HARRISBURG, Pa. — Pennsylvania has reduced the number of uninsured children by almost 25 percent in two years, but advocates say there's more to be done.

A report released Thursday by the Georgetown University Center for Children and Families showed that between 2013 and 2015, the number of children without health insurance in the state dropped by 36,000, achieving an overall insured rate of almost 96 percent.

George Hoover, health policy director at Pennsylvania Partnerships for Children, said implementation of the Affordable Care Act was a big part of the progress.

"Pennsylvania was one of the states that expanded Medicaid to be able to provide coverage to uninsured adults,” Hoover said. “And quite often, when you insure the uninsured adults you're also going to be able to insure their children."

While the gains put the Keystone State slightly above the national average for insured children, there were still more than a 100,000 who remained uninsured - the seventh largest number in the country.

Joan Alker, director of the Georgetown Center and co-author of the report, said that getting health insurance to 95 percent of children nationally was a historic milestone, but she said all children need to be covered.

"And that's because health coverage is so important for kids,” Alker said. "It allows them to access primary preventive care, they're more likely to attend school, graduate from high school and even go to college."

She said that strengthening Medicaid, the Affordable Care Act and the Children's Health Insurance Program will be critical for further progress.

Hoover said that raising public awareness of the availability of health insurance programs that cover children and families will help too.

"We need to also try and streamline and simplify the process for families so that getting coverage and keeping coverage is something that they're able to do without a lot of difficulty,” he said.

Expanding children's access to health coverage has been shown to benefit not only the children and their families, but schools and the state economy as well.




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A new annual report shows New York City has more than 146,000 homeless students.

The Advocates for Children of New York report finds this is an increase from last year when more than 119,000 students were homeless. It also finds more than half of students were temporarily sharing housing with others, while 41% lived in shelters.

Jennifer Pringle, director of Project LIT with Advocates for Children of New York, says the city can help these students by addressing transportation delays.

"Roughly 40% of students in shelters are placed in a different borough from where they go to school, which means that students in temporary housing often face long commutes and are disproportionately impacted by busing delays," she said.

Other recommendations include eliminating the 60-day shelter limits and addressing shortages in staff supporting students in temporary housing. But, Pringle notes there's work the state can do too. More than 115 groups want the state to add a weight for students in temporary housing as part of the school funding formula re-evaluation.

The biggest challenge to implement these recommendations is political will, although they have broad support. But, student homelessness has been a long-standing issue for the city. This is the ninth year in a row New York City's homeless student population has included more than 100,000 students. There are many reasons students become homeless.

"Certainly we know there's a growing housing-affordability crisis," she continued. "Families indicate that domestic violence is one leading driver of family homelessness. And then also we have immigrant families, newcomers to the city as well, who are in temporary housing."

Living in temporary housing significantly impacts students' education. The report finds most students in either temporary housing or a shelter were chronically absent. It also notes their English Language Arts proficiency was 20% lower than students in permanent housing.


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This coming Saturday is National Adoption Day, but kids who are older or have special needs face more difficulty in finding adoptive parents.

More than 113,000 children in foster care are eligible for adoption, according to the Department of Health and Human Services - about 4,000 of them are in Maryland.

And more than half entered the foster care system because of neglect.

Saara McEachnie, director of domestic adoption programs at the Barker Adoption Foundation, runs the "Project Wait No Longer" program - focused on finding adoptive homes for older children, groups of siblings and those with other special needs.

She said teens are the most vulnerable.

"Families that are seeking to adopt are most often feeling most comfortable, and most equipped or prepared, to be able to adopt a younger child," said McEachnie. "So, that leaves fewer options for our older kiddos that are very much in need of family, and we have few families that are stepping forward."

McEachnie explained that children sometimes struggle with attachment or bonding after being removed from their birth family and placed with strangers.

She said it's important to educate people who want to become adoptive parents, to better prepare them to adopt older kids.

McEachnie said potential adoptive families can learn to make their homes what she calls "more attachment friendly."

That includes understanding the attachment difficulties that may come from a child's complex trauma.

She said it helps to create networks of fellow adoptive families in order to build a like-minded community for the child.

"Building an attachment-friendly home first has to come from a place of understanding, empathy, flexibility," said McEachnie, "willingness to seek and access resources, willingness to continue to understand the population."

National Adoption Day was first launched in 1999 by a coalition of national groups, including the Children's Action Network and Alliance for Children's Rights.




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New Mexico child welfare groups are behind an initiative they plan to introduce in the next legislative session to create a so-called baby bonds program.

The Partnership for Community Action and other child advocacy groups introduced a pilot program earlier this fall.

Executive Director Nichelle Gilbert said 15 children received trust accounts of $6,000 - available to the child when they turn 18.

"These funds that are invested grow over time," said Gilbert, "and are available to invest in things like education, starting a business, owning a home, or to pursue other opportunities that foster upward mobility."

Proposals for baby bond programs have passed in California, Connecticut, and Washington, DC - and have been introduced at the federal level and in eight additional states.

The New Mexico State Treasurer, who supports baby bonds, recently held a symposium to discuss and develop a bill to be introduced in the 2025 legislative session, that would create a statewide program.

New Mexico has a high rate of poverty and one of the widest income gaps.

Gilbert said if lawmakers approve the concept, eligible children would receive a publicly funded trust account at birth - providing them with a startup fund to pursue a prosperous and directed adult life.

She said she believes the program could help dismantle inequities and reduce barriers to wealth.

"It's encouraging local investment, it's promoting asset building, it's facilitating education and careers," said Gilbert, "and all the while breaking cycles of poverty."

Roughly 28% of New Mexico's children younger than age five and a quarter of those younger than 18 live in poverty - while the national poverty rate is about 11%.

Child advocates unsuccessfully pitched legislation to require a financial literacy course - in high school - but lawmakers made it an elective instead.




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