Source: Douglas Strane, Genevieve P. Kanter, Meredith Matone, Ahaviah Glaser, and David M. Rubin, Health Affairs, Vol. 38 No. 7, July 2019
From the abstract:
Working families have increasingly enrolled their children in Medicaid or the Children’s Health Insurance Program in recent years. Parents’ place of employment affects the availability and cost of family health insurance, making it a determinant of pediatric public insurance enrollment. We examined that enrollment in the period 2008–16 in families working full time and earning more than 100 percent of the federal poverty level at three types of employers. Among low-income families (100–199 percent of poverty), children’s public health insurance coverage was highest for those with parents employed at small private firms, increasing from 53 percent to 79 percent, while the public insurance coverage rate also increased among children with parents working for large private firms (from 45 percent to 69 percent). Among moderate-income families (200–299 percent of poverty) working at small private firms, public coverage increased from 21 percent to 64 percent. Increases in the number of working families with pediatric public insurance were driven by employees of large private firms. Maintaining high pediatric insurance coverage rates will require policies that recognize the changing role of public insurance for working families as the cost of employer-based coverage grows.
Source: Federal Funds Information for States, Issue Brief 19-20, July 1, 2019
From the summary:
Beginning in fiscal year (FY) 2020, states will face increased costs for the Children’s Health Insurance Program (CHIP). The 23-percentage point increase in the federal CHIP matching rate—included in the Affordable Care Act (ACA)—will be reduced in FY 2020 and fully phased out in FY 2021. FFIS estimates that state costs could increase by approximately $4.3 billion (302%) to maintain total spending, although several factors remain uncertain.
Source: James Devitt, Futurity, June 25, 2019
Americans overestimate the future income for children from wealthy and middle-income families, but underestimate that of children from poor ones, according to a new study.
Americans overestimate the intergenerational persistence in income ranks
Source: Siwei Cheng and Fangqi Wen, Proceedings of the National Academy of Sciences (PNAS), first published June 24, 2019
Intergenerational mobility indicates the openness within a society. The question of how Americans think about socioeconomic mobility prospects is drawing growing attention from scholars and policy makers. Our study proposes a survey instrument that connects the empirical literature on patterns of mobility with the literature on the public perceptions of mobility. With large-scale, population-representative data, we show that Americans overestimate the intergenerational persistence in income ranks. That is, they tend to see greater inequality of economic prospects between children from rich and poor families. These results highlight the need for policy and political solutions that seriously engage with Americans’ concerns about the equality of opportunity in the society.
Recent research suggests that intergenerational income mobility has remained low and stable in America, but popular discourse routinely assumes that Americans are optimistic about mobility prospects in society. Examining these 2 seemingly contradictory observations requires a careful measurement of the public’s perceptions of mobility. Unlike most previous work that measures perceptions about mobility outcomes for the overall population or certain subgroups, we propose a survey instrument that emphasizes the variation in perceived mobility prospects for hypothetical children across parent income ranks. Based on this survey instrument, we derive the perceived relationship between the income ranks of parents and children, which can then be compared against the actual rank–rank relationship reported by empirical work based on tax data. We fielded this instrument in a general population survey experiment (n = 3,077). Our results suggest that Americans overestimate the intergenerational persistence in income ranks. They overestimate economic prospects for children from rich families and underestimate economic prospects for those from poor families.
Source: Annie E. Casey Foundation, 2019
From the summary:
The 30th edition of the Annie E. Casey Foundation’s KIDS COUNT® Data Book begins by exploring how America’s child population — and the American childhood experience — has changed since 1990.
And there’s some good news to share: Of the 16 areas of child well-being tracked across four domains — health, education, family and community and economic well-being — 11 have improved since the Foundation published its first Data Book 30 editions ago.
The rest of the 2019 Data Book — including the latest national trends and state rankings — rely on a shorter review window: 2010 to 2017.
The data reveal, in the United States today, more parents are financially stable and living without burdensome housing costs. More teens are graduating from high school and delaying parenthood. And access to children’s health insurance has increased compared to just seven years ago.
But it is not all good news. The risk of babies being born at a low weight continues to rise, racial inequities remain systemic and stubbornly persistent and 12% of kids across the country are still growing up in areas of concentrated poverty.
Locally, New Hampshire has claimed the No. 1 spot in overall child well-being, followed by Massachusetts and Iowa. Mississippi, Louisiana and New Mexico sit at the other end of this list — and among familiar company. In fact, save for California and Alaska, the lowest 18 ranked states call Appalachia, the South or the Southwest home.
Source: Carolyn C. Foster, Rishi K. Agrawal, and Matthew M. Davis, Health Affairs, Vol. 38, No. 6, June 2019
From the abstract:
With the medical and surgical advances of recent decades, a growing proportion of children rely on home-based care for daily health monitoring and care tasks. However, a dearth of available home health care providers with pediatric training to serve children and youth with medical complexity markedly limits the current capacity of home health care to meet the needs of patients and their families. In this article we analyze the workforce gaps, payment models, and policy challenges unique to home health care for children and youth with medical complexity, including legal challenges brought by families because of home nursing shortages. We propose a portfolio of solutions to address the current failures, including payment reform, improved coordination of services and pediatric home health training through partnerships with child-focused health systems, telehealth-enabled opportunities to bridge current workforce gaps, and the better alignment of pediatric care with the needs of adult-focused long-term services and supports.
Source: Liza Featherstone, Jacobin, April 23, 2019
In 2017, the birth rate in the United States reached an all-time low. In her new book Birth Strike: The Hidden Fight Over Women’s Work (PM Press), activist and author Jenny Brown argues that declining birth rates represent a work slowdown, or strike, in the face of the poor conditions for those who do the labor of bearing and raising children.
Like many of the classic texts of the Second Wave feminist movement, Brown’s book is her own, yet also a collective, intellectual endeavor, growing out of her organizing work with Redstockings and National Women’s Liberation, including those groups’ discussions and consciousness raising sessions….
Source: H Luke Shaefer, Kathryn Edin Vincent, Fusaro Pinghui Wu, Social Forces, Advance Articles, March 19, 2019
From the abstract:
Since the early 1990s, the social safety net for families with children in the United States has undergone an epochal transformation. Aid to poor working families has become more generous. In contrast, assistance to the deeply poor has become less generous, and what remains more often takes the form of in-kind aid. A historical view finds that this dramatic change parallels others. For centuries, the nature and form of poor relief has been driven in part by shifting cultural notions of which social groups are “deserving” and “undeserving.” This line was firmly redrawn in the 1990s. Did the re-institutionalization of these categorizations in policy have material consequences? This study examines the relationship between the decline of traditional cash welfare between 2001 and 2015 and two direct measures of wellbeing among households with children: household food insecurity and public school child homelessness. Using models that control for state and year trends, along with other factors, we find that the decline of cash assistance was associated with increases in both forms of hardship.
Source: Emily K. Weisburst, Journal of Policy Analysis and Management, Volume 38, Issue 2, Spring 2019
From the abstract:
As police officers have become increasingly common in U.S. public schools, their role in school discipline has often expanded. While there is growing public debate about the consequences of police presence in schools, there is scant evidence of the impact of police on student discipline and academic outcomes. This paper provides the first quasi‐experimental estimate of funding for school police on student outcomes, leveraging variation in federal Community Oriented Policing Services (COPS) grants. Exploiting detailed data on over 2.5 million students in Texas, I find that federal grants for police in schools increase middle school discipline rates by 6 percent. The rise in discipline is driven by sanctions for low‐level offenses or school code of conduct violations. Further, I find that Black students experience the largest increases in discipline. I also find that exposure to a three‐year federal grant for school police is associated with a 2.5 percent decrease in high school graduation rates and a 4 percent decrease in college enrollment rates.
Source: Leila Schochet and Rasheed Malik, Center for American Progress, April 10, 2019
When families have access to high-quality, affordable child care, they thrive. Parents can work to provide for their families, knowing their children are safe; and young children can learn and explore, creating a solid foundation for future learning and development.
Yet many families struggle because they cannot afford or find child care. High-quality child care is expensive to provide, and without public investment, those costs are passed along to parents. As a result, half of Americans live in child care deserts, communities where there are not enough licensed child care providers to serve the population of young children who need child care.
Increasing access to affordable, quality child care and making sure parents have options to choose from requires both Congress and elected state officials to provide more public funding for child care. It is critical to address the nation’s child care shortage without sacrificing program quality or endangering child safety just to cut costs. Congress can act by increasing funding for the Child Care and Development Block Grant and passing comprehensive reform that address affordability, quality, and higher wages for early educators.
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Source: Leila Schochet, Center for American Progress, March 28, 2019
More mothers would increase their earnings and seek new job opportunities if they had greater access to reliable and affordable child care. ….
….This report highlights the relationship between child care and maternal employment and underscores how improving child care access has the potential to boost employment and earnings for working mothers. Based on new analysis of the 2016 Early Childhood Program Participation Survey (ECPP), it demonstrates how families are having difficulty finding child care under the current system and how lack of access to child care may be keeping mothers out of the workforce. The report then presents results from a national poll conducted by the Center for American Progress and GBA Strategies, which asked parents what career decisions they would make if child care were more readily available and affordable. Finally, the report outlines federal policy solutions that are crucial to supporting mothers in the workforce. ….