AUSTIN, Texas – Hoy sale a circulación el reporte anual “Kids Count Data Book”, que mide el bienestar de los niños en los Estados Unidos. Comparado con los demás estados, Texas está en uno de los últimos lugares en esta materia y así ha estado la última década. Y Frances Deviney, directora del programa KIDS COUNT en Texas, ve un peligroso incremento en uno de los diez indicadores clave. El reporte es un proyecto de la Annie E. Cassy Foundation.

De acuerdo al reporte nacional KIDS COUNT 2011, elaborado por la Fundación Annie E Cassy, Texas se ubica en el lugar número 35, una de las posiciones más bajas de los 50 estados en cuanto al bienestar de la niñez. De hecho, Texas ha estado en los rangos más bajos desde hace más de una década. Y en términos de pobreza infantil, el estado también obtiene un pésimo lugar: el noveno. Este dato es particularmente problemático, en opinión de Franes Deviney, directora de KIDS COUNT en Texas.

"Se ha presentado un aumento constante en la pobreza infantil desde el año 2000, pero en los datos que tenemos de los dos últimos años hay un pico notable. Hoy Texas tiene uno de cada cuatro niños viviendo en la pobreza."

Deviney señala que la pobreza afecta la salud de los niños y sus posibilidades de cobertura con seguro médico, sus perspectivas de educación y su desarroloo físico en general.

"La pobreza es uno de esos indicadores capitales con los que decimos, bueno, si no vemos un viraje de veras significativo, vamos a tener toda una generación de niños bajándose de la cama con el pie izquierdo el resto de su vida adulta."

Texas ha visto áreas de mejora en los años recientes. Las muertes infantiles han bajado, así como la deserción escolar adolescente. La tasa de maternidad temprana también mejoró algo en la década pasada, pero Texas todavía tiene el tercer lugar del país, con más del seis por ciento de mujeres entre 15 y 19 años que llevan su embarazo a término. Deviney cree que esa cifra subirá nuevamente, dado que el cuerpo legislativo recientemente recortó en dos terceras partes el presupuesto de la planificación familiar.

El reporte Kids Count refleja que el 30 por ciento de los niños de Texas viven con familias en las que ni padre ni madre tienen empleo de tiempo completo durante todo el año. Aunque durante la recesión el estado ha creado más puestos de trabajo que el resto del país, Deviney cuestiona si son del tipo de empleo que puede ayudar a sacar a los niños de la pobreza en la que viven.

"Son esos empleos adecuados para poder mantener a una familia? – y dado que son trabajos que pagan el salario mínimo o menos, la respuesta sería que no."

En lo que sí es líder el estado de Texas es en empleos mal pagados, pues casi el diez por ciento de los trabajadores ganan el salario mínimo o menos. Y con los recientes recortes al presupuesto, muchos estiman que muy pronto 100 mil personas más quedarán desempleadas. Kids Count ofrece un mapa que muestra la gografía de políticas que anteponen la niñez a todo lo demás. Las variables de medición son mejorar el acceso a la salud y a los seguros médicos a precios bajos, asistencia en el cuidado de los niños y protección ante desalojos hipotecarios, entre otras cosas.

Consulte el reporte completo, con cifras específicas para Texas, en cppp.org.


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As pandemic-era protections were lifted a new report showed the number of children on Medicaid has varied widely between states, with Maryland doing better than most.

The Georgetown University report said nationwide, more than 4 million fewer children were enrolled in Medicaid and the Children's Health Insurance Program at the end of last year compared to spring 2023, before the expiration of continuous coverage. The report estimated in 70% of cases, children's coverage was canceled for procedural reasons such as difficulty navigating the state's website, reaching a person via a help line, or not receiving renewal notices.

Joan Alker, executive director of the Georgetown University Center for Children and Families and the study's co-author, said states need to improve outreach to help avoid disenrollment because of red-tape reasons rather than being ineligible.

"Some states chose to go very slowly and carefully and redo their entire eligibility system so that it worked better," Alker acknowledged. "But other states really doubled down and they moved very quickly to disenroll children, even though many of them likely remain eligible."

In Maryland, the number of kids with coverage declined 3% or nearly 20,000.

The Maryland Children's Health Program offers free as well as low-cost health insurance coverage for children under 19, and income eligibility for children is much higher than for adults. The report noted new programs in some states are offering multiyear continuous coverage to young children.

"A significant number of states are making a shift in their policy to offer continuous coverage for young children," Alker pointed out. "In most cases, from birth to age 6, in a few cases to age 3 or 5. And this is a really terrific breakthrough."

Maryland is not among the 12 states to develop a multiyear coverage program but the District of Columbia has.

Medi-Cal has dropped several hundred thousand low-income children from the health insurance rolls since April 2023, according to a new report from Georgetown University.

The data show a net drop in children's Medi-Cal enrollment of 200,000 kids between April and December of last year, as the state started redetermining participants' annual eligibility - which had been paused to ensure continuous coverage during the pandemic.

Mayra Alvarez, president of the Children's Partnership, said another 100,000 have been dropped this year.

"Some 80% of the people that lose coverage in California are losing it for procedural reasons," said Alvarez, "not because they're not eligible but because their paperwork didn't make it to the county, or they waited too long on the line and got frustrated and had to hang up, or they moved and the letter never even reached them."

The state of California has made a massive outreach effort to keep those who are eligible covered.

More than half a million children, half of California's kids, depend on Medi-Cal. And three quarters of them are children of color.

It is unclear how many kids who lost Medi-Cal were later enrolled in private coverage.

Joan Alker is a co-author of the report, and executive director of the Center for Children and Families at Georgetown University. She said gaps in coverage can lead to long-term negative impacts.

"Kids are going to miss out on those well-child visits, they're going to miss out on getting the medications they need," said Alker, "be it an inhaler for their asthma or an ADHD medication. And that really sets them back, both in their health and their success in school."

A few years ago, California lawmakers passed a requirement for continuous coverage in Medi-Cal for children ages zero to five.

Alvarez said she is urging them to follow through and allocate $10 million in the next state budget to fulfill this mission.

After Texas, a new report shows Florida has seen the second-largest decline in the number of children enrolled in Medicaid and the Children's Health Insurance Program.

Of the 4.16 million fewer children enrolled in Medicaid and CHIP nationally, Florida accounts for nearly 600,000 enrollment declines - according to a report by Georgetown University's Center for Children and Families, tracking the Medicaid unwinding since COVID-related coverage protections were lifted.

Alison Yager, executive director with the Florida Health Justice Project, said it's more like a crisis has been unfolding in Florida - and they've long been sounding the alarm.

"This, at its most extreme, can be a question of life or death, really," said Yager, "and short of that, we're seeing far too many families having to now scramble to figure out what's going to change in their monthly budget so they can now pay for whatever medication their kids require."

Yager cautioned that even if families qualify for one of Florida's KidCare programs, there are gaps in coverage.

Going without insurance, even briefly, can cause people to delay seeking care and leave them financially vulnerable when they do.

In February, the state sued the Center for Medicaid Services to stop them from enforcing 12 month continuous eligibility in the state's CHIP program.

The report is based on administrative data from the states to the Centers for Medicare and Medicaid Services.

Joan Alker - executive director of the Center for Children and Families at Georgetown - said Texas, Florida, Georgia and California accounted for half of the total national decline in kids with health insurance.

"This is a real crisis in these states for families whose children rely on Medicaid, but also for the providers that serve them - pediatricians and clinics," said Alker. "The system is really getting shaken up."

An April survey by KFF reveals that almost one fourth of adults who were removed from Medicaid - the program for low-income individuals - after pandemic-related protections ended last spring, now report being uninsured.