Transcript Slide 1
The Choices We Make The Texas We Create
Frances Deviney, Ph.D.
Texas Kids Count Director Center for Public Policy Priorities April 5, 2012
@cppp_tx #kidscount
What trail will Texas’ children follow?
@cppp_tx #kidscount
The U.S. added 2 million kids in last decade
2M
U.S. child pop grew by 2 million between 2000 and 2010 Decennial Census data, U.S. Census Bureau @cppp_tx #kidscount
Texas accounted for half of that growth!
50%
U.S. child pop grew by 2 million between 2000 and 2010 Decennial Census data, U.S. Census Bureau @cppp_tx #kidscount
Texas added nearly ONE MILLION Kids 2010 6.9 M 2000 (5.9M) Source: 2000 and 2010 Decennial Census data, U.S. Census Bureau
Bexar Co grew to over 465,000 kids, with largest growth occurring in the Hispanic population 320K 2000 2010 251K 104K 100K 28K 34K Anglo Black Hispanic Source: 2000 and 2010 Decennial Census Data, U.S. Census Bureau 9K Asian 13K 3K Other
96%
OF BEXAR CO KIDS ARE
CITIZENS
2010 American Community Survey, U.S. Census Bureau
Struggling from the Start
1
OF EVERY
7
BEXAR CO BABIES BORN
PRETERM
@cppp_tx #kidscount Texas Department of State Health Services
Struggling from the Start
Percentage of BEXAR CO BABIES BORN
Weighing less than 5.5 lbs
Up 24%
2000-2008, Texas Department of State Health Services
Struggling from the Start
Births to Bexar Co. teens going down 1998
16.8%
2008
14,1%
Texas Department of State Health Services @cppp_tx #kidscount
Struggling from the Start
Of Bexar Co. babies born to teens, nearly
1 in 4
were born to teens who were already moms
24%
Texas Dept of State Health Svcs @cppp_tx #kidscount
Struggling from the Start
26%
OF BEXAR CO BABIES BORN
WITHOUT PRENATAL CARE
Texas Department of State Health Services
Choices
:
And to make matters worse . . .
• • • New state rule for Medicaid Women’s Health Program violates federal law We will lose 90% of funding On top of $73M statewide cut Family Planning Program
1 of every 7
BEXAR CO KIDS ARE
UNINSURED
(15 th best in state) 2009 Small Area Health Insurance Estimates
Public health insurance buffers loss of private health insurance for Texas kids
Private Health Insurance 61 47
42
Uninsured 23
21
Public Health Insurance 16 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 March supplement, Current Population Survey
Choices
: Texas’ Public Policy Decisions Affect Whether Bexar Co.’s Kids Become and Stay Enrolled in Medicaid and CHIP
136K
FAILED PRIVATIZATION ATTEMPT LEADS TO CRISIS IN APPLICATIONS FOR PUBLIC HEALTH INSURANCE
134K
IMPROVED ELIGIBILITY SYSTEM
180K
Medicaid
82K 106K
Applying for Medicaid made simpler CHIP
34K
CHIP cuts in 2003 lead to loss of 16,000 on program by 2006
18K
CHIP launched CHIP 12-mth eligibility reinstated
38K
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Texas Health and Human Services Commission data & CPPP analysis of state policies @cppp_tx #kidscount
Texas’ poor and uninsured kids less likely to be in excellent/very good health 90% 58% 69% 74% 85% 93% 59% Uninsured Public Ins Private Ins.
2007 National Survey of Children’s Health < Poverty 100-199% 200-399% 400% + FPL
We have made choices that cut older adult poverty by nearly two-thirds nationally 25% 17% 14% 12% 9% 1970 1980 1990 US poverty rates for people 65+, March supplement, Current Population Survey 2000 2010
We haven’t made the same commitment to reduce poverty for Texas kids 27% 15% 10% Kids Working -age Poverty rates, March supplement, Current Population Survey 65+ @cppp_tx #kidscount
Bexar Co. child poverty has held fairly steady; fluctuations coincide with unemployment Child Poverty 23% 25% 23% 25% Unemployment 3,5% 5,7% 4,2% 7,4% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Poverty: SAIPE, Unemployment: TWC
To be considered “officially poor,” a family of three has to make less than Source: 2012 Poverty Guidelines for a family of 3 with two related children under 18 years old
Work Supports actually do make a difference for kids!
National Child Poverty Rates
22.5% 18.2%
US Census Bureau Official Poverty Measure Supplemental Poverty Measure @cppp_tx #kidscount
Choices
: Income support for kids in the poorest families virtually eliminated 9,5% 7,5% Bexar Co.
2003: Start of Texas’ full family sanctions 4,7% Texas 4,5% 1996: Start of federal welfare reform 1,4% 1,0% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 Texas Health and Human Services Commission
Choices:
More Bexar Co. kids receiving food assistance (SNAP) thanks to improved enrollment system 29% 11% 2000 Texas Health and Human Services Commission 2010 @cppp_tx #kidscount
Choices
: Expansion of Summer Food Program Source: Texas Department of Agriculture. Summer food data is the average daily participation from summer 2010.
One of Every Four Texas Preschoolers Not Read to Regularly Source: 2007 National Survey of Children’s Health from Annie E. Casey Foundation, KIDS COUNT Data Center
Choices:
Increase in Bexar Co. 4-yr-olds in pre-k due, in part, to pre-k expansion grants 34% 49% Texas Education Agency @cppp_tx #kidscount
Economically Disadvantaged kids who went to pre-k did better on their TAKS tests No Pre-K Pre-K 83% 88% 79% 85% Passed TAKS 3rd grade reading Passed TAKS 3rd grade math Analysis of TEA 2011 TAKS data by the Office of Rep. Mike Villarreal
Bexar Co. TAKS reading achievement gap shrinking Not Economically Disadvantaged 81% GAP 94% 11 points 83% 20 points Economically Disadvantaged 61% 2003 CPPP analysis of Texas Education Agency data 2011 @cppp_tx #kidscount
41% Bexar Co. Dropouts: Still Not Great, But Improving 37% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 Attrition rate, Intercultural Development Research Association
In Texas, dropouts only make 36 cents for every dollar earned by college graduates Median earnings for adults 25+ yrs by educational attainment, 2010 American Community Survey
Choices:
Texas’ Educational Investment
th
NCES, Kids Count Data Center Per pupil spending
before the cuts
@cppp_tx #kidscount
Choices:
We underfunded public education by $5.3 Billion for 2012-13
CPPP analysis of data from the Legislative Budget Board
Choices:
Including the elimination of
Pre-k expansion grants High school completion grants
CPPP analysis of data from the Legislative Budget Board
Child Protective Services:
Our service of last resort
Department of Family and Protective Services
Nearly 5,915 Bexar County kids confirmed as abused or neglected in 2011 Department of Family and Protective Services
Choices:
Helping support a safe home environment
70%
of kids who receive child protective services are
served in their homes
Department of Family and Protective Services
Choices:
When Bexar Co. kids are removed from their homes, fewer are going to foster care,
85% 69%
thanks to increased focus on
placing kids with relatives
@cppp_tx #kidscount Department of Family and Protective Services
Even with more kids placed with relatives Nearly
3,600
Bexar County children lived in foster care Department of Family and Protective Services
Choices:
Because we underfunded in-home services to save money, we may see a shift back to putting kids in Foster Care which, ironically may actually cause us to spend more than we saved because . . . CPPP analysis of 2012-13 budget for Department of Family and Protective Services
Foster Care services cost 26X more per year than providing in-home or reunification services
$12,567 vs.
$481
Foster Care Average annual spending per year per child, DFPS In-home and Reunification Services
Texas Century for children
Children with special health care needs
Communities in Schools program
Cuts to Kids
Provider rate cuts in Medicaid and CHIP
Family Planning Services
Community Mental Health services
State and community mental health hospitals
Child abuse, neglect, and delinquency prevention Early Childhood Intervention
Community-based obesity prevention
Foundation School Program
Initiative to improve rural health care Newborn health screenings
Financial support for Family Based Services for abused kids
"We have no choice, unless we want to continue to try to grow our population and continue to shrink spending significantly," Straus said. "I think at some point you can't cut your way to prosperity." Texas House Speaker Joe Straus Oct 28, 2011, El Paso Times
Where do we go from here?
@cppp_tx #kidscount
Sustained & balanced investment
is the key to healthy child development and Texas’ future prosperity.
“It broke me down, emotionally and mentally, that I couldn’t provide for my family. We’d never been in a situation like this before.”
“I’m working a good job. . . I’m spending more time with my kids. For all the little things that I have, I am happy.” Manuel Luna, 31, San Antonio
We know we can do big things.
It’s time to do the right thing.
Contact Information
Frances Deviney, PhD Texas KIDS COUNT Director [email protected]
(512) 320-0222 ext. 106