More Ohioans are at risk for losing their health coverage through Medicaid because of procedural errors, according to a recent analysis. Federal rule changes during the COVID-19 public health emergency allowed most people to stay on Medicaid continuously, without re-enrolling. But coverage protection ended at the beginning of this year, and Ohio and other states have resumed eligibility reviews for millions.

Brandy Davis, Medicaid policy fellow with The Center for Community Solutions in Cleveland, said Ohio is now beginning to see significant coverage losses, with around 443,000 residents losing their federal health coverage, most over missing paperwork.

"This is particularly an issue for those people who are transient, particularly in Ohio that we're seeing that are moving around and maybe not getting access to their mail," she said.

The state saw a roughly 800,000-person increase in Medicaid enrollees during the pandemic. So far, more than 1.3 million people have had their coverage reviewed. Davis said bot technology and linking Medicaid cases to SNAP benefits, and manual eligibility reviews by county caseworkers, have helped speed up automatic renewals.

Davis added a looming concern is the number of children who could drop off rolls over the next year.

"We have not been able to identify best practice to separate children out from households' eligibility status, and so in Ohio we have seen some data, children have been dis-enrolled when they would have still been eligible," Davis continued.

According to the Georgetown University Center for Children and Families, nearly seven million children nationwide are expected to lose their health coverage through Medicaid or CHIP due to unwinding.

June is National Safety Month and experts are highlighting medication safety for Kentucky kids.

Kentucky has seen a steady increase in pediatric overdoses and ingestion cases in recent years, with research showing the number of cases doubled between 2019 and 2023. The number of fatal pediatric ingestion cases in the state tripled over the same period, with 80% of those considered potentially preventable.

Dr. Jennie Green, a child abuse pediatrician in the Division of Pediatric Forensic Medicine at the University of Kentucky, said safe storage is essential.

"Making sure that the medications that are present are stored safely," Green recommended. "And usually that's going to mean keep them up and out of reach, but also preferably in a stored, locked location. So, thinking about medication lock bags or lockboxes tend to be the best."

She reminded parents "child resistant" does not mean childproof.

The 2024 Kentucky Child Fatality and Near Fatality Review Panel found opiate exposure was present in more than half of overdose and ingestion cases. The Centers for Disease Control and Prevention recommends households with opioids, whether prescribed or not, have a supply of Narcan, a nasal spray to block or reverse the effects of opioids including fentanyl.

Green noted Narcan is safe for anyone.

"There's no harm in giving a child a full dose of Narcan," Green emphasized. "In fact, it's lifesaving. And a lot of the kids who end up coming into the hospital with opioid overdose, they actually need multiple doses of Narcan. So that one dose of Narcan is not going to hurt them, but it can save their life."

Experts advised keeping track of medications present in the home including how many pills remain, to determine how many may have been ingested. Curious children may also explore purses or luggage of visitors, and inquiring if they have medication with them is also suggested.

Shannon Moody, chief policy and strategy officer for Kentucky Youth Advocates and a representative of the Face It Movement, said it is important to think about when children are away from home.

"If your child is visiting a family member, like a grandparent or friend's house, asking them to ensure that their medications, whether it's prescription over the counter or any other substances that a child may get into, that those are put away safely in a place where a child cannot reach," Moody urged.

It is also recommended parents save the number for poison control in their phone and post it on the refrigerator. The number is 800-222-1222.


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Based in Provo, Utah, the software company Qualtrics ranks among the top employers providing adoption and foster-care benefits to its workers.

The Dave Thomas Foundation for Adoption commissioned a national survey of employers to learn whether they offer financial reimbursement for adoption costs and paid leave for foster parents, and how many workers are eligible for those benefits.

Matt Inama, customer success manager for Qualtrics, said adopting a child can be quite expensive. He stressed the financial reimbursement his company offered was "transformational" for him and his wife to create the family they had always dreamed of.

"Having that kind of support and benefit available from one's employer I think is very, very important," Inama asserted. "It just helps to foster, I think, that sense of belonging for an employee within their organization."

Inama encouraged those considering adoption to know it can be a lengthy process. He emphasized it is critical to find local experts in your area who can shed light on how different laws and guidelines affect the adoption experience.

Rita Soronen, president and CEO of the Dave Thomas Foundation for Adoption, said the survey aims to foster a sense of equity among employers which many times offer benefits to families formed through birth. She argued those formed through adoption should be no different.

"We created the 100 Best Adoption-Friendly Workplace list to encourage employers to take that step, to learn about it," Soronen explained. "Then, we know that employers enjoy sort of competitive advantages over each other and 'best' lists tend to provide that."

Soronen added people in the job market who are contemplating offers may look to see if adoption benefits are included. For some, it could be a deciding factor.

"If everything else is equal and this company offers adoption benefits or foster care benefits, then they tend to lean that way because it said something about the company," Soronen observed. "It gives, we believe, employers a competitive edge in recruiting employees."

Ohio child welfare advocates are urging lawmakers to restore more than $60 million in funding to address the state's ongoing foster care placement crisis. A decision is expected by the end of June.

Gov. Mike DeWine and state House leaders included funding in the budget to expand the State Child Protective Allocation and create new child wellness campuses. But the Ohio Senate removed both investments.

Scott Britton, assistant director of the Public Children Services Association of Ohio, said counties can't manage this crisis alone.

"Children deserve a safe place to sleep that meets their behavioral health and their well-being needs. The cost of foster care placements is outpacing inflation - 68%, or $158 million more today than just five years ago - and federal reimbursement is declining," he explained.

The Senate cut $61 million from the House budget: $31 million from county child protection funds and $30 million from proposed wellness campuses. Conference committee members are working to finalize the budget by June 30.

Britton said the proposed child wellness campuses would help reduce the number of children sleeping in county offices. He adds that the governor, House, and a cross-agency group support the plan.

"The campuses are going to be trauma-informed places where children can be properly assessed and supported," he said. "Our cross-system working group prioritized this solution, so we believe Ohio could be a national leader with the strategy."

Advocates say restoring the full investment would help stabilize foster care costs and better serve children in crisis across Ohio.