The Children's Health Insurance Program, covering low-income kids across the country, turns 25 in August, but Pennsylvania has had its own "CHIP" even longer - and it was used as a model for the federal program.

CHIP was launched in Pennsylvania five years earlier than the national program. CHIP allows states to cover children when parents can't afford private health insurance.

Today, said Antoinette Kraus, executive director of the nonprofit Pennsylvania Health Access Network, about 136,000 children in the Commonwealth are enrolled in CHIP, which is a slight decrease from previous years.

"We think that's because right now, we're still under a Public Health Emergency," she said, "so a lot of kids are enrolled in Medicaid with their families and they can't be cut off from coverage during this period. So, we expect when the public health emergency ends, a lot of kids will transition from Medicaid to CHIP."

That's because in Pennsylvania, CHIP can cover any uninsured child who is not eligible for the state Medical Assistance or Medicaid program. The current end date for the Public Health Emergency is Oct. 13, although there's a chance it could be extended.

The Pennsylvania Health Access Network helps families find health services that fit their budget. Kraus said one persistent barrier they see is that parents don't always know the income eligibility requirements for CHIP and assume they can't afford it.

"But really," she said, "for parents with very low incomes - if you're making between $21,000 and $28,000, and you have a kid under five, or you're making between $18,000 or $28,000 and your kid is between six and 18 - CHIP is free for them."

Kraus added that Pennsylvania is seeing one of the lowest rates of uninsured residents in its history, both for adults and children. She credited a combination of the Affordable Care Act, Medicaid and CHIP. However, a report from 2019 showed that 4.6% of children in the state still were uninsured.

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.