AUSTIN, Texas -- One million, or 13%, of Texas children went without health insurance in 2019, a significantly higher number than the national average of 6%.

The information comes from the 2021 Kids Count Data Book produced by the Annie E. Casey Foundation, and shows the number is even higher for Hispanic children at 17%.

Amy Knop-Narbutis, research and data director of the nonprofit Every Texan, said it's disheartening Texas policymakers are not enacting more common-sense legislation that would support children and families.

"We see that year after year," Knop-Narbutis lamented. "But to me, it's no less shocking to know that we're performing worse than any other state in the nation in terms of children having health-insurance coverage."

Knop-Narbutis noted a more recent point-in-time survey from last March showed even worse numbers, with 23% of all households without health insurance in Texas, including 38% of Hispanic households with children.

Overall, Texas ranked 46th out of 50 states for child well-being. Texas is one of only 12 states to opt out of Medicaid expansion.

Leslie Boissiere, vice president of external affairs for the Foundation, said an expansion is at the top of the list for improving health outcomes for children.

"One of the recommendations is to pass Medicaid expansion in those states that have not passed it already," Boissiere stated. "And we've seen the states who have Medicaid expansion have a significant lower number of children and families who are uninsured."

Knop-Narbutis pointed out the equity gap for Texas families is significant, and may be worse by the next report because Hispanic and Black families lost jobs at higher rates due to COVID-19. While the percentage of kids living in poverty dropped seven points in the new report, she added more purposeful action is needed.

"One in four children that are Black and Hispanic were in poverty," Knop-Narbutis explained. "So although rates were improving, there's still a big equity gap there in terms of who is thriving."

Knop-Narbutis hopes legislation recently approved to reduce unnecessary eligibility checks for Texas children's Medicaid will improve access.

The Kids Count index captures what children need most to thrive, using four domains including: economic well-being, education, health and family and community.

More than 7,500 Indiana children were removed from their homes last year because of abuse and neglect. According to The Indiana Youth Institute's 2024 Kids Count Data Book, that number represents a 26% increase from 2022.

Indiana's Child Abuse and Neglect Law includes persistent hunger and ongoing fatigue as symptoms of behavioral abuse.

Jeff Wittman, Prevent Child Abuse Indiana director, said child abuse resulting in bruises, broken bones and some lacerations may be easier to see than less obvious -- and potentially more serious -- forms of abuse.

"But the things that go unnoticed or harder to see are changes in behavior. So it's incumbent upon adults and those in roles of caregiving and authority and things like that, to be aware of children, to know them well enough where you can see changes in behaviors," he said.

Indiana's code lists additional signs of sexual abuse of minors as the child having sexual knowledge well beyond their age, imitating sexual behavior and a preoccupation with their bodies.

Wittman said the agency will occasionally receive calls from concerned citizens who have witnessed an incident or a child's actions and sense that something isn't quite right. He said people are familiar with the phrase 'when you see something, say something,' and are more proactive about picking up a phone and calling the agency. He said, as a society, "This is really where we need to be" to help an abused or neglected child."

"If we see situations that bring to mind or cause us to be concerned, where children might not be getting their basic needs met, or they seem to always be hungry and never have, enough food or maybe they are, crying all the time, or they're running away from their parents," he added.

Wittman explained that Indiana is a mandated reporting state, which means every adult at least 18 years of age has a legal obligation to report child abuse and neglect cases.

To report child abuse and neglect, call the hotline at 1-800-800-5556.

A bill in the Nevada Legislature would prohibit school districts and staff from banning books without legal justification to brand the material "obscene."

On Tuesday, the Assembly Judiciary Committee heard Assembly Bill 416.

Asm. Brittney Miller, D-Las Vegas, the committee chair, sponsored the measure. Conservatives have targeted books containing LGBTQ+ content as well as racial and ethnic experiences, deeming them explicit and not in the best interest of young readers.

Miller sees it as a First Amendment issue and said the bill would ensure Nevadans, not the government, can decide what they choose to read.

"Assembly Bill 416 strikes a careful balance between protecting students' rights and the public's rights to access information," Miller contended. "And ensure that decisions about library materials are made based on educational merit, rather than political pressure or personal opinion or agenda."

Last year, more than 4,000 unique titles were targeted for censorship and more than 1,200 demands were made to censor library materials and resources, according to the American Library Association. The bill would make it a felony to "threaten to use any force, intimidation, coercion, violence, restraints or undue influence," in preventing a student from accessing certain library materials.

Debi Stears, a resource librarian at the Washoe County Library, said in 2023, they faced 23 book challenges and eight were heard by the library Board of Trustees. Stears was responsible for reading the works in question to determine if they were "obscene," and said they were not.

"Stories of immigrant children trying to find how they fit with the American dream. Stories of young people grappling with their identity," Stears outlined. "The notion of libraries giving obscene materials to children, to anybody, is absurd."

Summer Merrill, a Yerrington resident, told the committee while some of the efforts to limit reading materials may be well-intentioned, others indicate a fear of new ideas and change.

"AB 416 never can and never will force you to read, or your children to read, something that you are opposed to," Merrill emphasized. "Rather, it will ensure that future generations of children will have the same opportunity that I had to discover themselves through literature."


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A proposed Kentucky law would require animal control officers statewide to undergo training on identifying and reporting child abuse.

Kyan's Law is named after Kyan Higgins Jr, a 10-year-old Louisville boy murdered by his mother. Animal control had visited Kyan's home 24 times in the 18 months leading up to his death.

Joye Keeley, founder of the Kentucky Link Coalition, said in 88% of homes with physical abuse, animal abuse is also occurring.

"When you see a dog outside being neglected, or an abused animal, it always helps to expand the call for service," Keeley explained. "To look for other forms of abuse, because you could be saving a life."

After Kyan's death, Keely spearheaded an effort to create a Louisville city ordinance requiring animal control officers there to receive training on the link between animal abuse and child abuse. According to Kentucky Youth Advocates, last year 41 suspected child abuse cases were reported to the police and the Cabinet for Health and Family Services by Louisville's animal control officers.

Jai Hamilton, animal control officer for Lexington-Fayette County Animal Care and Control, said her colleagues are in a unique position. They are often more trusted because they are not law enforcement officers and can help speed up the involvement of Child Protective Services.

"There are some households that may not allow the police inside, but they're more apt to allow animal control inside the home," Hamilton observed.

Kiera Dunk, a student at Oldham County High School and a youth advocate, said the legislation is one tool for combating child abuse, noting the state has more work to do.

"I feel like people need to understand that we are still one of the worst in the nation for child abuse," Dunk emphasized. "We should be doing everything we can to help."

April is National Child Abuse Prevention and Awareness Month. The Kosair for Kids Face It Movement is hosting a virtual workshop on the issue Wednesday.



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