A new report found Florida kids in the Children's Health Insurance Program could be at most risk of losing health coverage when the official public-health emergency for COVID-19 expires.

Researchers at the Georgetown University Center for Children and Families warned millions of children could lose coverage as soon as April, when states will have to recheck eligibility for everyone enrolled in Medicaid, including kids.

Joan Alker, executive director of the Georgetown University Center for Children and Families and Research Professor at the McCourt School of Public Policy, said the decisions to make CHIP a separate program from Medicaid, and to require families to contribute to the cost, increase the challenges to keeping kids enrolled.

"For all of these reasons, we estimate today that 6.7 million children are at extremely high risk of becoming uninsured during this process," Alker reported. "As big as this number is, we actually believe this is a conservative estimate."

The report said 2.9 million children could re-enroll in public health programs if they lose coverage, but about 3.8 million would have to find other insurance coverage or become uninsured. While kids in all states are at risk of losing coverage, the report lists Florida as one of the states at highest risk, along with Georgia and Texas.

Alison Yager, executive director of the Florida Health Justice Project, said she hopes Florida's leaders will jump ahead of the looming problem to ease the transitions in Florida's CHIP program, known as Florida KidCare.

"Even short gaps disrupt kids care," Yager pointed out. "If kids have unmet health needs that's going to impact their education, that's going to impact their ability to go to work. It impacts kids and families in so many ways."

While Medicaid beneficiaries age five and older are required to have their eligibility checked twice a year,
children enrolled in Florida KidCare are checked for eligibility only once a year. Yager is concerned that many families will be shocked when the relative stability that came with the public-health emergency ends.

Yager suggested the state should boost the call-center staff for the insurance programs to be more responsive.

Tricia Brooks, research professor at the McCourt School of Public Policy, said there are many things states can do to avoid coverage gaps, including moving kids into programs they are eligible for, rather than dropping them altogether.

"States should also enhance processes to follow up with enrollees via multiple communication modes, when action is required to avoid a loss of coverage," Brooks urged.

About five million Floridians are enrolled in the state's Medicaid program, most with managed-care plans.

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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