BOISE, Idaho -- To kick off the Idaho legislative session, Gov. Brad Little gave his 2021 State of the State and Budget address on Monday. The coalition Close the Gap Idaho says the governor's budget doesn't do enough to protect health care.
In his speech, Little praised Idaho's efforts to control COVID-19. Christine Tiddens is director of Idaho Voices for Children, which is part of Close the Gap Idaho. She pointed to one line in Little's address about elevating health care capacity so Idahoans could continue to access care during the pandemic and said the governor isn't following through.
"Simply put, there's no hole in the Medicaid budget to fill. Thanks to federal Medicaid relief, Idaho can fully fund Medicaid during the pandemic and economic recovery," Tiddens said. "So my question is, why wouldn't we use the funding intended to relieve the Medicaid budget for the Medicaid budget?"
The Idaho Department of Health and Welfare is proposing a $30 million cost-saving measure for the program due to higher utilization rates than expected. Tiddens said that isn't necessary. According to Close the Gap Idaho, $50 million intended for Medicaid in the state will be unspent at the end of fiscal year 2021, and the federal government has provided another $54 million to the program for relief during the pandemic.
Idaho expanded Medicaid in 2020 to about 100,000 residents. Tiddens said it could not have come at a better time.
"The COVID pandemic has really taken its toll on families already living paycheck-to-paycheck," she said. "Medicaid expansion is providing relief for Idahoans who have recently lost job-based health coverage until they get back up on their feet."
Medicaid expansion also has helped families beyond the pandemic. Nichole Stull said with expansion, she and her husband were able to get health coverage. Her husband got his first physical in five years and found out he had high blood pressure and sleep apnea. She said he now has a C-PAP machine to help him breathe at night.
"That oxygen is helping his heart and his brain and the rest of his body be able to react how it should," Stull said. "Without Medicaid expansion, this wouldn't have been possible, and, quite honestly, we were headed down a road where I was going to lose my husband."
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Supporters of a federal pilot program to distribute diapers to low-income families in Massachusetts hope to build upon its success.
More than 1 million diapers, along with wipes and other needed supplies have helped some 1,600 families over the past several months.
Adriana Leo, director of planning and grants management for Community Action Inc. in Haverhill, said the program gives parents with limited budgets a chance to get ahead.
"If a family knows that they have the diaper supply to send their child to care, they also know that they can then go to work, to their school programs," Leo explained. "They're going to be covered and their child's going to be comfortable."
Leo noted enrolled families have received 100 diapers each month, giving them the financial flexibility to cover other basic needs. More than one-third of Massachusetts families said they cannot afford enough diapers for their children.
The Massachusetts Association for Community Action, a coalition of more than 20 community action agencies in the state, was awarded more than 1 million dollars in federal aid to distribute diapers via four hubs across the state and Western Connecticut.
Rep. Mindy Domb, D-Amherst, is sponsoring legislation to create a state fund to keep up the effort, and has held diaper drives at the statehouse to build support.
"The biggest awareness building activity you can do is to hold a diaper drive and have people who haven't experienced the high cost of diapers recently go to the store and see how much they are," Domb asserted.
Domb pointed out diaper distribution is just one strategy to help families make ends meet, in addition to direct cash payments. She noted WIC and SNAP funds cannot be used for diaper purchases. The bill has already advanced to the House Ways and Means Committee.
Mary Marte, housing program director for North Shore Community Action Programs, said it is encouraging news, as parents have reported the challenge of paying rent and going without diapers at the end of the month.
"The clients and the families that we work with, they cannot afford to pay $3,000 rent in the north shore," Marte emphasized. "I think that people really appreciate the help."
Marte added she thinks of a young mother and her one-year-old daughter who have benefited from the diaper distribution program, who told Marte the diapers have brought her a sense of security as she attends college and the confidence to keep going.
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Student-loan borrowers in Mississippi and nationwide could have their debt reduced or eliminated through a new one-time adjustment by the U.S. Department of Education.
This summer, the Department will gives you credit towards loan cancellation through this adjustment if your loan is federally managed.
Cora Hume is an attorney with the Consumer Financial Protection Bureau, and said this adjustment is designed to count more of the payments made - so they can be added to the payments required for cancellation.
The adjustment counts your loan payments made after July 1, 1994 - and in some situations your deferments, economic hardship allowances, and forbearances.
"Historically, borrowers of all ages have struggled to access this Income Driven Repayment benefit," said Hume. "It's really important that they do because it can lower their monthly payments based on their income and family size. This April 30 deadline applies to some loans."
In Mississippi, 145,000 borrowers aged 25 to 34 owe an average of more than $31,000.
Hume said those with nonfederal loans need to consolidate them into a direct consolidation loan with the U.S. Department of Education by the end of April to potentially benefit from this adjustment.
Hume emphasized that student loan debt does not discriminate, and their data shows that 2.7 million older borrowers owed an average of $41,000 in federal student loans in 2023.
She said between 2004 and 2022 there was a nine-fold increase in the number of older borrowers with student loan debt.
"Thirty-two percent of these older borrowers are struggling to pay their bills," said Hume. "In terms of this adjustment, we know that 62-plus borrowers are more likely to need consolidation to maximize the benefit of this one-time pay count adjustments. "
Hume pointed out that more than one million senior citizens are not in the direct-loan program and hold an average of more than $29,000 in debt from their college days.
She encouraged borrowers to visit StudentAid.gov/loan-consolidation to find out if they are eligible for the significant adjustment.
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A Wyoming nonprofit is helping single mothers climb out of poverty by connecting them with the training and support they need to step into and succeed at good-paying jobs.
Katie Hogarty, CEO of Climb Wyoming, explained her team taps a wide range of community partners, including school counselors, soup kitchens and clinics, to identify women in need. Climb then works with moms to find child care they can trust, and the entire free training program can be completed in as little as 12 weeks.
"We have a 98% graduation rate, and 86% of our graduates have doubled or even tripled their wages two years post-program," Hogarty reported. "We have really phenomenal outcomes for such a short training program."
One in four Wyoming kids live in single-parent families, according to Wyoming Community Foundation data, and those kids are more likely to live in poverty compared to their peers in married-parent families. Since 1986, Climb Wyoming has served more than 12,000 moms and 25,000 children.
Hogarty argued access to jobs is key to positive outcomes, so each of their six sites across the state build relationships with local employers to make sure women are getting the most relevant training. Climb pays for each new employee's first six weeks' wages, and provides ongoing support to help participants settle into new routines.
"We have a commitment to providing training for higher paying jobs so that women really can move their families out of poverty," Hogarty noted. "In some of our communities, we really focus on medical careers. In some of our communities, we focus on construction trades. It really just depends on each community."
The group's specialty is helping people whose brains have been stressed by the trauma of nonstop fight, flight or freeze mode that comes with extreme poverty recover and strengthen their executive functions critical for successful employment. Hogarty added when you move a mom out of poverty, the effects on the second generation are substantial.
"The children of our graduates are having more success in school, they're healthier, they're more stable," Hogarty emphasized. "That's why we all do this work, because we believe in a strong Wyoming and strong families."
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