Health experts say extending Ohio's 12-month continuous health coverage for kids relying on Medicaid or CHIP until a child turns six would be a big help to Ohio's youngest residents.
The state will begin rechecking eligibility for these programs after a pandemic-era law ends on April 1.
Kelly Vyzral, senior health policy associate for Children's Defense Fund Ohio, explained that once children are eligible for Medicaid, their parents wouldn't have to worry about re-enrolling them until they start elementary school. That means kids would be more likely to get their regular doctor visits, health screenings and developmental checks.
"They might have that eyesight, they might have issues with their mobility, they could have dyslexia, any type of issues like that," she said, "that you can catch early and begin to remediate, begin to work on - that just puts that child so much further ahead."
According to new research from the Georgetown University Center for Children and Families, an estimated three in four children will likely lose coverage when the pandemic's emergency coverage protections end this spring, even though they will still be eligible for Medicaid or CHIP.
Vryzal said there are numerous resources Ohio families can use to check their eligibility.
"There are lots of community organizations that they can reach out to if they need help," she said. "I would suggest that people reach out to their food banks, that they reach out to their county caseworkers, and make sure that they have that information updated."
Joan Alker, executive director of the Center for Children and Families at Georgetown University's McCourt School of Public Policy, said federal research indicates 72% of the kids who lose their Medicaid coverage will still be eligible, noting Black and Latino families are at greater risk of losing theirs.
"Language issues may be a barrier when you have families who are perhaps mixed-status immigrant families, who have some fear about engaging with the government; families who live in rural areas, who don't have good internet connectivity," she said. "There are lots of reasons families are going to be at greater risk."
Nearly 70% of Black children and 60% of Latino children nationwide are now receiving public coverage, according to data from the National Health Interview Survey.
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A new federal report shows anti-poverty policies enacted by New Mexico are making a big difference.
This month, the U.S. Census Bureau has released a supplemental report measuring poverty at the state level for the first time.
Emily Wildau, senior research and policy analyst at New Mexico Voices for Children, said the report still ranks the state last in the nation, at 28% under the Official Poverty Measure but when newly enacted state programs are taken into account, poverty decreased dramatically from 2021 to 2023.
"When you look at that same time period, and you use the measure that counts things like refundable tax credits and noncash benefits like SNAP, New Mexico's child poverty rate drops to just 8.9%," Wildau pointed out. "Which is actually better than the national rate."
The national child poverty rate is 10.4%. Wildau noted one disappointing figure in the data: The state's rate of uninsured children rose to almost 6% in 2023, compared to about 4% in 2022, likely because of changes made to Medicaid following the pandemic.
Wildau emphasized many policy changes made by New Mexico lawmakers are not reflected in nationally-generated data looking at children's well-being, often because the policies are new and have not been incorporated into how poverty is measured.
"We're doing really good things," Wildau outlined. "Increasing our state-level Earned Income Tax Credit, adding a new state-level Child Tax Credit and expanding SNAP eligibility October 1st up to 200% of that kind-of official poverty rate."
Along with New Mexico, 13 other states boosted fully refundable Child Tax Credits in 2024, aimed at enhancing economic security for low- and middle-income families. About 43 million people, or 13% of Americans, lived in poverty last year.
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The number of West Virginia children living in poverty remains among the highest in the nation, and more children are living in households struggling with hunger, according to the latest federal data.
The end of pandemic supports combined with rising inflation, rent, and the cost of living, are to blame experts say.
The expanded Child Tax Credit cut child poverty in half, said Salaam Bhatti, SNAP Director with Food Research & Action Center.
When it ended, he said more families dipped back into poverty. Now, the child poverty rate has hit nearly 14%.
"Had we added a few more dollars to that program, it could have cut child poverty entirely," said Bhatti. "But it was a deliberate policy choice that the government made to not do that, and then another deliberate choice to remove that expansion."
According to the West Virginia Center on Budget and Policy, child poverty in the Mountain State dipped from 25% in 2022 to around 20% in 2023.
But despite the reduced numbers, the number of kids living in poverty remains among the highest in the nation.
Nearly 14 million children live in households currently experiencing food insecurity, up by more than 3% from 2022.
Bhatti noted that nearly 35% of single parent households headed by women struggle to pay for groceries.
He said his organization wants Congress to protect the Thrifty Food Plan, which sets the standard for the maximum amount of SNAP benefits households receive.
"Some lawmakers want to cut that Thrifty Food Plan adjustment," said Bhatti, "and as a result, that would cut $30 billion from SNAP benefits over the next 10 years."
Experts say kids who eat healthy meals are less likely to develop high blood pressure, diabetes, dental cavities, and other health problems.
But as more kids go hungry or lack access to quality food, they're also more likely to be uninsured.
According to data from the Center on Budget and Policy Priorities, the number of children without health coverage rose to nearly 6% in 2023.
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During this week's presidential debate, Vice President Kamala Harris proposed reviving the Child Tax Credit, which was part of the American Rescue Plan Act.
Harris says she'd raise the credit to $6,000 for newborns, renewing focus on its impact for Ohio families. However, the U.S. Senate recently rejected House Resolution 7024, which aimed to expand the Child Tax Credit.
Analysts have said the proposal could have lifted 400,000 children out of poverty, including thousands in Ohio.
Lauren Reliford, public policy director for the Children's Defense Fund, cited a "lack of political will" as the main barrier to expanding the credit.
"But at this point, childhood poverty is a policy choice," she said. "The folks that have the power to do it know and have seen the evidence - and they haven't done it."
A Child Tax Credit expansion initially passed in the House with bipartisan support, including all but one Ohio representative. However, critics of the expansion have voiced concerns about the cost to taxpayers and potential misuse. These factors contributed to its rejection in the Senate, despite widespread support from family advocacy groups.
Reliford also pointed to the broader impacts of poverty on children and the long-term consequences of inaction.
"Poverty is a toxic stress," she said. "Children see their parents being stressed, and they take that on, too. And so, why are we allowing these children to grow up in spaces and places without the necessary resources they need?"
The Child Tax Credit has been credited with significantly reducing childhood poverty during the pandemic, but its future remains uncertain as the debate continues in Washington.
Disclosure: Children's Defense Fund-OH Chapter/KIDS COUNT contributes to our fund for reporting on Children's Issues, Education, Health Issues, Hunger/Food/Nutrition. If you would like to help support news in the public interest,
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