La lista de verificación para el regreso a clases de los padres en Arizona podría incluir una doble comprobación para asegurar que sus hijos siguen teniendo seguro médico.

Arizona fue uno de los primeros estados en empezar a comprobar el estado de elegibilidad de todas las personas que recibían cobertura de Medicaid cuando terminó la emergencia de salud pública de la pandemia.

El Director de Políticas de Salud de Children's Action Alliance, Matt Jewett, afirma que desde abril la inscripción en Medicaid en Arizona ya ha disminuido en varios cientos de miles, lo que califica de "preocupante".

Jewett dice que los niños están entre los que están siendo dados de baja de la cobertura, muchos por razones tan simples como errores de archivo, o porque las familias no actualizaron su información de contacto, y conseguir un nuevo seguro puede ser un desafío.

"Gran parte de la población que estamos viendo son esos niños que están superando la edad de KidsCare," señala Jewett, "también estamos viendo personas en zonas rurales que pueden no tener tantas organizaciones que presten ayuda. También estamos viendo que en las zonas tribales, hay mucha gente en situación de riesgo."

Jewett añade que el programa estatal de Medicaid para niños, llamado KidsCare, aumentará la elegibilidad de ingresos de 200% del Nivel Federal de Pobreza, a 225% este otoño. Eso debería significar que un adicional de 12,000 niños podrían inscribirse para la cobertura.

Joan Alker, del Centro para Niños y Familias de la Universidad de Georgetown, dice que es preocupante que muchas de las pérdidas de Medicaid no se deban a que un estado determine que alguien no es elegible, sino a que muchos no han pasado por el proceso de renovación.

Ella dice que si su hijo ha perdido la cobertura de Medicaid, hay una buena probabilidad de que siga siendo elegible.

"Nos encontramos en una situación histórica sin precedentes, en la que los estados, que por lo general carecen de personal suficiente, tienen que procesar las comprobaciones de elegibilidad de todos los que participan en el programa," asegura Alker. "Y eso incluye a la mitad de los niños del país, así que es una tarea enorme."

Alker afirma que las brechas en la cobertura son un problema, sin importar cuánto duren. Añade que, aunque la cobertura de los niños no es cara, son lo que ella denomina "usuarios regulares de atención", y no quiere que las familias se presenten en una farmacia o consultorio médico y sean rechazadas.

The high cost of child care in Washington can strain family budgets. It can be even harder when families are experiencing homelessness.

A statewide call center is helping people find care and a way to afford it. BrightSpark Early Learning Services operates the Child Care Aware of Washington Family Center, which fields calls from families.

The center also has homeless navigation services. Erika Washington, department manager of family access with BrightSpark, said staff ensure they understand each families' needs.

"Does your little one have any special needs? And we're really able to pinpoint programs that meet each families unique needs," said Washington. "This offers families some stability and just knowing that we're on their side, we have their back and we're also understanding of some of the challenges that they may face."

Washington said the call center is able to connect families with state child care subsidies like Working Connections, or through the homelessness grace period.

The center also provides follow-up services after 30, 60, and 120 days.

Washington talked about one family BrightSpark was able to help that moved to Washington and ended up needing housing. The family had one school-age child and two kids under the age of five.

Washington said they connected the family with a child care program that understood how to support families experiencing homelessness.

"So when transportation became an issue, or when hours of operation became an issue," said Washington, "this child care provider was able to really support this family's needs and really become more of like a family or support system for that parent."

Washington said the center wants to uplift families' voices and let them know how they can take action. She said they support enough families experiencing homelessness to understand their needs.

"A lot of times those families who are experiencing homelessness are working the evening hours or weekend hours," said Washington, "and that's a big challenge across our state, of being able to find child care programs that is available during those hours. And so, it's something that we hear time and time again, and we often are providing support but that need continues to be there."

Utah parents can expect to pay between $800 and $1,200 dollars a month for child care but a new program is expanding its reach into Summit County to help with affordability.

The nationwide child care network Upwards will offer need-based child care scholarships of up to $1,700 for preschoolers. The group is partnering with Summit County and Park City Municipal.

Starr Mastrodonato, program manager for Upwards, said to qualify, at least one parent must reside or work in Summit County, and the total family income cannot exceed 100% of the county's area median income. She pointed out removing barriers to child care also means parents can stay in the workforce.

"It really allowed them to make life decisions on, 'We both can continue to work and to contribute to our family,'" Mastrodonato explained. "And that obviously is just monumental in just overall well-being, not only for their household, their children. And it continues to help the economic workforce."

While cost is one factor, availability is another. Research shows no one county in Utah has the sufficient number of licensed care providers to meet demand. Summit County has the highest percentage of child care needs being met at 54%, according to Voices for Utah Children. Statewide, the number drops to 36%.

Mastrodonato explained expanding assistance to Summit County comes after their Park City pilot program was able to assist 34 working families and helped support 17 child care providers. For every child enrolled at a provider location, the provider receives an additional $300 per month. She added Upwards is excited to build on the program's success.

"We're hoping they take this model, to see how successful it has been," Mastrodonato noted. "And within six months, be able to identify that we can expand to reach more families."

Summit County scholarships and child care provider incentives became available earlier this month. They will be available on a first-come, first-served basis each month.


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More employers are offering benefits to adoptive parents, according to a new survey by the Dave Thomas Foundation for Adoption. The amount of paid leave offered to foster parents is now nearly 10 weeks, up 3% from last year.

Jeremy Madden, a resident of Liberty Township, Ohio, and his wife relied on workplace adoption benefits through his employer, Fifth Third Bank, to adopt their baby daughter. He said the process was easy and the financial reimbursement was a game changer, as adoption can cost thousands of dollars. Now, they've settled into life as a family.

"She's fantastic, we wouldn't change anything," he said. "She's brought so much joy and happiness into our life. She's developing her own personality. She is super smart."

Companies that offer new adoption benefits include Harley-Davidson Motor Co. Inc. and Ziff Davis Inc. Highly ranked companies include Ferring Pharmaceuticals and Liberty Media Corp., American Express and MongoDB Inc. Ferring Pharmaceuticals topped the list for providing unlimited financial reimbursement for adoption costs and 26 weeks of paid leave to adoptive parents.

Rita Soronen, the foundation's CEO, cited a 10% increase on average in financial reimbursement for adoption.

"It tells the employees that we're a family-friendly organization, that there's equity if we're offering benefits for families that are formed through birth, we also want to give benefits to families that are formed through adoption," she said, "and it creates a sense of loyalty and retention and goodwill."

She said it's important for employers to consider foster and adoption benefits, not only for its employees, but the good of the community.

"It says to the community that we understand that there are lots of ways that our families are formed," she said, "and we can provide the kind of supports that a family might need to move to that next phase of being a unified and thriving family."

According to the National Council for Adoption, 2022 saw the fewest number of adoptions from foster care since 2015, around 53,000 children nationwide.


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