NASHVILLE, Tenn. – Almost 96 percent of Tennessee children have health insurance with an additional 23,000 children getting coverage since 2013, according to a report released today from the Georgetown University Center for Children and Families.

Linda O'Neal, executive director of the Tennessee Commission on Children and Youth, says having access to health care has an impact on a child's entire life.

"When Tennessee children are insured, minor illnesses will be treated early before they escalate into more costly and potentially more damaging illnesses and also because if they have access to health insurance they're less likely to be absent from school," she points out.

Even though more children have insurance than ever before, there remain more than 60,000 children in Tennessee without it.

O'Neal says many of them qualify for the Children’s Health Insurance Program (CHIP) or Tenncare, but their parents may not be aware of that or know how to enroll.

Nationwide about half of uninsured children live in the South, according to the report.

With premiums for coverage offered on the federal health exchange expected to double in some cases, and insurers pulling out of the program, the Affordable Care Act has faced much criticism in recent days.

O'Neal says it's important to remember that many of the challenges the program faces would be eliminated if lawmakers would accept federal dollars for their states and bridge the coverage gap.

"There's certainly reason for concern in terms of rising premiums, but there's also a sense that the lack of expansion of Medicaid in a number of states has contributed to the higher premiums," she states.

Joan Alker, executive director of the Georgetown University Center for Children and Families, says while the election is highlighting areas where the country disagrees on health care, progress has still been made in securing coverage for those in need.

"We see success around the country and I think this speaks to how despite all of the fighting and very intense partisanship around the Affordable Care Act, we can feel good as a country that we've come together through Medicaid, CHIP and the Affordable Care Act and really reduced the number of uninsured children," she stresses.

A group of largely conservative Tennessee lawmakers have devised the 3-Star Health Plan, which they are expected to introduce in the next legislative session.

It offers a way for the state to take advantage of the federal money available for Medicaid expansion.




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On the heels of warnings from federal health officials about parent burnout, school-linked programs in Minnesota are overhauling their approach so that families don't feel isolated. The Surgeon General's office says 33% of parents nationwide report high levels of stress in the past month compared with 20% of other adults, noting the lingering effects of the pandemic and any financial hardships, as well as a household having to navigate technology and social media.

Keem Anderson, associate director of the statewide Ignite Afterschool initiative, said it's something they've noticed.

"We've been seeing parents struggling with their mental health, right? Having to pick up a couple extra jobs because of the economy," Anderson explained.

He said those added stressors, worsened by the pandemic, are negatively impacting parent engagement with a child's academic life, including out-of-school programs. To improve connections, Anderson said they're rethinking how they ensure parents feel supported, such as addressing transportation gaps or giving them opportunities to volunteer. Ignite Afterschool plans to hold listening sessions on this topic in the near future.

The Children's Defense Fund's Freedom Schools effort - which offers educational and cultural enrichment for kids and their families - partners with a dozen schools in Minnesota.

Paris Timmons, assistant director of Extended & Experiential Learning and Academic Recovery, and executive director of Freedom Schools, leads this program for Hopkins Public Schools, and said part of the approach is figuring out how to communicate with parents in an ever-changing world.

"It's really hard to build a relationship via words on a screen versus a phone call, versus an in-person meeting," she said.

Timmons suggested her team and other support programs need to be more intentional about speaking with parents so they're aware of what's happening in and out of school. That might look like following up a text or email with that phone call or face-to-face meeting. Freedom Schools has prioritized weekly parent empowerment sessions, so that key messaging doesn't get lost in the shuffle.

September has been National Kinship Care Month, and more than 80% of Kentucky kinship families say they need help with groceries, followed by clothing, school supplies and other basic needs, according to a new report.

Because of budget constraints, the state placed a moratorium on its Kinship Care Program that previously allotted monthly payments of $300 per child to kinship caregivers stepping in as an alternative to foster care.

Shannon Moody, chief policy and strategy officer for Kentucky Youth Advocates, said a growing number of these families are navigating an often confusing child-welfare system.

"There are estimates that we've got about 55,000 children being cared for by relatives or close family friends in some sort of kinship care setting, whether that's child protective service-involved or not," she said, "and we do believe there are probably more than that."

Child care and mental health care were also listed as top priorities in the survey, by Kentucky Youth Advocates and the Kinship Families Coalition of Kentucky.

Norma Hatfield, president of the coalition, has spent the past decade raising two grandkids. She said most caregivers, especially grandparents, aren't financially equipped to suddenly take on full-time caring for children.

"Kentucky has done a lot to try to provide more support, but the needs are still there," she said. "It costs to raise children today, and that doesn't change."

Moody pointed to Senate Bill 151, signed into law by Gov. Andy Beshear earlier this year, as a sign of progress on policies aimed at improving the lives of kinship families. The law allows relatives or close friends, known as "fictive kin," to apply for certification as a foster home, and allows kids a say in where they live after they've been removed from their home.

However, Moody said more work is needed to expand community resources "to ensure that we are providing really comprehensive supports, including counseling and mediation services, in order for the that triad - the birth parent, the grandparent or other relative and the child - to get what they need."

The report also calls for more investments in peer support groups, using opioid settlement money to increase resources for kinship families, and better training for state and foster-care agencies and community mental-health providers on the unique needs of kinship families.

Resources for kinship families in the state are online at kinshipky.org.

It's a week to celebrate kids, with National Daughters Day today and National Sons Day on Saturday. The Dave Thomas Foundation for Adoption is encouraging everyone to remember kids who are looking for their forever homes, and consider fostering or adopting a child.

Rita Soronen, Dave Thomas Foundation president and CEO, said the goal is to find permanent homes for as many children as possible before they age out of the system.

"Single parents can foster and adopt, non-traditional families can foster and adopt. You can live in an apartment, you don't have to own your own home, you don't have to be wealthy. If you have the interest, and the willingness to learn, and the willingness to commit to a child - and you're safe - then you meet that first level of qualification," she said.

She added that states cover medical and other costs associated with kids in foster care. The process to qualify to foster or adopt a child includes a series of classes, background checks and home studies.

The latest statistics show that more than 28,000 children are in the foster care system in Texas. Adrian and Shane Potter adopted siblings 12-year-old Isiah, 10-year-old Jordan and four-year-old Sophia in 2020 after they had been in separate foster homes for years. Adrian Potter said the foundation worked with the adoption agency to get the kids settled with the services they needed.

"Our case worker got us connected to therapists, private tutors, music private lessons, they connected us to a lot of people, " he explained

He said adopting children is life changing in many ways.

"Every day is fun, laughter, every day is a challenge, but every day is also fun because you get to see these kids who have gone through so much learn to trust and learn to love, " he said.

Nearly 360,000 children are in foster care in the United States.