As kids' Medicaid eligibility review gets underway, experts are concerned about the number of Ohio children losing federal health insurance.

Kelly Vyzral, senior health policy associate, Children's Defense Fund-Ohio, said because Ohio does not disaggregate information by adult or child, there is little data available on why kids are dropping off. She added whether their parents obtained employer-sponsored coverage or they lost coverage for procedural reasons like a change of address, the tend is troubling.

"So we don't know why the 61,000 kids have lost their Medicaid coverage," she explained. "But there's a difference in the total number of children covered in April, versus the number covered in July. That's 61,000."

According to the Georgetown Center for Children and Families, more than 38% of Ohio children rely on Medicaid or K-CHIP coverage.

At the start of the school year, kids often need routine immunizations and physical exams for sports. Vyzral pointed out many families won't know their children have been disenrolled until they visit the doctor.

"It's not too late, they can reapply," she said. "They should definitely avail themselves of all of those roads, to maintain their children's coverage."

Joan Alker, research professor, McCourt School of Public Policy and executive director, Center for Children and Families at Georgetown University, said the ripple effects of increasing numbers of kids without coverage could be far-reaching.

"Children are not expensive to cover, but they're regular utilizers of care. We don't want families showing up at the pharmacy and being told, no, you can't get your child's medication," she explained.

According to data from KFF, kids are being kicked off of Medicaid rolls largely due to simple errors. Nationwide, nearly 700,000 children have lost coverage during the unwinding, though experts have said that number is likely much higher.

By India Gardener / Broadcast version by Nadia Ramlagan reporting for the Kent State-Ohio News Connection Collaboration.

According to Attorney General David Yost's office, 15,335 children have gone missing in Ohio in 2023. There were 1,698 reports of missing children in October, up from 1,621 in September.

Ninety-five percent of missing children in Ohio have been safely found so far this year, said deputy press secretary Dominic Binkley. That's similar to the success rate in 2022 and other recent years. In general for cases where authorities know the circumstances, most missing children have either run away from home or are taken from their custodial parent by their non-custodial parent. But some children have never been found. One of them was Ashley Summers, who disappeared in Cleveland in 2007 at the age of 14.

"I think that unfortunately, our law enforcement failed us, especially in the beginning and to elaborate on that a little bit...they considered her a runaway and didn't do anything about her case for months," said Linda Summers, Ashley's grandmother. "It was nine months before she was put on any kind of state missing database and over a year before she was reported to the National Center for Missing and Exploited Children, and when they did, they labeled her as an endangered runaway."

According to the National Center for Missing and Exploited Children (NCMEC) report from 2013 to 2022, 94% of missing children from care were categorized as endangered runaways like Ashley was. In 2020, the NCMEC received around 30,000 reports of missing children, with 91% involving children who had run away. Around 77% of these endangered runaways were between the ages of 15 and 17.

When missing children are classified as runaways, it decreases specialized attention and resources crucial for locating individuals who might be in distress, potentially prolonging their absence and endangering their safety.

Summers advocates for measures that would increase the likelihood of missing children being found, including improved responses from police departments that are often short on staff.

"There are shortages, not only just statewide, but around the country," said Wilfredo Diaz, public information officer for the Cleveland Police Department. "The approach has to be consistent every missing person case that we receive has to receive the same investigative approach regardless of the situation."

Law enforcement agencies are forging partnerships with external organizations like Cleveland Missing, a nonprofit dedicated to raising awareness about abductions and human trafficking while offering vital support services to families and survivors.

"Law enforcement is doing a ton of work behind the scenes, and it's just things that we can't share with the public." said Devan Althen, law enforcement liaison of Cleveland Missing, "Seeing just the amount of collaboration between law enforcement families and organizations like ours trying to combat these is probably one of the biggest things that I've noticed in the last few months once these numbers have started rising."

According to the Black and Missing Foundation, nearly 40% of missing persons are people of color. A problem arises when examining missing Black children cases: the statistics consistently reveal a stark disparity in media coverage and law enforcement response times between cases involving Black children and their white counterparts.

"Runaways do not meet the criteria for an Amber Alert, and honestly, there isn't a sense of urgency in finding them because the perception in society is if a child runs away, whether it's a male or female, whatever happens to them, they brought it on themselves because they decided to leave," said Derrica Wilson, the co-founder of the Black and Missing Foundation. "We know that one in every three children who run away are solicited for sex, and we also know that human trafficking is a huge issue across this country but specifically in Cleveland."

During the first two days after a disappearance, a series of factors come into play that can significantly impact the child's safety and the chances of a successful recovery.

"Number one, we need to terminate the classification of runaways; they're missing and endangered," Wilson said. "Number two, we need to stop telling families to wait 24-48 hours when we all know the first 24-48 hours are the most critical moments when someone is missing."

The lack of equal attention and response time in missing children cases extends to the broader societal phenomenon known as "Missing White Woman Syndrome." This term refers to the disproportionate media coverage and public attention that missing person cases, particularly those involving white women, tend to receive.

Media coverage of cases like Gabby Petito's and those like Relisha Rudd's is evidence of deeply ingrained systemic biases. Gabby Petito's case received widespread media attention, drawing the nation's focus for weeks. In contrast, cases like Relisha Rudd's, which involve a missing child from the Black community, only receive limited coverage.

"There was research conducted by the Urban Institute, and they had the opportunity to interview traffickers," Wilson said. "During this interview, they admitted that they target Black women and girls for two reasons: Number one, they knew law enforcement would not look for Black women and girls. Number two, they knew they would get less jail time than if they targeted a white woman or child."

Like the well-known Amber Alert system for missing children, California will become the first state to institute an Ebony Alert in January 2024. The new system will alert communities regarding missing Black youth and women between the ages of 12-25.

According to the FBI's National Crime Information Center, over 140,000 Black children were reported missing across the country in 2022. Advocates for missing Black children in Ohio say an Ebony Alert might help draw attention to those cases.

"I think that if we were able to implement something like that [Ebony Alert] it would be beneficial because a lot of our cases are more from the marginalized community rather than someone who is not," Althen said. "Having those kinds of alerts could benefit the population we tend to see as runaways in the Cleveland area."


This collaboration is produced in association with Media in the Public Interest and funded in part by the George Gund Foundation.


get more stories like this via email

A bill in Congress with a Connecticut House sponsor aims to reduce child labor in the United States.

Called the "Children Harmed in Life-Threatening or Dangerous Labor Act," its aim is to strengthen current child labor laws and increase civil penalties for companies violating them. And the bill puts a new wrinkle on protections: It allows the Secretary of Labor to label goods produced with child labor, and to issue a 'stop work' order for any person violating child labor laws.

Rep. Rosa DeLauro, D-Conn., the bill's House sponsor, described its importance.

"This is in response to industry, to have more workers -- more than likely who are underpaid -- and that they can get cheap labor for doing the jobs that they are doing, and taking risks with children," DeLauro explained. "There is a labor shortage, so they're looking to children."

The Economic Policy Institute reported 10 states introduced or passed bills rolling back child labor protections in the last two years.

The Labor Department's Wage and Hour Division concluded almost 1,000 investigations, uncovering child labor violations, an 88% increase since 2019. The bill has been introduced in both chambers of Congress.

Ultimately, the goal is to have stiffer penalties in place for companies that ignore child labor laws. DeLauro acknowledged backers of the bill expect some opposition, most likely from states rolling back protections and industries using underage workers.

"We've got a very strong meat packing industry -- I mention Tyson, JBS, Turkey Valley Farms -- and Packers Sanitation Services provides cleaning services at these meat processing facilities," DeLauro outlined. "I'm going to anticipate that we're going to see industry come out of the woodwork in opposition."

Some companies are already being held accountable with civil penalties. A meatpacking plant owned by Tennessee-based Monogram Meats Snacks was fined a little more than $140,000 for employing children. However, the company made more than $1 billion in 2021.

When a Texas woman began her six-year journey to adopt, she hoped to affect one child's life.

Felicia Lewis, an adoptive parent, is now making a difference in the lives of three young sisters. After considering adoption for years, Lewis and her partner Ruth were introduced to the three girls, all recently displaced from their birth parents.

She encouraged those considering adoption to "get involved to change a life and see how it impacts yours."

"These are children, and it's really important because you're going to be shaping their future, shaping their minds, shaping how they view the world," Lewis pointed out. "It is critical that people are just invested in it."

November is National Adoption Month. Lewis works for Bank of America, ranked among the "Top 100 Best Adoption Friendly Workplaces" by the Dave Thomas Foundation for Adoption. The connection helped pay the adoption legal fees through Bank of America's Family Planning Reimbursement program.

Over several years, Lewis and her partner built a deep connection to the children and finally saw their petition to foster with the intention to adopt granted in 2020. The process was finalized in August. Lewis noted she received an outpouring of support and encouragement from work colleagues to adopt her three daughters, now ages 6, 8 and 9.

"We walked into this thinking that we were helping them," Lewis recounted. "We're going to give them a better life, a better future, a better home, etc. And we certainly did all that, but they gave us such a better perspective on being better human beings."

Lewis added those considering adoption should not take it lightly, because it is an intense process.

"Agencies, the government, etc., they want to make sure the children are going to a safe home; that they're going to a place they can be cared for," Lewis emphasized. "There's a process, so just be patient, and know that it may not happen overnight, and you might have to try, try and try again. But in the end, it is so well worth it."

The average paid leave given to adoptive parents is 9 weeks - up from 8.4 weeks last year.