RICHMOND, Va. -- As Congress debates renewing the Children's Health Insurance Program, almost 9 million kids are at risk of losing their health care.

The program, called CHIP, has traditionally had bipartisan support. But this year, the House and Senate missed an October 1 deadline to reauthorize it, and advocates say efforts have stalled over partisan bickering.

Kim Robinson, a program manager with the Southern Regional Office of the Children's Defense Fund, said if CHIP is not renewed, states could begin running short of funds by the beginning of 2018.

"We're hoping that it's going to be a five-year fix and that states aren't having to spend their time and energy and under-resourced resources to come up with a contingency plan to try to make up the funding should CHIP run out,” Robinson said.

News reports said as of late last week, a bill to re-fund CHIP had passed out of committee in the Senate. But in the House, Republican calls for changes in funding brought negotiations to a standstill. Democrats are refusing to support a GOP plan to take funds from the Affordable Care Act and Medicare to pay for CHIP.

Robinson said officials in many states put their 2018 budget together assuming CHIP would be funded. But she said they're getting nervous over when - or if - the federal money will arrive.

"It does make me have a little bit of anxiety for new applications that came in on October 1 and what happened with those children,” she said. "This is a block-granted program and it's all dependent upon how much money there is."

Robinson said if the CHIP program ends or is interrupted, it would hit low-income families hardest.

"There is always a concern whenever any program comes to sunset,” she said. "With the CHIP program in particular, it covers a larger amount of children, because we're talking about the South, where a lot of poverty exists."

The CHIP program was created in 1997 by two senators, Utah Republican Orrin Hatch and Massachusetts Democrat Edward Kennedy with support from both sides of the aisle.

More information on the CHIP program is available at Medicaid.gov/chip.


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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.

A national program to connect children and families with the outdoors is at risk of ending without help from Congress.

The Every Kid Outdoors program provides fourth graders and their families the opportunity to appreciate nature and wildlife without breaking the bank.

Julia Hurwit, Outdoors Alliance for Kids campaign manager for the Sierra Club, said the program encourages children to seek out an active and healthy outdoor lifestyle, leading to a sustained relationship with the natural world by offering a free, one-year pass.

"This includes things like national parks, national historical sites, national marine sanctuaries," Hurwit outlined. "This pass begins on September first every year for the current class of fourth graders and gives them access to those places."

This month and continuing through Oct. 5, the Outdoor Alliance for Kids is organizing a range of events and actions to spread awareness and advocate for Congress to pass the Every Kid Outdoors Reauthorization Act. It would secure $25 million in permanent funding and extend the program to fifth graders.

The Sierra Club believes the wellness of current and future generations, the economy and the health of communities and the planet depend on people having a personal, direct and lifelong relationship with nature.

Hurwit added it helps if kids are introduced to the great outdoors early in life.

"Every year, it's about 200,000 fourth graders who are able to access this pass," Hurwit pointed out. "You can get a voucher for free online, and then you turn it into a physical parks pass in certain locations across the country, including most national parks and federal lands."

She noted much of the Sierra Club's belief in the importance of the Outdoor Alliance program is based on studies.

"When a kid goes to a national park or goes to public lands for the first time with their own family and with multi generations, it really encourages them to continue going because they're seeing someone they really look up to," Hurwit explained.

Iowa has released an interactive website to help parents find real-time child care options for their kids.

Iowa Child Care Connect, which the state has nicknamed "C3," uses crowdsourcing technology, helping people use up-to-the-minute data to find child care where and when they need it.

Sheila Hansen, senior policy advocate for the nonprofit Common Good Iowa, said C3 is a vast improvement over what the state had before.

"It was kind of clunky and it wasn't really very fast," Hansen recounted. "Hopefully this will be a vast improvement upon that and families will be able to just go in there and immediately find openings in their area."

The site also offers information on subsidies the providers accept along with current real-time openings and quality ratings. Hansen argued the state should focus on improving pay and working conditions for child care workers.

She acknowledged while the technology is a step forward, Common Good Iowa and other advocates said the state does not need more brick-and-mortar child care centers. It needs more staff, which has been the real challenge.

"That's because they're just unable to find the people who want to work in child care because the pay is so low or the benefits aren't there," Hansen explained.

The Iowa Department of Health and Human Services requires child care providers to complete various training requirements and update their certification every two years.


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