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.

This Sunday is the 60th anniversary of Head Start, the federally funded preschool program supporting more than 12,000 children, up to age four, in Washington and nearly 800,000 children across the country.

Although cuts to Head Start are not specifically included in the Trump administration's most recent budget proposal, some locations have faced funding delays this year, leaving them nervous about the program's future.

Ashly Hyatt has three children in Head Start in Spokane, and is a parent ambassador alumna. She is currently in school to become a teacher and said without Head Start, her life would look very different.

"I wouldn't be in school, it wouldn't be possible," Hyatt pointed out. "Three children in day care is going to be close to $3,500. My husband works 60 to 80 hours a week right now as it is, and it's tight."

Hyatt added Head Start has done so much for her children, she was inspired to get involved in advocacy work. Washington Head Start is completely federally funded, and received about $200 million last year.

Roy Chrobocinski, managing director of domestic policy at Save the Children US, which runs Head Start programs in several states, said he is focused on reminding Congress about the bipartisan support Head Start has enjoyed for the last 60 years, and stressed the program is about much more than child care.

"It also provides medical assistance, dental visits, nutrition assistance," Chrobocinski outlined. "Two meals and a snack every day."

Head Start is often the only child care option in rural areas, Chrobocinski emphasized. Without funding, parents would not be able to work, affecting their families and local economies. He pointed out currently, only about a third of eligible families are able to receive services due to limited funding.

"There needs to be a significant increase in Head Start funding in order to ensure that more families who are eligible are able to participate in this life-changing program," Chrobocinski contended.

He underscored child care disruptions already cost the economy an estimated $122 billion annually.

With the end of the state legislative session in sight, Connecticut lawmakers are moving closer to establishing a permanent child tax credit.

The 2025 legislative session has seen several child tax credit bills circulate, offering differing levels of rebate. The current proposal has moved out of committee as part of the state budget bill and would establish a $150 per child credit, capped at $450.

Lisa Tepper Bates, president and CEO of the United Way of Connecticut, said her organization has been advocating for a state child tax credit, which she noted has widespread support.

"We've gained some ground on creating a child tax credit at the state level," Tepper Bates pointed out. "There is legislation with the support of an enormous number of the members of the House of Representatives and supporters in the state Senate who want to see this done and they want to see it done this legislative session."

The credit would be available for single filers making up to $100,000 per year, $160,000 for heads of household, and $200,000 for joint filers.

Data published by United Way show nearly 40% of Connecticut households are living paycheck to paycheck. Among those are households considered as ALICE, an acronym for those who are Asset Limited and Income Constrained but Employed. Categorizing households in this way attempts to capture the financial circumstances of working people who are above the poverty level but still cannot afford the basics such as housing, food, health care and child care.

Tepper Bates noted while rents are high in the state, in many households it is not the biggest financial burden.

"Our ALICE research shows that child care for families with small children can be their single biggest cost center," Tepper Bates reported. "This is an important point to understand because we now know that in Connecticut, the cost of child care for many of these families is becoming simply unsustainable."

The scarce availability of child care is pushing costs higher, with recent data showing 80% of the state's licensed family child care centers are operating at capacity, a 6% increase over the year prior.


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A North Dakota task force raising awareness about child sexual abuse is close to wrapping up its work and its leader said she hopes more communities use every tool to ensure kids are raised in a safe environment.

By state law, the task force is scheduled to dissolve on June 30.

Lindsey Burkhardt, director of the task force, said a key accomplishment was creating a pair of guides, one for families and another for schools and youth service groups, which lay out the best prevention practices and resources to turn to.

Burkhardt acknowledged they are still fighting misconceptions, like the idea children are most often abused by strangers, and stressed it is why the conversations are important.

"What are protective strategies that we can teach our children to help empower them to help keep them safe?" Burkhardt asked.

Burkhardt noted evidence of misconceptions surfaced in a pilot project in Richland County. Among those surveyed, 25% of residents said they did not believe child sexual abuse happened within the county. At the end of the project, the number improved to 20% but Burkhardt argued it highlights the need for further community education.

Burkhardt emphasized there is a strong body of research showing a child who is sexually abused is at risk of mental health disorders and survivors are likely to experience a range of conditions and behaviors affecting their quality of life.

"Depression, chronic anxiety, PTSD, along with relationship and attachment issues," Burkhardt outlined.

Burkhardt added it is hard to fully measure the task force's effect but pointed to adoption of their prevention guides as a way to show their work connected with some audiences. It included requests from the North Dakota court system to use them when training parent investigators.


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