LINCOLN, Neb. - The number of children across the country who lack health insurance increased by more than 400,000 between 2016 and 2018, and progress made in Nebraska has stalled, according to a new Georgetown University report.

Molly McCleery, health-care access program director for Nebraska Appleseed, said 5.2% of the state's children don't have insurance, and an additional 1,000 Nebraska kids lost coverage during the time covered in the report.

"It's really important for children to have coverage," she said. "Children who have health insurance and have a usual source of care in their youth have better health outcomes over the course of their life."

Nearly one in five American Indian children in Nebraska are uninsured. McCleery said 88% of kids eligible for coverage are participating in Medicaid and the Children's Health Insurance Program (CHIP), but she said that leaves many without regular access to care.

The report cited efforts to repeal the Affordable Care Act and cut Medicaid, additional red tape, delays in funding CHIP, and budget cuts to enrollment outreach and advertising as primary causes of lost coverage.

In 2016, the same researchers reported the lowest number of uninsured children in a decade, but Joan Alker, executive director of the Georgetown University Center for Children and Families, said that trend now has reversed. To get back on track, Alker said, federal and state leaders need to make children's health a priority.

"Start reducing those red-tape barriers, start funding more outreach and enrollment efforts," she said, "so that families know they can get coverage - and then, how they can get coverage, and they can do it easily."

Alker said having just one uninsured family member can lead to medical debt and even bankruptcy. Researchers found the loss of coverage was most pronounced for white and Latino children, and suggested that a climate of fear may have discouraged immigrant families from enrolling eligible children in Medicaid or CHIP.

The Georgetown report is online at ccf.georgetown.edu, and a state-specific data hub is at kidshealthcarereport.ccf.georgetown.edu.

October is National Bullying Prevention Month and a recent study showed teens bullied in high school tend to become pessimistic about life prospects.

The study, published in the Journal of Research on Adolescence found students who experienced relational bullying were more likely to develop depressive symptoms and over time became more pessimistic about both academics and career prospects beyond high school. Relational bullying includes things like starting rumors, being deliberately ignored and exclusion from group activities.

Hannah L. Schacter, assistant professor of psychology at Wayne State University in Detroit, said a student's perception of social inadequacy can spread into other parts of life.

"You're receiving a message from your peers that you are someone who doesn't deserve positive treatment, and that may then generalize to these other life domains," Schacter explained. "Now you expect that you're not going to be able to do well academically, or perhaps you won't be able to achieve what you wanted in terms of your work or kind of life plans."

Maryland requires county boards of education to track and report on bullying. This year's report showed there were more than 7,800 incidences of bullying reported during the 2022-23 school year, an increase of 25% over the year prior.

Researchers found students who experienced overt victimization such as direct verbal or physical attacks did not report lower future expectations. Earlier research showed relational victimization had negative effects on elementary students' academic performance and standardized test scores over time. Schacter argued schools need to see the effects of bullying not just as a challenging social issue but also an educational priority.

"As there's been increased recognition of how it can negatively impact teens, more and more schools have, at the very least, adopted anti bullying policies," Schacter acknowledged. "Unfortunately, it's very time intensive, and can be quite costly to implement evidence based large scale school interventions for bullying."

Maryland's State Department of Education adopted a model policy to address bullying, harassment and intimidation in 2009 and has updated it in the years since. Last year the department began offering an online introduction to bullying prevention for educators.


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October is National Bullying Prevention Month and a new study showed teens bullied in high school tend to become pessimistic about their future.

Researchers found adolescents who experienced relational bullying were more likely to develop depressive symptoms and over time became more pessimistic about academics and career prospects beyond high school. Relational bullying includes things like starting rumors, being deliberately ignored and exclusion from group activities.

Hannah L. Schacter, assistant professor of psychology at Wayne State University in Detroit, said a student's perception of social inadequacy can spread into other parts of life.

"You're receiving a message from your peers that you are someone who doesn't deserve positive treatment, and that may then generalize to these other life domains," Schacter explained. "Now you expect that you're not going to be able to do well academically, or perhaps you won't be able to achieve what you wanted in terms of your work or kind of life plans."

The study began with more than 300 9th graders at 38 different high schools across Michigan. Students completed online surveys multiple times per year over three years.

Researchers found students who experienced overt victimization such as direct verbal or physical attacks did not report lower future expectations. Prior research established relational victimization affected elementary students' academic performance and standardized test scores over time. Schacter argued schools need to see the effects of bullying not just as a challenging social issue but also as an educational priority.

"As there's been increased recognition of how it can negatively impact teens, more and more schools have, at the very least, adopted anti-bullying policies," Schacter acknowledged. "Unfortunately, it's very time intensive, and can be quite costly to implement evidence-based large-scale school interventions for bullying."

She added it is important to have strong communication between researchers, policymakers and administrators to address bullying so it is not too burdensome for schools and is backed by what researchers have learned.

The biannual Pro-Kid Scorecard from the Children Now Action Fund was released today.

In it, 12 state Assembly members and seven state Senators earned a 100% rating.

Kelly Hardy, senior managing director of health and research at the nonprofit Children Now Action Fund, said the scoring reflects more than how lawmakers vote.

"They voted the right way on health and child welfare, child care, education," Hardy outlined. "They also supported kids in the budget, which is not always an easy thing to do when we've got budget deficits."

The lowest scores hovered around 48%, awarded to lawmakers who voted against certain bills but also voted for proposals like forced outing policies for LGBTQ+ students in schools.

Hardy noted the report is intended to inform voters as they head to the ballot box next month.

"Kids may not vote but we want to elect legislators who do their best to support kids," Hardy explained.

California ranks 35th in the nation for child well-being, according to the latest Annie E. Casey Foundation report and is just above the national average for per-pupil spending on K-12 education.