BOISE, Idaho -- To kick off the Idaho legislative session, Gov. Brad Little gave his 2021 State of the State and Budget address on Monday. The coalition Close the Gap Idaho says the governor's budget doesn't do enough to protect health care.

In his speech, Little praised Idaho's efforts to control COVID-19. Christine Tiddens is director of Idaho Voices for Children, which is part of Close the Gap Idaho. She pointed to one line in Little's address about elevating health care capacity so Idahoans could continue to access care during the pandemic and said the governor isn't following through.

"Simply put, there's no hole in the Medicaid budget to fill. Thanks to federal Medicaid relief, Idaho can fully fund Medicaid during the pandemic and economic recovery," Tiddens said. "So my question is, why wouldn't we use the funding intended to relieve the Medicaid budget for the Medicaid budget?"

The Idaho Department of Health and Welfare is proposing a $30 million cost-saving measure for the program due to higher utilization rates than expected. Tiddens said that isn't necessary. According to Close the Gap Idaho, $50 million intended for Medicaid in the state will be unspent at the end of fiscal year 2021, and the federal government has provided another $54 million to the program for relief during the pandemic.

Idaho expanded Medicaid in 2020 to about 100,000 residents. Tiddens said it could not have come at a better time.

"The COVID pandemic has really taken its toll on families already living paycheck-to-paycheck," she said. "Medicaid expansion is providing relief for Idahoans who have recently lost job-based health coverage until they get back up on their feet."

Medicaid expansion also has helped families beyond the pandemic. Nichole Stull said with expansion, she and her husband were able to get health coverage. Her husband got his first physical in five years and found out he had high blood pressure and sleep apnea. She said he now has a C-PAP machine to help him breathe at night.

"That oxygen is helping his heart and his brain and the rest of his body be able to react how it should," Stull said. "Without Medicaid expansion, this wouldn't have been possible, and, quite honestly, we were headed down a road where I was going to lose my husband."


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With chants of "We are the swing vote," poor and low-wage workers gathered in Washington, D.C., recently to rally and strategize ahead of the election.

The Poor People's Campaign describes itself as "a national call for moral revival," and advocates for a so-called "Third Reconstruction" which would address the crisis of poverty. Leaders cited research showing poverty is the fourth-leading cause of death nationwide.

William J. Barber II, co-chair of the Poor People's Campaign, said with more than 140 million poor and low-wage workers in the nation, empowering the group to vote is critical.

"Poor people make up 30% of the electorate now, 40% in every battleground state," Barber pointed out. "Poor people and low-wage workers are the largest swing vote in the country. Every state where the margin of victory was within 3%, poor and low-wage voters make up over 43% of the electorate."

The Campaign estimated low-income Marylanders account for about 21% of the electorate.

The rally included religious leaders, workers, and representatives of organized labor from across the nation. The Campaign believes all workers should have the right to join unions and receive equal pay for equal work. Unfair pay was highlighted by members of the Association of Flight Attendants-CWA.

London Lester, a flight attendant for PSA Airlines and a member of the union, said the big carriers use subsidiaries to avoid paying fair wages.

"Most of you probably don't recognize my airline, PSA, when you fly. We fly the smaller planes under the American Eagle brand, and we're owned by American Airlines," Lester pointed out. "We wear the same uniforms, we do the same work but our corporate bosses have created 'tiers' between regional and mainline, so that they can pay a huge part of the workforce poverty wages."

While Maryland has raised the state minimum wage to $15 an hour, the living wage in the state is estimated to be $24 an hour for one person, and nearly $42 an hour for an adult with one child.

Some Missouri nonprofit groups have teamed up to help those in need in the rural southeastern part of the state.

Many households in these communities struggle to pay their electric bills, as poverty rates are 10% higher than the state average. The local electric utility provider has been criticized for not doing more to help alleviate the financial burden. In response, Renew Missouri is partnering with churches and other nonprofits to help people get signed up for state and federal energy assistance programs.

Jessica Polk Sentell, eastern director for Renew Missouri, works with the Ministerial Alliance at its food banks.

"I have been there with some literature and educational materials," Polk Sentell explained. "To help bring some education and some visibility and some outreach, to these programs that help people pay their energy bills."

She pointed out Renew Missouri's mission is to advance renewable energy and energy efficiency in the state. To be eligible for assistance, you must be a Missouri resident, a U.S. citizen or legal permanent resident. You must have no more than $3,000 in bank or retirement accounts, or investments and meet the income guidelines for your household size.

Brian Abbott, pastor of Trinity United Methodist Church in Piedmont, also serves as president of the local Ministerial Alliance. He said there are many people coming in for help and while they do their best with food banks and food trucks, it is a growing challenge.

"We don't have the resources, coming out of COVID and a lot of other things that have gone on in the last five years or so in the economy," Abbott emphasized. "It's really left a gap there for us, you know. We're telling a lot of people, 'We understand you may have a shut-off notice, but we just don't have the funds to help with that.'"

The Renew Missouri initiative is also bringing relief to under-resourced Community Action Agencies, which often struggle to connect households with resources to help pay their energy bills.


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A Legislature-backed Commission on Poverty in Massachusetts aims to address the state's historic wealth gap.

The commission will study demographic disparities and existing programs to reduce poverty over the next decade, and has been holding public hearings to gather feedback.

State Sen. Sal DiDomenico - D-Everett - said Massachusetts has the highest median wage for workers in the nation, but one of the greatest gaps between wealthy and low-income individuals.

"So we know we have much work to be done in this commission," said DiDomenico, "to bring more equity to the table when it comes to residents across the Commonwealth."

DiDomenico said it's unacceptable that roughly 70,000 Massachusetts children live in what's considered "deep poverty" - or 50% below the federal poverty level.

He said efforts to undo those numbers should be a top legislative priority.

Sixty years after the launch of President Lyndon Johnson's "War on Poverty," community action agencies in Massachusetts say data reveal which policies are most effective.

Expanded tax credits and stimulus payments were shown to help cut childhood poverty in half during the pandemic, and efforts continue to grow guaranteed basic income programs.

Laura Meisenhelter is board president of the Massachusetts Association for Community Action (MASSCAP), a coalition of more than twenty community action agencies.

She said they're responding to local needs while working for systemic change.

"We confirmed," said Meisenhelter, "both large and small changes to public policy and programs and practices can have an enormous impact."

Meisenhelter said agency staff visit clients at nursing homes, aid parents in buying Christmas gifts, and help ensure that people's basic needs such as food, clothing and diapers are met.

She said that need is increasing as the poverty line set decades ago has not kept pace with the increasing standard of living.

The Commission on Poverty's next public hearing will take place later this year in the Fall River and New Bedford area.