While the Sunshine State ranks among the top 10 states with the highest rates of uninsured children, it did see more kids with health coverage during the pandemic, thanks to federal protections set to expire next year.

Florida's uninsured-child rate dropped from 7.6 % to 7.3 % in 2021, according to a new report from Georgetown University.

Erica Li, policy analyst at the Florida Policy Institute, said it is welcome news to see the number of kids without health insurance drop from 343,000 before the pandemic, to 332,000 in 2021, as it leads to longer-term benefits.

"We know that when children are covered for insurance, they have much better outcomes," Li pointed out. "They're more likely to succeed in school, graduate from high school, attend college, earn higher wages and things like that. So, that's all very good data to see."

The Florida Policy Institute, along with 40 other organizations, has asked the DeSantis administration for a statewide plan for how to keep those families and individuals insured after the federal protections expire next year. Florida is among 11 states that have yet to expand Medicaid, which insures many low-income residents.

Joan Alker, executive director of the Georgetown University Center for Children and Families, said the federal protections -- part of the Families First Coronavirus Response Act -- are expected to lapse when the public health emergency officially ends next spring. And she predicted the national child uninsured rate could double.

"Three out of every four children that may lose Medicaid coverage will still be eligible," Alker pointed out. "Sometimes children lose coverage at Medicaid renewal, just because the letter gets lost in the mail. Families with limited English proficiency may have more trouble getting through the renewal process successfully."

Florida's rate of uninsured children is among the highest in the nation, coming in at 42nd out of 50 states and Washington, D.C.

The Centers for Medicare and Medicaid Services also recommends states create a plan for when federal protections end, because it predicts states could take up to 12 months to return to pre-pandemic operations for Medicaid renewals.

The rising costs of children's placements and a failed tax levy in Adams County have heightened concerns about the future of children's services in Ohio.

As counties struggle to balance budgets, the stakes for vulnerable children and their communities grow more dire.

Sonya Meyer, director of Adams County Children Services, said the placement crisis in Ohio stems from both rising costs and a severe lack of foster homes.

"Our board care has been running us around $3.5 million. That's more than half our budget, actually, for the whole year for our agency," Meyer explained. "The amount that it's costing us to provide for the care of these kids, it's just not something that I don't think anybody could have prepared for."

As counties such as Adams face financial strain, many rely on temporary solutions, including residential centers, which cost significantly more than foster care placements. However, critics argued taxpayers may hesitate to approve levies without a clear understanding of how funds are allocated or the long-term impact on communities.

The failed levy in Adams County underscores broader issues with funding children's services statewide. The consequences go beyond budgets, with some children in crisis left waiting in lobbies or offices overnight due to a lack of available placements.

"I know how horrific it can be if we don't have the money to pay for these kids because these are all of our kids. We're all in charge of taking care of them," Meyer emphasized. "We obviously need these levies to be able to function."

Adams County's failed levy highlights the challenges faced by smaller communities without significant financial reserves. While larger counties might weather these increases more easily, the placement crisis reveals a stark reality: Without stable funding, the most vulnerable children risk falling through the cracks.

Voters may not always see the direct impact of levies but Meyer reminded Ohioans the funds are essential to ensuring children have safe, supportive homes.


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CORRECTION: The number of reports to Virginia Child Protective Services that are found to include abuse or neglect is just under 3,000. An earlier version of this story said 'more than 1,000.' (4:17 p.m. MDT, Dec. 30, 2024) )

Virginia's child welfare system grapples with a surge of unfounded reports that critics say stem from overly broad mandatory reporting laws, disrupting families and straining resources.

Just under 3,000 of more than 90,000 annual reports to Child Protective Services are 'founded,' meaning abuse or neglect was determined to have occurred after an investigation, said Valerie L'Herrou, deputy director of the Virginia Poverty Law Center's Center for Family Advocacy.

L'Herrou explained that some parents are forced into impossible choices because of poverty, and can face neglect accusations even though their actions stem from economic necessity, not intentional disregard for their children's well-being.

"And that's when the nosy neighbor picks up the phone and calls CPS," she said, "and so these are the kinds of things: a family's water gets turned off because they can't afford to pay their water bill and so kids show up to school unbathed, and the teacher calls CPS."

L'Herrou said agencies such as the Virginia Department of Social Services are now classifying some situations as "Poverty Adjacent Neglect," acknowledging that families often lack the resources they need. She advocated for solutions that address these root causes, including raising the minimum wage, strengthening programs such as SNAP and TANF, and expanding access to affordable child care.

Mandatory reporting laws have also created a dilemma for teachers, doctors and other professionals. Anna Daniszewski, a staff attorney for family defense at the VPLC, emphasized that people often fail to recognize the enduring and traumatic consequences of a false report to Child Protective Services.

"There's still harm in a call that leads to an assessment or inquiry or investigation that turns out to be unfounded," she said. "Depending on if the report is about a bruise on an arm, a child might be strip-searched, and that's obviously traumatic, or even just the experience of having CPS knock on your door."

Advocates have said one solution would be using family resource centers to allow parents to ask for help without the fear of involving CPS. They also want better training for mandatory reporters.

Teachers are the top reporters of neglect and abuse, and groups such as the American Federation of Teachers now support an approach known as "mandated support," giving them a broader range of options beyond mandatory reporting.

A Missouri-based therapy dog has an inspiring journey that began as a homeless stray on the streets of Los Angeles.

Olive, a ten-pound poodle mix, is now the lead character in a new children's book titled, "Olive, She's All Love." She was rescued by Brandon McMillan, host of CBS's "Lucky Dog," where she received specialized training and became a certified therapy dog.

Lisa Groves-Bax, a children's advocate and owner of Therapy Paws, became Olive's owner in 2016, where the dog has been used to comfort Missouri children in the court system and inspired Groves-Bax to share her story. She said their mission to support kids who are hurting extends beyond the courtroom.

"There's schools, there's foster homes, there's libraries, all these places who are wanting a therapy dog just to help with kiddos," Groves-Bax outlined. "We have 23 certified handlers along with their certified therapy dogs, and three currently in training."

Olive is scheduled to visit Glasgow's Lewis Library and grade school Jan. 8 for an event for kindergartners through grade five.

Deborah Zemke, illustrator of the book, will also be there to share more about Olive's work. She said working on this book brought about a unique experience in her career.

"I've done a lot of books. This is the first time that I've, like, met my hero character in person before I started," Zemke recounted. "That was kind of unusual and kind of fun."

"Olive, She's all Love" can be found online and at local bookstores.


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