HARRISBURG, Pa. - The number of children in the nation with no health insurance increased from 2016 to 2018, but a new report shows that in Pennsylvania the insurance rate stayed about the same.
The report, from the Georgetown University Center for Children and Families, found that nearly 4.5% of children in the Keystone State lacked health insurance last year, while nationally the uninsured rate rose to more than 5%.
Kari King, president and chief executive of Pennsylvania Partnerships for Children, said that while the report showed the state is doing better than the national average, it also indicates where improvements can be made.
"Our uninsured rate for children under age 6 is actually higher than school-age children," she said, "and typically across the country you see the opposite."
King said attacks on the Affordable Care Act and delays in funding the Children's Health Insurance Program on the federal level have made expanding coverage more difficult.
Joan Alker, executive director of the Georgetown Center, said a combination of actions and inaction by the Trump administration have made health insurance harder to get and have kept families from enrolling their children.
"That's really a failure of leadership," she said. "It has not been a priority of this administration to cover children; in fact, they did not even acknowledge until very recently that the uninsured rate was going in the wrong direction."
She said she believes reducing red tape and increasing outreach to inform families of available options would help reverse the trend.
King said the anti-immigrant rhetoric coming out of Washington also is having an impact. She said 40% of uninsured children in Pennsylvania live in just five counties.
"We think at least in part it's due to the higher percentage of Hispanic families that are living there," she said. "That goes back to the chilling effect and their hesitancy to seek assistance and supports when needed."
Pennsylvania Partnerships just released its "State of Children's Health Care in Pennsylvania" report, detailing health-insurance disparities across the state. It's online at papartnerships.org.
The Georgetown report is online at ccf.georgetown.edu, and a state-specific data hub is at kidshealthcarereport.ccf.georgetown.edu.
Disclosure: Georgetown University Center for Children & Families contributes to our fund for reporting on Children's Issues, Health Issues. If you would like to help support news in the public interest,
click here.
get more stories like this via email
The need for child care and early learning is critical, especially in rural Arkansas. One nonprofit is working to fill those gaps by giving providers a chance to get more education.
The Career Pathways Program with Save the Children partners with universities to grow the workforce of child care and preschool providers.
Joyce Taylor, Eastern Arkansas parent-family community engagement coordinator for Save the Children, had more than 20 years' experience with Head Start and said the program gave her the opportunity to pursue a bachelor's degree. It also provides her with resources she can use, in the classroom and with families.
"In particular, we have a family with a child that is autistic," Taylor noted. "Mom is working with the child at home. So I have things that I can share with that family, so she can continue to work with her child."
More than 153,000 openings for child care workers are projected over the next decade, largely driven by the need to replace those who have left the field or retired, according to the Bureau of Labor Statistics.
Taylor pointed out some children have challenging behaviors, and may have a lot of things going on at home. It is her job to help them thrive in preschool.
"Because we're the first start, when they come into Head Start, that's their first opportunity to be in a learning environment," Taylor explained. "It's up to us to do everything that we can do, to help make that first experience successful."
Karen Harrison, managing director of career in education workforce development for Save the Children, said rural areas have access to fewer resources compared to urban areas, so the program focuses on addressing the specific gaps in rural communities. She added the Pathways program aims to reduce barriers to obtaining a higher-ed credential or degree.
"All of our pathways come with incentives," Harrison emphasized. "We either pay all or partial of their tuition; we pay stipends, for books, supplies and materials. We also give 'barrier reduction' stipends. We know that child care for participants themselves can be an issue; transportation, technology needs."
Harrison added the pathway begins with a Child Development Associate credential, followed by an associate degree, and ultimately a bachelor's degree. In the process, they improve the career opportunities for workers, as well as the quality of early learning.
Disclosure: Save the Children contributes to our fund for reporting on Children's Issues, Early Childhood Education, Education, and Poverty Issues. If you would like to help support news in the public interest,
click here.
get more stories like this via email
A persistent child care worker shortage across New Hampshire is leaving families with few options.
The state is currently short more than 7,000 child care positions but low wages and burnout are driving workers from the field and forcing some centers to close.
Shannon Tremblay, director of the New Hampshire Child Care Advisory Council, said workers are struggling to care for their own families with wages barely above the federal poverty line.
"No one wants to come in for a low wage," Tremblay pointed out. "No one wants to come in making $15 an hour, working long hours in a stressful environment."
Tremblay argued greater state investment will create long-term benefits for both parents and children, some of whom may have disabilities or behavioral issues which could be identified earlier by trained child care staff.
Last year, state lawmakers invested more than $60 million in child care services, including $15 million for the creation of child care workforce grants and investments in the state's Family Resource Centers.
Tremblay emphasized the end of career and technical education programs in New Hampshire high schools broke the pipeline of workers entering the field, putting greater pressure on current staff to do it all.
"Our providers are the case manager, the cook, the plumber," Tremblay observed. "They want to provide that high-quality care and right now it's just, they can't do it."
Tremblay stressed pandemic-era funding to support the child care industry will run out in September, so state lawmakers need to act. She added the state could increase wages so the burden does not fall on New Hampshire families, who currently spend roughly $24,000 a year on care for two children under age five.
get more stories like this via email
The child welfare system in Pennsylvania faces a staffing crisis affecting children and families throughout the system.
The Child Welfare Resource Center said about 30 counties report caseworker vacancy rates of 30% or higher
Terry Clark, president and CEO of the Pennsylvania Council of Children, Youth and Family Services, at a state Senate hearing on child welfare, challenged the Departments of Education and Human Services to work together to develop a STEM-focused model for human services. It could offer young people opportunities for training, apprenticeships and careers in child welfare, juvenile justice and behavioral health.
"We spend a lot of time focusing on colleges and universities," Clark noted. "But we believe we might want to back this up a little bit, and start looking at middle schools and high schools. Try to reinvigorate, get younger students motivated and trying to come into this field."
Clark pointed out some agencies have asked supervisors and even people from other departments to take on casework responsibilities. A recent Philadelphia study found Community Umbrella Agencies had an average 45% turnover rate, with vacancies ranging from 21-60 positions.
Clark observed private providers face workforce challenges similar to the county child welfare agencies. He emphasized counties are beginning to explore more contractual relationships with private providers for needed work.
"Counties are starting to put out RFPs, calls for private providers to help supplement their workforce," Clark stressed. "That means they're asking private providers to take on roles and functions that, in the past, were primarily done by counties themselves."
Clark argued competitive wages are seen as crucial to attract and retain child welfare workers, and county funding often falls short. He added student loan forgiveness and fellowship programs may be promising ways to bring new people into the field, but lawmakers would have to agree.
"There have been House bills and different Senate bills that have been introduced, or at least in draft form over the years," Clark acknowledged. "We hope that there's continued discussion about those, because if we can get some movement on those, we think those will really help."
He told legislators the turnover trends will not change significantly without increased investment in workers.
Disclosure: The Pennsylvania Council of Children, Youth and Family Services contributes to our fund for reporting on Budget Policy and Priorities, Children's Issues, Education, and Social Justice. If you would like to help support news in the public interest,
click here.
get more stories like this via email