The percentage of Colorado children in their first 15 months receiving preventive medical and behavioral health services rose by 23% from 2013 levels, and stayed constant during the COVID public-health emergency - according to new data released by the Center for Improving Value in Health Care.

But Dr. David Keller - a pediatrician and professor of pediatrics at the University of Colorado School of Medicine - said that was not the case for many children ages three and older who missed out on regular screenings.

"We're seeing an epidemic of children's mental-health problems," said Keller. "We are seeing lots of kids with anxiety disorder, lots of kids with depression, kids who are suicidal."

The focus of visits for kids age three and older is kindergarten readiness - making sure they are developmentally equipped, and screening for mental health to ensure children are in the best head space to succeed.

Those visits dropped significantly between 2019 and 2020 at the start of the pandemic. Keller added that school disruptions created even bigger mental-health problems for teenagers.

Despite overall positive trends, in 2020, 40% of children 15 months of age and younger did not receive the recommended six or more well-child visits with a primary-care provider. Kids covered by commercial health insurance did better than kids covered by Medicaid.

Keller said making it to appointments can be especially challenging for families struggling economically.

"I know a lot of families who work two jobs," said Keller. "I have a lot of families where the father works nights and the mother works days because they can't afford day care, and so that makes it really hard to schedule a well visit."

Children in rural parts of Colorado had similar visit rates compared with urban kids, even though there are fewer providers and families have to travel greater distances.

Keller said most families have a lot on their plate, and it's easy for wellness visits to slip down on their list of priorities.

"One of the things I love about being a pediatrician is that I get to actively practice primary prevention," said Keller. "There's so much we can do to help families help their children be the best they can be. And that would be my best message, is: Come on in, we want to see you."

Republican lawmakers are considering billions of dollars in cuts to Medicaid. But a new report finds those spending cuts might impact health-care coverage for thousands of Maryland military families.

The report by the Georgetown Center for Children and Families finds more than 850,000 people enrolled in Medicaid have military health insurance, known as TRICARE, as their primary coverage. One in 10 children of service members with TRICARE is also enrolled in Medicaid.

Joan Alker, executive director of the Georgetown University Center for Children and Families, said Medicaid is important for service members with children who require more intensive health care.

"The TRICARE benefit package just isn't enough, so Medicaid is making TRICARE work for those families by covering the high cost of services and some benefits that those children otherwise would not have access to," Alker explained.

Republicans in Congress are trying to reel in what they view as out-of-control spending by $2 trillion in the next budget. But cuts to Medicaid are not universally agreed upon among Republican lawmakers.

Medicaid also serves 40% of children in the U.S. with a benefit that allows them to receive preventive and ameliorative care. That benefit began after a military report in the 1960s found young men were not qualified for military service in Vietnam because of preventive medical issues during their childhoods.

Retired Army Brigadier General George Schwartz said Medicaid cuts could have a negative impact on recruiting numbers as well. If troops lack proper coverage for their families, he thinks they may seek other career paths that can provide that coverage.

"As those young people reach the age where they're eligible for military service, the military is competing with private industry and all sorts of organizations for these young people. From a mission readiness point, this is a matter of national security," Schwartz contended.

Maryland is home to more than 100,000 active-duty service members and more than 35,000 military-connected children in the state.

With Mother's Day coming up, some Pennsylvania lawmakers are backing a set of bills that could help improve maternal health.

The Black Maternal Health Caucus introduced the updated "PA Momnibus 2.0" package in April, focused on tackling disparities in maternal health care by improving access to services.

Black women in the state are nearly twice as likely to die from childbirth complications. Rep. La'Tasha D. Mayes, D-Allegheny County, said 93% of maternal deaths are preventable.

"All the bills are for all moms, and because we know when we fix and address and take on maternal mortality and morbidity for Black moms, we solve it for every mom and birthing person in the Commonwealth," she explained.

The nine-bill package builds upon a 2024 "Momnibus" introduced by Mayes and Reps. Morgan Cephas and Gina Curry, both Republicans. Mayes said the caucus is working towards moving the bills toward votes, and then action in the Senate.

Two of the measures would expand access to blood pressure monitors and ensure they are covered through private insurance and Medicaid. Mayes added another measure would expand the reach of midwives, who provide care throughout pregnancy and childbirth, as well as postpartum.

"The Midwifery Practice Innovation bill that's going to help us advance midwifery as an occupation in this commonwealth, because it's very challenging to become a midwife, as well as be able to practice fully in a way that can serve moms," she continued.

The "Momnibus" also includes supports for nursing mothers, and invests in a Maternal and Newborn Supply Kit program, and maternal-health deserts. Mayes says more than 12% of women have no birthing facility within 30 minutes of their home, and Black women are three times more likely to die during or after birth compared with other women.

A new study showed costs are rising for caring for Hoosiers with Alzheimer's disease and forms of dementia.

The report indicated nearly 122,000 residents age 65 and older are living with the health conditions. The 2025 Alzheimer's disease Facts and Figures report showed Indiana has 219,000 unpaid family caregivers, who cost the state almost $7 billion annually.

Natalie Sutton, executive director of the Greater Indiana chapter of the Alzheimer's Association, said knowing the difference between the two disorders is important for an accurate diagnosis.

"Dementia is an umbrella term that represents a set of symptoms that are known with cognitive impairment, memory loss, and ultimately an impact on activities of daily living," Sutton explained. "Alzheimer's disease is a progressive brain disease that is the most significant cause of someone developing dementia, or those symptoms that we know."

The timing of a diagnosis can influence the quality of life for someone with Alzheimer's disease and dementia symptoms, which can be present in the brain for years prior to detection. Alzheimer's and dementia are unique and personal illnesses, Sutton pointed out, so the frequency and type of care provided should be tailored to a patient's needs.

Forgetting what day it is or misplacing routinely used items are often mistaken for general age-related changes instead of Alzheimer's or dementia. The report found almost four of five Americans would want to know if they have the disease before symptoms surface due to concerns over how a diagnosis could affect daily activities. Sutton noted science is addressing the concerns.

"We can detect and diagnose Alzheimer's with biomarkers like imaging and cerebral spinal fluid, and there are blood tests now that are being used in research settings that are proven to be highly effective," Sutton outlined.

In 2024, Indiana passed a bill requiring insurance companies to cover biomarker testing. Sutton added two Food and Drug Administration-approved treatments to slow the progression of Alzheimer's are covered by most insurance companies and Medicare.

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