As a program that's improved health insurance access for kids celebrates its silver anniversary, there are calls to ensure it remains strong for the future.

Friday is the 25th anniversary of the Children's Health Insurance Program, created by Congress to cover millions of kids who might not otherwise have health-care coverage.

Instead of creating a standalone program, said Loren Anthes, a public-policy fellow with the Center for Community Solutions, Ohio leverages CHIP dollars to extend Medicaid eligibility.

"It's a good deal, and you get a high return on that investment, from a policy perspective," he said. "There's all these positive benefits in terms of economic mobility, in terms of addressing things like educational outcomes or family stability."

Since CHIP began, the rate of uninsured kids in the United States has dropped nearly 10 percentage points. In June, 1.3 million Ohio children were enrolled in Medicaid, including 230,000 through CHIP.

Joan Alker, executive director of the Georgetown University Center for Children and Families, said she thinks Congress should permanently reauthorize CHIP, to build on the progress that has been made.

"A few times over the 25 years, CHIP has become a little bit of a political football, and we've seen some instances where we've had lapses in the program," she said. "So, we know that CHIP works, and having Congress move to make it permanent would be great."

During the federal public health emergency, states received more funding for Medicaid and were not allowed to drop people from Medicaid coverage. Anthes said because of that, overall enrollment increased by nearly 550,000 between March 2020 and March 2022.

"If there's anything that policymakers should be paying attention to, it's the ways in which we're ensuring that whole families can maintain their coverage as we're going through uncertain economic times," he said. "Because if we don't, there's a number of ripple effects that can happen, and the ones who are going to be paying for it are Ohio's children."

The public-health emergency is set to expire Oct. 13, but it could be extended, as it has been several other times.

A new report focuses on "girl power" in Indiana - with an analysis of how young girls are faring in the state, and recommendations for improving their lives.

Using Kids Count data, the Girl Coalition of Indiana found girls under 18 are experiencing trauma and mental-health concerns at rates higher than boys - from bullying and depression, to dating violence and a lack of emotional support.

In one survey, eight in 10 girls said neighbors "don't notice" or encourage them when they do a good job. Mackenzie Pickerrell, executive director of the coalition, described the purpose of sharing these findings.

"Being deeply embedded into communities to understand from their perspective," said Pickerrell, "what girls need to thrive, and what are the barriers for their girls to live their best lives."

The coalition plans to create programming in partnership with the six Indiana Girl Scout councils to make headway on some of the areas of concern.

This first-ever "Indiana Girl Report" was compiled in collaboration with the Indiana Youth Institute. It's available online at 'girlcoalitionindiana.org.'

Other findings in the report: In 2022, Indiana's middle and high school girls reported feeling a sense of hopelessness or depression for two weeks or longer. One in four "seriously considered" suicide.

Girls are twice as likely to be victims of traditional bullying, and three times as likely to face cyberbullying, compared to boys. Pickerrell noted what could be one reason behind these statistics.

"Girls experience mental and emotional pressures at a much higher rate," said Pickerrell, "and a very different reality than boys do."

She added that the report produced some positive data as well. Girls in Indiana are achieving academically at a stronger pace than boys, including higher high school graduation rates.

They're more likely to obtain advanced degrees. And nine out of ten girls say they have at least one caring adult or mentor in their lives, other than their parents.




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A recent ruling from the Washington state Supreme Court lowers the barriers for bringing some childhood sexual abuse cases to court.

Justices unanimously ruled that the three-year statute of limitation for these cases applies from the date of discovery of each element of the case. Seattle-based attorney Nate Roberts of the Connelly Law Offices said that, for instance, if someone in their mid-twenties suffers psychologically because of childhood abuse, they have three years to file a claim against their alleged abuser. He added that there are more situations where the Wolf decision applies.

"If they find out in their thirties, for example, that they were a ward of the state at the time of the abuse and the state knew they were being abused and didn't intervene," he said, "then they would have three years from the date they acquire that knowledge in which to file a lawsuit against the state."

Roberts said this makes more sense than applying the three-year statute of limitation to the date of the abuse.

Washington state lawmakers are considering eliminating the statute of limitations for childhood sexual abuse cases completely. Roberts said other states have already done this.

"The insidious thing about sexual abuse and physical abuse of children is that the kids don't necessarily understand the scope or degree of harm sometimes ever, but often until much later in life," he said, "and I think a simpler, more equitable rule would be to say that if you're the victim of childhood abuse, you can bring the lawsuit whenever you're ready to do so."

House Bill 1618 was introduced in the Legislature this year and passed in the House but died in the Senate. It will be up for consideration again in 2024.

The Keystone State has some work to do to provide more access to quality pre-Kindergarten programs for the youngest Pennsylvanians.

Only 43% of eligible 3- and-4-year-olds are in high-quality, publicly funded pre-K, leaving more than 87,000 without access, according to the new "State of Early Care and Education in Pennsylvania" report.

Maggie Livelsberger, policy director for Pennsylvania Partnerships For Children, said young children need access to programs preparing them to start Kindergarten. But she points out that inadequate funding for child care has led to issues of supply and demand, affecting a family's ability to find care they can afford.

"It also impacts child care providers, and their ability to be compensated fairly, to pay their teachers and maintain their business expenses," Livelsberger outlined. "We are living in a world where there is a very historic workforce shortage within the child care system, and a lot of that is due to unlivable wages."

Livelsberger added in the Keystone State, child care center workers earn on average less than $12.50 an hour, or less than $26,000 a year. The report recommended the state increase funding for the child care sector, and develop a pay system to put pre-K teachers on par with K-12 teachers with similar education levels.

Livelsberger acknowledged child care providers have benefited from supplemental stimulus funding the state received, and there is some new money in the state budget for child care. But she insists more is needed.

"Child care has historically been underfunded," Livelsberger emphasized. "Even though there are new funds for child care in this budget, it's not nearly enough to be able to combat this workforce shortage that the sector is facing. And that's really closing classrooms and not allowing families to access that care."

The report recommends the state's Office of Child Development and Early Learning produce a report every three years to give what it calls a "clear picture" of the early-childhood workforce and recommend ways to expand and improve it.