A new report found Florida kids in the Children's Health Insurance Program could be at most risk of losing health coverage when the official public-health emergency for COVID-19 expires.

Researchers at the Georgetown University Center for Children and Families warned millions of children could lose coverage as soon as April, when states will have to recheck eligibility for everyone enrolled in Medicaid, including kids.

Joan Alker, executive director of the Georgetown University Center for Children and Families and Research Professor at the McCourt School of Public Policy, said the decisions to make CHIP a separate program from Medicaid, and to require families to contribute to the cost, increase the challenges to keeping kids enrolled.

"For all of these reasons, we estimate today that 6.7 million children are at extremely high risk of becoming uninsured during this process," Alker reported. "As big as this number is, we actually believe this is a conservative estimate."

The report said 2.9 million children could re-enroll in public health programs if they lose coverage, but about 3.8 million would have to find other insurance coverage or become uninsured. While kids in all states are at risk of losing coverage, the report lists Florida as one of the states at highest risk, along with Georgia and Texas.

Alison Yager, executive director of the Florida Health Justice Project, said she hopes Florida's leaders will jump ahead of the looming problem to ease the transitions in Florida's CHIP program, known as Florida KidCare.

"Even short gaps disrupt kids care," Yager pointed out. "If kids have unmet health needs that's going to impact their education, that's going to impact their ability to go to work. It impacts kids and families in so many ways."

While Medicaid beneficiaries age five and older are required to have their eligibility checked twice a year,
children enrolled in Florida KidCare are checked for eligibility only once a year. Yager is concerned that many families will be shocked when the relative stability that came with the public-health emergency ends.

Yager suggested the state should boost the call-center staff for the insurance programs to be more responsive.

Tricia Brooks, research professor at the McCourt School of Public Policy, said there are many things states can do to avoid coverage gaps, including moving kids into programs they are eligible for, rather than dropping them altogether.

"States should also enhance processes to follow up with enrollees via multiple communication modes, when action is required to avoid a loss of coverage," Brooks urged.

About five million Floridians are enrolled in the state's Medicaid program, most with managed-care plans.

The need for child care and early learning is critical, especially in rural Arkansas. One nonprofit is working to fill those gaps by giving providers a chance to get more education.

The Career Pathways Program with Save the Children partners with universities to grow the workforce of child care and preschool providers.

Joyce Taylor, Eastern Arkansas parent-family community engagement coordinator for Save the Children, had more than 20 years' experience with Head Start and said the program gave her the opportunity to pursue a bachelor's degree. It also provides her with resources she can use, in the classroom and with families.

"In particular, we have a family with a child that is autistic," Taylor noted. "Mom is working with the child at home. So I have things that I can share with that family, so she can continue to work with her child."

More than 153,000 openings for child care workers are projected over the next decade, largely driven by the need to replace those who have left the field or retired, according to the Bureau of Labor Statistics.

Taylor pointed out some children have challenging behaviors, and may have a lot of things going on at home. It is her job to help them thrive in preschool.

"Because we're the first start, when they come into Head Start, that's their first opportunity to be in a learning environment," Taylor explained. "It's up to us to do everything that we can do, to help make that first experience successful."

Karen Harrison, managing director of career in education workforce development for Save the Children, said rural areas have access to fewer resources compared to urban areas, so the program focuses on addressing the specific gaps in rural communities. She added the Pathways program aims to reduce barriers to obtaining a higher-ed credential or degree.

"All of our pathways come with incentives," Harrison emphasized. "We either pay all or partial of their tuition; we pay stipends, for books, supplies and materials. We also give 'barrier reduction' stipends. We know that child care for participants themselves can be an issue; transportation, technology needs."

Harrison added the pathway begins with a Child Development Associate credential, followed by an associate degree, and ultimately a bachelor's degree. In the process, they improve the career opportunities for workers, as well as the quality of early learning.

A persistent child care worker shortage across New Hampshire is leaving families with few options.

The state is currently short more than 7,000 child care positions but low wages and burnout are driving workers from the field and forcing some centers to close.

Shannon Tremblay, director of the New Hampshire Child Care Advisory Council, said workers are struggling to care for their own families with wages barely above the federal poverty line.

"No one wants to come in for a low wage," Tremblay pointed out. "No one wants to come in making $15 an hour, working long hours in a stressful environment."

Tremblay argued greater state investment will create long-term benefits for both parents and children, some of whom may have disabilities or behavioral issues which could be identified earlier by trained child care staff.

Last year, state lawmakers invested more than $60 million in child care services, including $15 million for the creation of child care workforce grants and investments in the state's Family Resource Centers.

Tremblay emphasized the end of career and technical education programs in New Hampshire high schools broke the pipeline of workers entering the field, putting greater pressure on current staff to do it all.

"Our providers are the case manager, the cook, the plumber," Tremblay observed. "They want to provide that high-quality care and right now it's just, they can't do it."

Tremblay stressed pandemic-era funding to support the child care industry will run out in September, so state lawmakers need to act. She added the state could increase wages so the burden does not fall on New Hampshire families, who currently spend roughly $24,000 a year on care for two children under age five.

The child welfare system in Pennsylvania faces a staffing crisis affecting children and families throughout the system.

The Child Welfare Resource Center said about 30 counties report caseworker vacancy rates of 30% or higher

Terry Clark, president and CEO of the Pennsylvania Council of Children, Youth and Family Services, at a state Senate hearing on child welfare, challenged the Departments of Education and Human Services to work together to develop a STEM-focused model for human services. It could offer young people opportunities for training, apprenticeships and careers in child welfare, juvenile justice and behavioral health.

"We spend a lot of time focusing on colleges and universities," Clark noted. "But we believe we might want to back this up a little bit, and start looking at middle schools and high schools. Try to reinvigorate, get younger students motivated and trying to come into this field."

Clark pointed out some agencies have asked supervisors and even people from other departments to take on casework responsibilities. A recent Philadelphia study found Community Umbrella Agencies had an average 45% turnover rate, with vacancies ranging from 21-60 positions.

Clark observed private providers face workforce challenges similar to the county child welfare agencies. He emphasized counties are beginning to explore more contractual relationships with private providers for needed work.

"Counties are starting to put out RFPs, calls for private providers to help supplement their workforce," Clark stressed. "That means they're asking private providers to take on roles and functions that, in the past, were primarily done by counties themselves."

Clark argued competitive wages are seen as crucial to attract and retain child welfare workers, and county funding often falls short. He added student loan forgiveness and fellowship programs may be promising ways to bring new people into the field, but lawmakers would have to agree.

"There have been House bills and different Senate bills that have been introduced, or at least in draft form over the years," Clark acknowledged. "We hope that there's continued discussion about those, because if we can get some movement on those, we think those will really help."

He told legislators the turnover trends will not change significantly without increased investment in workers.