Gov. Andy Beshear has signed legislation clarifying the definition of child abuse and neglect, and allowing the state to move faster on suspected abuse cases, along with a host of other reforms.

Sen. Julie Raque Adams, R-Louisville, sponsor of Senate Bill 8, said the law changes the risk requirements needed for state services to intervene and begin helping families.

"So rather than enter these homes and situations when they're very critical, we are now able to work with families on the front end," Raque Adams explained. "Maybe get the addiction treatment that they need, maybe get the counseling that they need, maybe get the mental health services that they need, so we can start to heal that family while it's intact."

The latest federal child maltreatment report finds domestic violence and drug abuse are among the highest risk factors for child victims of abuse and neglect. In Kentucky and nationwide, children younger than one year old experience maltreatment at a higher rate.

The bill also changes Medicaid rules, so community partners can get reimbursed for the full cost of care.

Caroline Ruschell, executive director for Children's Advocacy Centers of Kentucky, said the current reimbursement rate for child sexual-abuse medical exams is not enough to cover the cost, which can be as high as $2,000 per exam.

"Those involve a mental-health screening," Ruschell explained. "Photo documentation -- which is really important -- of the abuse, they are done in a trauma-informed way with a medical professional who has been specially trained in how to do this."

Ken Reiss, board chair of Kosair Charities, said the legislation is a step forward, but more work needs to be done to keep Kentucky kids safe.

"The numbers are not yet in, relative to the COVID years," Reiss pointed out. "There is a fair amount of fear within the medical community that it could be even worse for kids. So we have little victories, we have a lot of support, and no one is giving up."

Kosair Charities' Face It Movement serves as a resource for families and community members looking for prevention, recognition and reporting information during Child Abuse Prevention Month and beyond.

During the COVID health emergency, Congress removed a lot of red tape in the U.S. Department of Agriculture's (USDA) school meals programs, and a new report suggested the program's success should be continued into the next school year.

Crystal FitzSimons, director of school and out-of-school-time programs for Food Research and Action Center, said waivers increased the number of fruits and vegetables kids consumed, eliminated school meal debt, made it easier for parents and guardians, and lowered administrative burdens for schools.

"Omaha Public Schools reported that being able to offer meals to all students at no charge reduced childhood hunger, supported academic achievement, eliminated stigma associated with school meals, and improved student behavior," FitzSimons outlined.

Nearly six out of 10 of the nation's large school districts surveyed said waivers helped improve racial equity, and 95% said it reduced child hunger. Waivers are set to expire June 30. Critics of free meals for all students have warned the program could lead to government dependency.

FitzSimons countered just like adults, kids need fuel to focus, concentrate and learn. She pointed to years of research showing children who have access to healthy meals do better in school, which makes it easier for them to land jobs as adults that pay enough to not require government assistance.

"We have public schools that provide textbooks and transportation to get kids to school," FitzSimons pointed out. "Making sure that kids who are in school for seven hours a day have that nutrition that they need is critical to ensuring their success as adults."

Omaha Public Schools reported significant operational challenges during the 2021-2022 school year. FitzSimons noted supply-chain disruptions, labor shortages and rising food costs are not likely to be fully resolved by the time schools reopen in August. She added extending USDA waivers will also help children catch up and get back on track.

"And making sure they are able to access a free school meal next school year is going to be really critical to help supporting overcoming the impact of the pandemic that we've seen on kids, on families, and also on schools," FitzSimons contended.

A new survey finds 8 in 10 Kentucky parents say afterschool programs could help their child combat social and mental-health struggles by reducing unproductive screen time.

Experts say demand for these types of programs has increased in the Commonwealth.

Executive Director of the Afterschool Alliance Jodi Grant said after-school programs often are understaffed partnerships between schools and community-based organizations. She said local districts currently can't keep up with demand.

"In Kentucky," said Grant, "for every child that's in a program, the parents of four more want their kids to be in a program - and these parents and these kids are choosing to be there."

She also pointed out that Black and Latino children are among those most likely to lack access.

According to the survey, more than 60% of parents of color, and those with low incomes, said they want after-school programs that help their child build life skills and reduce risky behaviors.

Director of the Kentucky Out-of-School Alliance Tom Haggard said he believes state leaders haven't prioritized after-school programming.

"We really haven't put in the state dollars toward after-school or summer learning at a really impactful level," said Haggard. "Many of the other states have made investments in after-school, and that just isn't something that we've been able to do yet in Kentucky."

Grant pointed to federal COVID dollars as a resource to help support and expand after-school and summer learning programs for kids.

"We absolutely need to be doing more to tap into more dollars for the families that can't afford these programs," said Grant, "because they are creating opportunities for the kids for the working parents and for our long-term economy."

According to the National Conference of State Legislatures, around a dozen states nationwide currently are providing funding dedicated to after-school programs.

Groups fighting for children's rights say they are disappointed Gov. Gavin Newsom's May budget revision did not include more money for the Hearing Aid Coverage for Children Program. Newsom proposed about $16 million, but advocates want lawmakers to bump it up another $5 million in the final budget.

Mike Odeh, senior director of health for the nonprofit Children Now, said hearing loss in babies and toddlers causes serious delays in speech and learning.

"It's a developmental issue, and it's not appropriate for kids to be sent to school without the appropriate supports like hearing aids," Odeh contended.

At a legislative hearing in 2019, experts testified only 1 in 10 children in California has hearing-aid coverage through a private health plan, and every month of delay in starting hearing aids correlates with decreased long-term language potential.

The state Department of Health Care Services estimates 7,000 low-income children in California need hearing aids, but only about 68 children are actually enrolled.

Odeh pointed out it is because the program only covers people who have no other insurance options.

"Some kids are getting rejected because they don't meet the income criteria," Odeh noted. "And so they would likely be eligible for MediCal, some are getting rejected because they have partial coverage that maybe provides a $500 benefit of coverage for hearing aids. But hearing aids are about $6,000 for kids and need to be replaced every three years."

Advocates argued with more money, the program could be expanded to help families who struggle with high copays and deductibles.