RALEIGH, N.C. - Fifteen thousand North Carolina children lost health insurance coverage between 2016 and 2018, according to a report released today by the Georgetown University Center for Children and Families.

Michelle Hughes, executive director of the advocacy organization NC Child, said the troubling trend is largely the result of state lawmakers' refusal to expand Medicaid.

"Our state Legislature could roll out the welcome mat to enroll the whole family in health-care coverage, but so far has chosen not to," she said, "and that really is probably the biggest factor behind the number of kids who are falling off the insure goals in our state."

Fourteen other states, many located in the Southeast, also are experiencing a widespread loss of children's health coverage, according to the report.

Hughes said health-insurance coverage is a critical first step in making sure children see a doctor early in life.

"Both for preventive care, so getting things like their immunizations, getting screens for developmental delays," she said, "and also for treatment, making sure that for example, if kids have asthma, that they are able to get inhalers."

Joan Alker, executive director of the Georgetown Center, said Medicaid expansion is a key factor, noting that when parents go through the process of enrolling themselves in Medicaid, they are subsequently more likely to also enroll their children in the Children's Health Insurance Program (CHIP).

"When you look at the data, the increase in the rate of uninsured children is nearly three times as large in states that have not expanded Medicaid," she said, "so that is a very clear way that a state could turn this negative trend around."

Even in states that have chosen to expand Medicaid, Alker said, red-tape barriers and a climate of fear and confusion - especially in immigrant communities - has left many families hesitant to enroll their eligible children in Medicaid or CHIP. In 2018, North Carolina had a total of 130,000 uninsured children, the seventh highest number in the nation.

The Georgetown report is online at ccf.georgetown.edu, and a state-specific data hub is at kidshealthcarereport.ccf.georgetown.edu.

Summer day camps are a welcome break for kids and parents when the school year ends. One camp wants to make activities such as craft making, conducting science experiments, playing games and sports much more enjoyable for all camp participants. New Hope of Indiana's Camp Catalyst is an inclusive camp for kids ages 9 through 13 who may or may not have a disability.

Amanda Boyd, manager of achieving inclusion and meeting with New Hope of Indiana's Camp Catalyst, said the camp encourages interaction, independence, competence and productivity.

"Inclusive camps are few and far between, and we're hoping that this experience will help children redefine what it means to have a disability, or to be a friend to somebody that has a disability," she said.

The camp is in its second year and is led by a certified recreation therapist and New Hope's trained staff and volunteers. Boyd said the camp strives to create a community where all kids feel a sense of belonging. According to the American Camp Association, each summer more than 14 million children and adults take advantage of the camp experience.

In a 2016 Camper Enrollment Survey, approximately 80% of responding camps reported the same or higher enrollment than in previous summers. Female campers account for 56% of total enrollment while male campers account for 49%. The most popular session length is one week or less, although the majority of independent camp operators offer four, six and eight week sessions. Approximately 26% of camps serve youths who are transgender and nearly 58% of camps serve youths who are lesbian, gay, or bisexual.

A disability or impairment may be physical, cognitive, mental, sensory, emotional, developmental or a combination, and either are evident at birth or occur at some point during a person's lifetime. According to Pacer's National Bullying Prevention Center, children with disabilities are often the target of harassment at school and were two to three times more likely to be bullied than their nondisabled peers. The response from camp attendees has been positive and the children who attend often build lasting friendships, Boyd said.

"We had a couple of campers that gave us some feedback that really expressed how eye-opening it was to be with peers of different skill levels and how meaningful it was to them to see all of the wonderful, personality traits and skills that other people have," she explained.

The center defines bullying as unwelcome conduct, including verbal abuse such as name-calling, epithets or slurs, graphic or written statements, threats. physical assault, or other conduct that may be physically threatening, harmful or humiliating.

A few years ago, Minnesota launched a pilot program to give communities of color more power to improve outcomes for child development as they continue to address long-standing disparities. Supporters hope for robust support as lawmakers decide on extending funding.

At this stage of the Legislative session, larger spending bills do include additional support for the Community Solutions for Healthy Child Development Grants. An example of the support being used is child care training to better serve Latino families.

Dianne Haulcy, co-chair of the Voices and Choices for Children coalition, a key coalition backing the grant initiative, said they have been seeing overwhelming demand as the first wave of funding expires.

"In this day and age, especially post-COVID, and a lot of the racial reckoning and not to mention the violence that's been happening in our communities," Haulcy noted. "Our communities of color are in desperate need of being resourced."

One spending bill includes $8 million for the program, while another sets aside $10 million for the biennium. Advocates argued the higher level would make a big difference given the need and the requests for aid.

Even with a large surplus, it's unclear if the full amount would be approved with many other funding requests before lawmakers.

In the long run, Haulcy pointed out having permanent funding will give communities greater flexibility to decide how to approach child development issues, especially since they already know what the challenges are within in their areas.

"Oftentimes, there are community and cultural solutions to these that only come from the community," Haulcy noted.

She suggested the model will go a long way in closing opportunity and achievement gaps while making communities stronger. Nearly two dozen local-level organizations were awarded grants during the pilot phase of the program.


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Georgia's food banks are taking action to address the growing demand for their services ahead of summer break.

Frank Sheppard, Feeding the Valley Food Bank's President and CEO, said many families throughout their 18-county service area have yet to recover from financial hardships caused by the pandemic and inflation. He added families are still in need of assistance one year after the pandemic food benefits have ended. As schools close for the summer, the food bank is proactively preparing to support families.

"We projected on average that 2,000 meals a day in the school year will become about 12,000 meals a day during summer," he explained. "So there are a lot of kids that we are going to see two and three times a day. So, it's a lot more kids from about 2,000 to 5,000."

Sheppard added Feeding the Valley Food Bank will increase the number of locations it serves to approximately 43 sites and expand its current Kids Café program to provide multiple meals to children for ten weeks.

Increased need means that many food banks need additional labor, and it is an area that has also failed to rebound since the pandemic, he said.

"Some groups are still reluctant to volunteer at the level they were pre-pandemic. We definitely continue to need volunteers," Sheppard said. "We're not back to the level we were pre-pandemic and continue to need more volunteer assistance."

The Feeding America network reports that approximately 1 in 8 Georgian children faces food insecurity. Nearly 50% of households receiving SNAP benefits have children.


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