Right now, many North Carolina Medicaid participants are up for redetermination - and experts are concerned about the number of North Carolina children who are losing their health coverage.
Experts believe that children are most at risk of losing coverage during the unwinding, despite being eligible.
Adam Searing - a research professor at the Georgetown University McCourt School of Public Policy Center for Children and Families - said one reason could be that parents are mistaking their own ineligibility for that of their entire families.
"Children are eligible for either the Children's Health Insurance Program or for Medicaid, usually up to a much higher income level than parents," said Searing. "So, while parents may lose their coverage, they certainly shouldn't think that their children are going to lose their coverage or that their children are even going to have to change their coverage."
Regardless of the reason, experts say every day more children are at risk becoming more uninsured.
According to the Georgetown Center for Children and Families - approximately 24,000 children have lost coverage, as of August.
This year for some children who will need medical care, they may not know that they don't have coverage until they go to the doctor.
Searing said one big way to make sure that doesn't happen, is by making sure your information is up to date and looking out from communication from the state.
"The main message really," said Searing, "is parents really need to keep a close eye on what they're - to make sure they're getting all the communications about what's going on from Medicaid especially."
According to data from KFF, some kids are also being kicked off of Medicaid rolls due to simple errors. Nationwide, nearly 800,000 children have lost coverage during the unwinding.
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A Pennsylvania nonprofit is praising Gov. Josh Shapiro's new budget proposal, which includes a funding increase for early childhood education.
The budget boosts support for child care, pre-K, early intervention, and other programs - and addresses staffing shortages.
Pennsylvania Partnerships for Children President and CEO Kari King said low wages fuel child care worker shortages, with pay of just over $15 an hour.
She said she hopes the governor's proposed $55 million funding package for child care workers will strengthen programs statewide.
"It's actually a new appropriation that's being referred to as the 'child care workforce recruitment and retention fund,'" said King. "The estimate is that about that $55 million would provide just about $1,000 to child care workers that would qualify."
The budget proposal contains an additional $17 million for Pre-K Counts, while funding for the Head Start Supplemental Assistance Program would remain unchanged.
The state House and Senate must vote on the budget by June 30.
King noted that her group appreciates the Shapiro budget proposal, which includes an increase of just over $16 million for what's known as Early Intervention Part C.
She explained it's for families regardless of income, and it supports physical and language development from infancy through a child's entry into Kindergarten.
"We're focused on, right now, kind of the earliest part of that, what we refer to as infant and toddler early intervention," said King. "This is where you can have services for your child, if you're seeing they're not physically developing as you would expect - some things like walking or being able to sit up, [or] as their language develops."
King added that $10 million in the budget is specific to helping the child care sector and its workforce through a rate increase. And the budget for Early Intervention Part B, for toddlers ages 3 to 5, includes a proposed increase of more than $14 million.
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Foster children with nowhere to go are spending up to a week or more in Kentucky office buildings, according to a preliminary report from the state.
Most kids were age 11 or older, and the youngest was just 1 year old. The problem stems from a lack of foster homes and beds in state residential care facilities.
Allison Ball, auditor of public accounts for the State of Kentucky, said her office has continued to receive reports from constituents revealing kids are also being housed in hotels and state parks throughout the Commonwealth.
"Quite a bit of these children were removed straight from their home, so probably mom or dad, and then and then moved straight into an office building to sleep for a period of time," Ball observed. "It's a worrying picture. It's a deeply sad situation."
According to state data, as of February 2025 there were more than 8,200 children in Kentucky's foster care system.
Shannon Moody, chief officer of policy and strategy for Kentucky Youth Advocates, said when children are either removed from the home due to safety reasons or are unable to stay in foster care or kinship care placement, social workers are left with few options.
"Office buildings are not an appropriate place for a child to be cared for," Moody emphasized. "Especially if they have histories of trauma, where they are experiencing issues of not feeling safe."
Ball added a more extensive investigation is ongoing to assess barriers and come up with solutions.
"I've asked the ombudsman to do a more thorough review," Ball pointed out. "Now that we know what we're dealing with, we need to find out what kind of oversight is happening for these children, how many children are sleeping at one time in office buildings."
Gov. Andy Beshear recently signed an emergency amendment to increase per diem rates for therapeutic foster care. Advocates said the state still needs a clear plan to fund critical supports for kinship care outlined in last year's Senate Bill 151.
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Educators in California are speaking out against plans in Congress to cut hundreds of billions of dollars from Medicaid, known as Medi-Cal in the Golden State.
Medi-Cal pays for health care for more than 37% of California's children, and more than 51% of kids in LA Unified, the state's largest school district.
Corey Tamblyn, a school psychologist at Pajaro Valley Unified School District in Watsonville, said right now schools get federal dollars to do assessments of Medi-Cal-eligible kids.
"So, a lot of times we serve as the intermediary to identify things that are happening in students, like autism as well as mental health disorders," said Tamblyn. "Without these monies, I do think that we're going to be less supportive of our families, more burdens are going to be put on families."
Studies show that kids who get preventive care through Medi-Cal are less likely to be absent from class, are more likely to graduate from high school and college, and earn higher wages in adulthood.
Massive cuts to Medi-Cal would mean less money to community clinics and rural hospitals that serve low-income families.
And since the state would have to backfill funds to maintain basic levels of care - that would take billions of dollars away from other state budget priorities, such as education and law enforcement.
Tamblyn noted that Medi-Cal also reimburses schools for services to students with disabilities.
"What, essentially, I think it will do is erode and deteriorate services for kids," said Tamblyn. "It's kind of putting the most vulnerable kids at risk."
Last week, the House budget committee, controlled by Republicans, passed a budget resolution that calls for tax cuts of up to $4.5 trillion, which critics say would primarily benefit corporations and the wealthy.
The committee also set a goal of cutting $2 trillion in federal spending.
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