who have suffered through physical, emotional, or financial trauma - and are often living in poverty.

Of Nebraska's 5,500 licensed attorneys, only 7% of them practice in rural areas.

Michelle Paxton, director of the Nebraska Children's Justice and Legal Advocacy Center, said two thirds of child neglect and abuse cases originate outside the Lincoln and Omaha metro areas, in what she calls "rural legal deserts."

"We have twelve counties in Nebraska with zero attorneys living in those counties," said Paxton. "We have 22 with less than three."

Paxton said that there are too few qualified rural child justice attorneys, which means lawyers may drive hundreds of miles for juvenile cases, creating delays and court backlogs.

The University of Nebraska program will add lawyers trained to handle issues unique to children in low-income families.

Attorneys who work on juvenile court cases are getting the tailored knowledge they need, but Paxton added that the program is also creating an opportunity for those attorneys to network and get support from other lawyers in the field - who are often isolated.

"And so they don't often have another attorney doing this type of work that they can rely on for support and mentorship," said Paxton, "and our program provides that support and mentorship so that they are not only willing to continue working in juvenile court, increase their hours in juvenile court and increase their commitment. "

The advocacy center will also develop a case-tracking tool, enabling people to find an attorney online.

Support for this reporting was provided by Lumina Foundation.



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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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