SALT LAKE CITY -- It is getting to be "back-to-school" time in Utah, and pediatricians say a visit to the doctor is as important as new pencils or new shoes before kids return to the classroom.

Since so many children have been home-schooled for the past year, a new report showed they may be behind on their childhood inoculations, which doesn't include the COVID-19 vaccine.

The report from the American Academy of Pediatrics and the Georgetown University Health Policy Institute indicated last year saw at least a 27% drop in kids' doctor visits.

Dr. Jennifer Brinton, president of the Utah Chapter of the American Academy of Pediatrics, said it is important for children to be healthy when they return to school.

"It's very important for kids to stay up to date on their immunizations," Brinton urged. "And unfortunately, with all the disruptions that have happened with the pandemic, nationally and in Utah, we have children who are behind on immunizations of all ages, infants on up to teenagers."

Parents in Utah must provide evidence of kids' receiving six different vaccinations, including polio, mumps-measles-rubella and hepatitis. Check with your child's school for the list. Some parents don't immunize kids for religious reasons or concerns about potential health risks, although those are reported to be extremely rare.

Brinton pointed out having to stay home with a serious illness can cause a child to miss days or even weeks of class time, and catching up on their lessons afterward is a major challenge.

"It's interesting, especially those first few years of school, as kids are learning the alphabet, learning basic math," Brinton remarked. "When they miss those classes because of illness, it takes a long time to make up for it. It can put them back, behind in school, for years."

Dr. Lee Beers, president of the American Academy of Pediatrics, said parents need to make sure every child in their community has equal access to a clean bill of health to return to school.

"Children from households that are low-income and children of color are more likely to have missed vaccines, and more likely to have missed their well visits," Beers reported. "It's so important that we remove any barriers we can to make sure that all kids can get in to see their pediatrician as soon as possible."

The report said while most parts of the country have vaccinated enough children to reach "herd immunity," there are still concerning outbreaks of infectious diseases, like measles and mumps.

New Mexico's families of color, Hispanic families in particular, have been hit hardest by income losses caused by the COVID-19 pandemic, according to a new report.

The annual Kids Count Data Book from New Mexico Voices for Children tracks 16 indicators across four domains: economic security, education, health, and family and community.

Emily Wildau, KIDS COUNT coordinator at New Mexico Voices for Children, said families suffering from income losses relied heavily on monthly checks from the American Rescue Plan.

"One of the most interesting things in that hardship data is limited numbers on how families have been spending the expanded child tax credit," Wildau reported. "Primarily, they're paying for their basic needs, they're paying down debt at really high rates and trying to do some saving as well."

The payments would have been continued for another year under the Build Back Better Act, which has stalled in the U.S. Senate.

Wildau pointed out data showed the pandemic led to increases in childhood food insecurity, greater numbers of children enrolled in Medicaid, and significantly higher numbers of chronically absent students.

New Mexico is one of the poorest states in the country, but is currently flush with resources due to federal relief dollars and high state revenues. At the same time, the state regularly ranks last in K-12 education.

It could change if voters approve a question on this November's ballot to tap the state's Land Grant Permanent Fund to provide additional money for early childhood and K-12 education.

Wildau hopes the new data pointed will keep lawmakers focused on child and family well-being.

"We want to consider everything that's done now with the budget, as far as early childhood goes especially, is seen as a bridge to hopefully passage of that amendment so that there's permanent funding," Wildau urged.

In her State of the State address this week, Gov. Michelle Lujan Grisham highlighted education, promoting a 7% raise for educators this year, noting the proposal would put New Mexico first in the region for average educator pay.

Colorado and other states are hoarding more than $6 billion intended for struggling families, according to new analysis.

In 2020, Colorado denied more applications for cash assistance through the Temporary Assistance for Needy Families program than it accepted. Ali Safawi, a research associate at the Center for Budget and Policy Priorities, said many Colorado families with children are not getting the help they need, even though the state has some $87 million in unspent TANF funds.

"So in Colorado, we see that for every 100 families with kids living in poverty, just 20 receive TANF," he said. "That means that 80 families out of that 100 are not, even though they are experiencing poverty and could really use that assistance."

Welfare reforms passed under the Clinton administration, aimed to help families transition to jobs that would end what critics called a cycle of dependency, gave broad leeway to states for how to use TANF funds. In Colorado, TANF distributions vary greatly depending on which county you live in.

Safawi noted that most Colorado families living in poverty already are working, but at jobs that do not pay a living wage. He added that investing in children's well-being pays off down the road. When families have cash resources to meet their basic needs, their kids do better in school, earn better wages as adults and are more financially self-sufficient.

"We know from a lot of research that giving cash to families who are struggling with very low incomes has a significant difference for children," he said, "and these impacts are not just immediate; we see improvements in their health and their economic outcomes well into adulthood."

He pointed to Columbia University research showing that raising a low-income family's income by just $1,000 a year, about $83 a month, creates more than $10,000 in societal benefits. Safawi said one way to get assistance to more Colorado families is to increase qualifying income limits, which are exceptionally low.

"It's $421 a month for a family of three," he said. "That means if they make over that, they don't qualify. We don't really see income eligibility that low anywhere else outside of the Deep South, which has a long history of limiting assistance primarily to Black families."

Washington state lawmakers are considering a policy which could help close the wealth gap for future generations.

The Washington Future Fund is a policy typically known as "baby bonds" and would allocate $3,200 to children born under the state's Medicaid program Apple Health. They would have access to it between the ages of 18 and 30.

Jennifer Tran, research and policy director for the Washington State Budget and Policy Center, said the policy would help address the racial wealth gap in particular.

"We know that children of color disproportionately represent households that have fewer wealth and assets," Tran observed. "It's really building at the state level a program that would encourage wealth building for kids in Washington state."

Recipients of the one-time benefit would be able to spend it in-state to help pay for a home, post-secondary education or to start a small business. The legislation was requested by the State Treasurer's office and modeled after legislation enacted in Connecticut last year. The House version of the bill, is scheduled for a public hearing today.

In the legislation's current version, the first distributions would go out 18 years from now for children born this year. Tran argued lawmakers should consider more flexibility with how the fund can be used.

"While buying a home and pursuing higher education and starting businesses might be the right mix of opportunities right now, there could be new, emerging ones to consider in the future," Tran pointed out.

The Washington Future Fund would be pooled in an investment fund. According to the State Treasurer's office, there are about 40,000 Apple Health births each year, or about half of the births in the state. A baby bond policy has been proposed at the federal level by Sen. Cory Booker, D-N.J.