WAKE FOREST, N.C. -- Early-childhood educators are finding themselves choosing between basic needs and health care. The median salary for child-care workers in North Carolina is not quite $21,000 - too high to qualify for Medicaid, but leaving many early-childhood educators in the gap.

A new report from one group that advocates for Medicaid expansion in North Carolina interviewed early-childhood educators from across the state, and 1-in-5 said they don’t have health insurance. One educator who asked to be referred to as "Eryka," said she plans her budget very carefully each week for rent, food, electricity, and gas to get to work. But buying private health insurance is far out of reach for her.

She said that means she goes to work even when she’s sick.

"Most of the time, I kind of just have to ride it out and hope I get better. Otherwise, I am going to the ER, wasting their time, or the urgent care, wasting their time, for something small,” Eryka said. “If I had strep throat, I have to go pay $75, $100, to go to urgent care just to get antibiotics. Nothing is easily accessible when you don't have good health insurance."

Two measures in the state Legislature, House Bill 5 and Senate Bill 3, would raise the income level for those eligible for Medicaid. Senate Leader Phil Berger, R-Eden, took aim at provisions in both bills, saying it represents a tax that ultimately will be passed on to patients and taxpayers.

Bills in the House and Senate propose to use federal funding to expand access to Medicaid, as 37 other states already have done. Leaders from both parties and the governor have different approaches to increasing access to health care, but would need to reach a compromise in order to actually pass legislation this session.

Statewide, it's estimated that 500,000 people are in the "coverage gap," earning too much for Medicaid. Among them are thousands of early-childhood educators such as Meranda who said that while she enjoys working with toddlers, the fact that she's been uninsured for more than a year is frustrating.

"If they expanded Medicare, it would be such a huge burden lifted off,” Meranda said. “Then I wouldn't have to worry about getting sick and how long I am going to stay sick for. Am I going to get OK, or is this something serious because I have cancer that runs in my family. All four of my grandparents had it, my great-grandparents had it, my mother had it."

Members of the Early Childhood Advisory Council appointed by Gov. Roy Cooper wrote to legislators last week to share how expanding Medicaid to close the health-insurance coverage gap can help the state's more than 1 million young children.

Reporting by North Carolina News Connection in association with Media in the Public Interest and funded in part by the Park Foundation.


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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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