Category: Health

Good ideas that didn't fit the bill

The Arizona legislature set a deadline that any bills that did not receive an initial committee hearing by the end of last week cannot advance this session. Committee chairs wield a lot of power in deciding which bills receive consideration or not and with 1,823 bills introduced this session, we understand there simply is not enough time to hear every bill. But there were several good ideas that would improve the lives of Arizona’s children and families introduced this year that never had the opportunity to be considered in committee. Even though time has run out this year for those bills, we want to take a moment to highlight a few of those good ideas that merit stronger consideration in the future:

  • HB 2416: Sponsored by Representative Pawlik to appropriate $13 million for child care to raise reimbursement rates. Arizona’s child care assistance program continues to reimburse providers for care at rates that are far below what it costs to actually provide that care. Parents often have to pay the difference between the reimbursement rate and the cost, making accessing child care too expensive even for many low-income families who are eligible for the program.
  • HB 2291: Sponsored by Representative Osborne to provide comprehensive dental care to eligible pregnant women. Pregnant women are especially vulnerable to developing oral health problems, which if left untreated are associated with adverse birth outcomes and increased risk of dental disease in early childhood.
  • HB 2273: Sponsored by Representative Butler to increase income eligibility for KidsCare, Arizona’s health insurance program for low-income children, from 200 percent of the federal poverty level to 300 percent of the federal poverty level. Arizona currently has one of the lowest income eligibility thresholds for its children’s health insurance program in the nation. After years of progress toward reducing the rate of uninsured children, Arizona has taken an unfortunate turn. Between 2016 and 2019, the number of uninsured children grew by roughly 22%. In 2019, 161,000 Arizona children were uninsured – the fourth highest rate of uninsured children in the United States.
  • HB 2659: Sponsored by Senator Marsh to establish an annual conference on children and youth to identify and recommend policy solutions to the legislature that will improve the lives of children in Arizona.
  • HB 2146, HB 2147, HB 2148, HB 2283, HB 2566, SB 1098, SB 1736, SB 1737: Sponsored by Representatives Friese, Lieberman, and Bolding; and Senators Alston and Bowie. Several bills were introduced this session to provide much-needed reform to the private school tuition tax credit program which diverts public tax dollars to private schools. These bills would restrict use of these tax credits to low-income families and would limit the amount which can be used for administrative costs. The expansion of private school tuition tax credits has had a significant impact on reducing state revenues growing from a cost of $14 million in 1999 to $177 million in 2019.
  • HB 2728: Sponsored by Representative Sierra to make participation in extended foster care until the age of 21 an opt-out rather than opt-in program for youth aging out of foster care when they turn 18. Extended foster care can provide a better bridge to adulthood especially during the current health and economic crisis.
  • SCR 1017: Sponsored by Senator Quezada. A legislative proclamation identifying racism as a public health crisis affecting our entire society and avowing to support policies that reduce racial and ethnic health inequities and promote social justice.

The list above is not an exhaustive list. We are glad to see so many lawmakers introducing bills this session that will benefit Arizona’s children, and we hope many of those bills become law in the future.

Image source: ABC's Schoolhouse Rock

Healthcare.gov will re-open for a special enrollment period

The Biden administration has announced that it will reopen the federal ACA Marketplace for a special enrollment period in response to the COVID-19 pandemic. From February 15 to May 15, Arizonans will be able to shop for affordable, comprehensive health insurance coverage at healthcare.gov.

The Affordable Care Act Marketplace (or “exchange”) serves as a critical source of health coverage for Arizona families. In 2020, over 153,000 Arizonans enrolled in health care through the Marketplace.

This special enrollment period marks a significant shift in ideology and a step in the right direction for child and family health. The Trump administration slashed funding for health insurance outreach, enrollment, and education, cut premium subsidies and funding for marketing, shortened the open enrollment period, and made it easier for companies to offer non-ACA compliant health plans.

In contrast, the Biden administration has announced plans to spend $50 million on marketing during the special enrollment period. The President has also instructed his agencies to revisit and work to rescind measures that inhibit enrollment in health coverage, such as Medicaid work requirements and the public charge rule. While these changes can’t happen overnight, the wheels have been set in motion.

The ACA Marketplace is always open for those who meet certain criteria (for example, people who become pregnant, move, or lose health coverage from another source). Outside of these special circumstances, people can only select or change their plan during the regular open enrollment period from November 1 to December 15. Medicaid and CHIP enrollment is open year-round for those who meet eligibility requirements.

Families and individuals who need help applying for coverage don’t have to do it alone. Health care assistors statewide can help Arizonans find the best source of health coverage for them and can help with completing applications for coverage through the Marketplace, AHCCCS, KidsCare, and more. CAA is proud to support CoverAZ, a service that helps people find an assistor near them. Interested parties can book an appointment online at coveraz.org/connector. CoverAZ also operates a phone line staffed by bilingual community health workers, who can help book a personalized appointment with an enrollment assister. Appointments are available by phone or in person.

State of the State

This week, the Arizona legislature begins its work for the year at a time when many Arizona children and families are struggling to meet their basic needs during this health and economic crisis. Recently released data by the U.S. Census Bureau shows 1 in 6 Arizona households with children (16%) said they had only slight confidence or no confidence at all that they would be able to make their next rent or mortgage payment on time. Increasing numbers of Arizona households with children are also reporting they do not have health insurance and/or do not have enough food to eat, and communities of color are disproportionately suffering.

That is why it will be so critical for lawmakers to focus their work on helping families achieve financial stability, and keeping children healthy and safe during these difficult times.

Our 2021 legislative priorities include:

  • Making health care more accessible for Arizona’s children by expanding eligibility for KidsCare, Arizona’s Children’s Health Insurance Program;
  • Restoring supports to grandparents and other kinship caregivers who step in and prevent children from entering foster care when parents are unable to care for their children;
  • Provide safe, quality child care options for working parents of young children by increasing the child care subsidy reimbursement rates;
  • Providing Arizona’s public schools with the same amount of funding for conducting virtual schools during the pandemic as they receive for in-person instruction.

What Arizona does not need is more tax cuts which will only reduce state revenues that struggling Arizona families are counting on to provide housing and food supports, and make child care more affordable. Rather than shortsighted tax cuts, we urge Governor Ducey and lawmakers to take a more responsible approach and prioritize a plan to stop the uncontrolled spread of COVID-19, and put Arizona on a path to recovery from this health and economic crisis.

Read our 2021 Legislative Priorities

Hoy es el día: argumentos orales ante el Tribunal Supremo para la derogación de la ACA.

Oral arguments in the case challenging the constitutionality of the Affordable Care Act (ACA), now named California v. Texas, are being heard today at the US Supreme Court. If part or all of the ACA is overturned, the only way to save the law, and all the protections for Americans that come with it, would be through congressional action. This is considered highly unlikely if the US Senate remains under Republican leadership.

The Urban Institute recently projected that more than 21 million non-elderly Americans will be newly uninsured in 2022, including 1.7 million children, if the ACA is overturned. Those most at risk of losing coverage are people with incomes below 200% of the federal poverty level and people of color. In Arizona alone, the Urban Institute estimates that 223,000 non-elderly individuals are likely to become uninsured if the ACA is repealed.

The ACA led to tremendous gains in the rate of children’s health coverage in Arizona. As CAA’s most recent KIDS COUNT Data Book demonstrates, the rate of uninsured children in our state dropped from 13% in 2012 to 8% in 2018 (per data from the United States Census). Unfortunately, Arizona has seen a reversal of this trend since the Trump administration took office. While funding for outreach and enrollment support has been cut, anti-immigrant rhetoric and policies, such as the new public charge rule, has deterred many families from enrolling in health care. As a result, kids are losing the coverage they need to grow up healthy and succeed in life.

Until we have a ruling from the Supreme Court, which likely won’t happen before next spring, the ACA remains the law of the land. The annual open enrollment period began November 1 and will continue through December 15. The ACA Marketplace, Medicaid expansion, and KidsCare continue to cover tens of thousands of Arizona children and families. And, all Arizonans are able to get quality health insurance that covers essential benefits like doctor visits, prescriptions, hospital services, and more.

CAA is a proud partner of CoverAZ. CoverAZ’s network of promotores and community health workers can help you find the best health care option for your family. To schedule an appointment, visit coveraz.org/connector or call 1-800-377-3536.

*Enrollment in AHCCCS and KidsCare is always open. A CoverAZ assistor can help you figure out if you qualify for these programs, too!

El libro de datos KIDS COUNT es la única fuente que se centra en las tendencias estatales sobre los niños de Arizona.

Children's Action Alliance (CAA) se enorgullece de presentar elLibro de datosArizonaKIDS COUNT2020, la única fuente bienal que se centra en las tendencias estatales sobre los niños de Arizona. Gracias al apoyo de la Fundación Annie E. Casey, este poderoso recurso ayuda a informar a los responsables de la toma de decisiones y a las partes interesadas sobre el bienestar económico, social y físico de los niños y sus familias en todo el estado. Además del Libro de datos, en nuestronuevo y actualizado sitio webse pueden encontrar indicadores estatales y del condado, junto con otros recursos, herramientas e información sobre cómo defender los derechos de los niños y las familias.

Como saben, CAA utiliza habitualmente los datos como una herramienta eficaz para encontrar puntos en común entre diferentes zonas geográficas e ideologías políticas con el fin de crear un Arizona en el que todos los niños estén seguros, se sientan queridos y tengan acceso a una educación de calidad y a una asistencia sanitaria asequible. En estelibro de datos de KIDS COUNT, los datos muestran que Arizona ha logrado importantes avances en la mejora de las condiciones de los niños desde la Gran Recesión, antes de los retos sin precedentes a los que se han enfrentado nuestras comunidades, nuestro estado y nuestra nación debido a la crisis sanitaria de la COVID-19.

El libro de datos Arizona KIDS COUNT2020 ofrece una visión más detallada de las fortalezas y contribuciones de las familias inmigrantes, ya que más de 1 de cada 4 niños crecen en un hogar inmigrante y 6 de cada 10 niños de Arizona son niños de color.  A pesar de los cambios demográficos en el estado, los niños de color son más propensos que sus compañeros blancos a carecer de los apoyos fundamentales para crecer sanos y fuertes. Esperamos que USTEDES, legisladores, defensores y líderes de agencias estatales, utilicen la información de este libro de datos para abordar las desigualdades estructurales que existen desde hace mucho tiempo en nuestro estado. Es hora de avanzar hacia un Arizona que ofrezca oportunidades a todos los niños, no solo a unos pocos privilegiados.

Como defensores de los niños, seguiremos desafiándonos a nosotros mismos a pensar de forma creativa y crítica para encontrar nuevas formas de apoyar a los niños y las familias de Arizona. Únase a nosotros y utilice el Libro de datos y otros recursos de nuestronuevo sitio webpara impulsar acciones que den lugar a cambios medibles y positivos.

Nuevos avances en el caso de derogación de la ACA ante el Tribunal Supremo de los Estados Unidos

El Tribunal Supremo de los Estados Unidos ha fijado una fecha para escuchar los argumentos orales en el caso California contra Texas: una semana después del día de las elecciones, el 10 de noviembre de 2020. Esta demanda podría anular la Ley de Protección al Paciente y Cuidado de Salud Asequible (ACA), que ha sido fundamental para proporcionar una cobertura sanitaria completa y de calidad a los niños de todo el país.

La demanda, conocida en los tribunales inferiores como Texas contra Azar y Texas contra EE. UU., fue presentada por Texas y otros 19 estados. Alegan que la ACA ya no es válida porque la Ley de Recortes Fiscales y Empleos de 2017 fijó la multa fiscal por no tener seguro médico en 0 dólares. Entre los que buscan derogar la Ley de Cuidado de Salud Asequible se encuentra el fiscal general de Arizona, Mark Brnovich. El fiscal general Brnovich y los detractores de la ACA argumentan que un mosaico de leyes estatales protegerá a los pacientes de la misma manera. Sin embargo, esto es engañoso.

Por ejemplo, este año en Arizona, el senador estatal J.D. Mesnard aprobó una ley que supuestamente protege contra la discriminación a las personas con enfermedades preexistentes. Sin embargo, la ley no protege explícitamente contra la especulación de precios para estas personas, y nuestro estado está lamentablemente mal preparado para hacer cumplir la ley. ElDepartamento de Seguros e Instituciones Financieras de Arizona, que investiga las denuncias contra las compañías de seguros, cuenta con solo seis investigadores que supervisan a 1600 aseguradoras. De las más de 3000 denuncias presentadas ante la agencia en el año fiscal 2019, solo se investigaron 345.

Children's Action Alliance se ha asociado recientemente con investigadores de la Facultad de Soluciones Sanitarias de la Universidad Estatal de Arizona (ASU) para examinarel impacto de la derogación de la ACA en los niños y las familias de Arizona. El informe examina los principios fundamentales de la ACA, incluidas sus protecciones para las personas con enfermedades preexistentes, la ampliación de Medicaid y su enorme impacto en la reducción de la tasa de niños sin seguro médico en Arizona.

Para leer el informe completo,haga clic aquí.

El plan del gobernador Ducey para combatir la gripe durante la COVID-19

Yesterday, Governor Ducey and the Arizona Department of Health Services announced a comprehensive vaccine distribution plan to curb the spread of the flu this fall and winter. Children’s Action Alliance applauds the Governor’s effort to provide this lifesaving vaccine to everyone, regardless of immigration status or income. The COVID-19 pandemic has placed an unprecedented strain on Arizona’s hospital and health care systems. A major flu outbreak could force the health care system to fight a war on two fronts.

Influenza is one of the top ten leading causes of death in Arizona. Each year, an average of 700 people die due to the flu in our state, and young children and American Indian / Alaska Native individuals are at a particularly high risk of complications from the virus.

The Governor is taking a data-driven, multi-pronged approach to promote public health and preserve precious health care resources:

  1. Significantly expanding the number of flu shots available to uninsured and under-insured people in Arizona, including undocumented immigrants;
  2. Incentivizing AHCCCS and KidsCare participants to get the flu shot by offering a $10 gift card to all members who get vaccinated;
  3. Increasing payments to AHCCCS and KidsCare-contracted providers who administer flu shots;
  4. Allowing certified pharmacists to provide vaccines to children who participate in AHCCCS and KidsCare;
  5. Expanding flu shot distribution to certain COVID-19 testing sites throughout the state, and;
  6. Providing online resources for health care providers, businesses, and families to help them locate no-cost testing and take proactive steps to protect employees.

According to the Governor, the use of incentives to patients and providers and expanding availability of flu vaccines has shown a 50 percent increase in vaccine rates among Medicaid members in other states. We commend this proactive investment in community health and encourage everyone to get a flu shot as soon as you are able!

Additional flu-related resources will be available soon at azhealth.gov.

Las familias inmigrantes no deben quedar excluidas de la respuesta al COVID-19

This moment makes it clear that each and every person’s health and well-being is intertwined. Yet, the policy response to the COVID-19 pandemic has explicitly left many immigrant families out. This is particularly troubling in Arizona where more than one in four children are growing up in an immigrant household. Immigrant households are heavily represented in front-line essential jobs and nearly 16 percent of small businesses are owned by a foreign-born Arizonan.

Immigrants hold nearly 1 in 6 essential jobs in Arizona

However, immigrants who paid and filed their taxes using an individual Taxpayer Identification Number (ITIN) are ineligible for federal stimulus payments and unemployment benefits. Under the federal CARES Act, stimulus payments are denied to entire families if the tax filer (or their spouse, if filing jointly) uses an ITIN, rather than a social security number.

In Arizona, 104,000 children live in an immigrant household that did not receive a stimulus payment due to an ITIN filing.

In addition to financial relief, state lawmakers can ensure everyone has access to no-cost testing, treatment, and preventive services for COIVD-19 regardless of their immigration status. Many families in Arizona have withdrawn from or have not applied for health benefits they are eligible for due to fear and uncertainty surrounding harmful policies like “public charge”. While other states have used new federal flexibilities to expand where undocumented immigrants can access emergency Medicaid (AHCCCS) for COVID-19 testing and treatment, Arizona has not. States can also allocate state funds to provide Medicaid and CHIP (KidsCare) services to all children, regardless of their immigration status.

The exclusion of certain immigrants undermines our economic recovery and public health. The next federal COVID-19 legislation should extend CARES Act financial payments to ITIN filers and Arizona should expand emergency Medicaid (AHCCCS) for immigrant families who need it.

Read the full fact sheet.

Más de 80 000 niños latinos en Arizona carecen de seguro médico.

UnidosUS y el Centro para Niños y Familias de la Universidad de Georgetown publicaron conjuntamente un nuevo informecon un panorama desalentador sobre la cobertura sanitaria de los niños latinos en Arizona. El nuevo informe envía un llamamiento urgente a los legisladores para que mejoren el acceso a una cobertura sanitaria asequible para los niños latinos de nuestro estado durante la pandemia. Según los CDC, más de la mitad de los niños (53 %) diagnosticados con COVID-19 en los Estados Unidos son latinos.

El informe revela que más de 80 000 niños latinos en Arizona carecen de seguro médico. Esto representa una tasa del 10,4 %, significativamente superior a la de los niños no latinos en Arizona, que es del 6,3 %. Los niños latinos tienen más de 1,5 veces más probabilidades de no tener seguro médico que sus compañeros no latinos, y los niños que se identifican como indios americanos/nativos de Alaska y latinos tienen más de 3 veces más probabilidades de no tener seguro médico.

Aunque los trabajadores latinos tienen una mayor tasa de participación en el mercado laboral, tienen muchas menos probabilidades de tener acceso a la cobertura a través de un seguro médico patrocinado por el empleador. Por esta razón, reforzar el acceso a la cobertura debe ser un componente esencial para aumentar el acceso a la salud de los niños latinos y frenar el impacto desproporcionado de la COVID-19 en ellos.

Los líderes de Arizona pueden tomar estas medidas audaces para garantizar que todos los niños tengan acceso a la atención médica:

  • El programa Medicaid de Arizona debería permitir que el tratamiento de la COVID-19 proporcionado en cualquier entorno esté cubierto por el AHCCCS de emergencia.
  • Arizona debería invertir en iniciativas de divulgación y afiliación culturalmente adecuadas y concienciar sobre la importancia de la cobertura sanitaria para los niños de todas las edades.
  • Arizona debería adoptar la Opción de la Ley de Mejora de la Salud de los Niños Inmigrantes (ICHIA) en Medicaid y CHIP, lo que permitiría a AHCCCS y KidsCare cubrir a muchos más niños inmigrantes. Además, se deberían asignar fondos estatales para cubrir a TODOS los niños de Arizona, independientemente de su estatus migratorio.
  • Aumentar la elegibilidad de ingresos para KidsCare hasta la mediana nacional del 250 % del límite federal de pobreza, con el fin de ampliar la cobertura a muchos más niños sin seguro que se encuentran justo por encima del umbral de ingresos.

Las decisiones políticas sobre las opciones de cobertura, especialmente en tiempos de crisis, tienen un profundo efecto en los niños y pueden intensificar las disparidades raciales y étnicas existentes durante una crisis. Debemos seguir creando conciencia sobre el impacto desproporcionado de la COVID-19 en las comunidades de color y presionar para que se adopten soluciones que aborden directamente las desigualdades en materia de salud.