So what’s the story in Texas?Recently, many Texas leaders have been using the phrase “the Texas Century” to tell one Texas story. I like the poetry of that phrase. It summarizes a portion of our recent past and what we envision for the future. The Texas Century is based on the idea that since 2000, Texas has not only weathered the economic storm better than most states, but that we have in fact set the bar that other states should strive for.Recently, Texas was ranked as the best state in which to do business.E1 But we were also recently ranked 35th in overall child well-being, 42nd in child poverty, 48th in teen births, and 50th in repeat teen births and percentage of uninsured children.E2The contrast between the successes of our business community and the struggles of our human community were noticeably juxtaposed on the front page of the AAS at the beginning of last session.
What do the numbers and these two stories say about our priorities?
17% growth in number
But as our numbers grow, so do our needs. Texas’ growing child population will always be an asset, as long as we educate them and provide them opportunities to contribute to our economy.
Table B05003We need to implement policies that will enable our kids to grow into healthy, educated adults, which means anticipating growth and embracing the opportunities inherent in our diversity.
Texas’ population is growing rapidly in large part because of our high birth rate. In 20087, 405,242 babies were born in Texas—the 2nd highest birth rate in the country (behind only Utah)But entering the world healthy is no guarantee.
TX = 39%Early, consistent, quality prenatal care is paramount for the health of mom and baby. Babies born to women who receive prenatal care are less likely to be born too small or to die before their first birthday.9 The moms are also more likely to be in better health and to access pediatric care for their baby.10 For many women, prenatal care is their first entry into the health care system. An important step to improving maternal and infant outcomes is to connect women to the health care system throughout their lifetimes. That way, if and when they decide to have children, they will be healthier to begin with, and will be better prepared to access prenatal care.
Medicaid WHP saved Texas Medicaid over $45 million in a year from 2009-2011. LBB estimates cuts will lead to over 20,000 additional low-income pregnancies, costing Texas Medicaid about $100 million in 2012-13!This comes on top of a 66 percent funding cut ($73 million) for the Department of State Health Services’ Family Planning Program which already eliminated basic prevention and birth control for at least 150,000 women. DSHS Family Planning Program cuts in 2011 session to 2012-13 budget = 66%FPP cuts affected 150,000 women + 130,000 women affected by WHP changesTexas’ choices should prioritize fiscal and physical health. Ending 80 percent of Texas’ family planning programs does neither.
We all know that whether rich or poor, Black or White, every Texas child deserves to be healthy and have access to the care they need. Yet 1.2 million kids in this state (nearly 236K in Harris Co.) lack the access to care they need to grow healthy and strong. Harris Co = 291,960 (19.5%)
Table HIB-5 from CPS Historical Tableswww.census.gov/hhes/www/hlthins/data/historical/HIB_tables.htmlThe good news is that the percentage of uninsured kids is significantly lower than it was just a few years ago. Texas provided additional resources for the eligibility system (e.g. more eligibility staff, better training, IT improvements) and reduced barriers to enrollment (e.g., allowing applications and renewal by mail) in our public health insurance programs
CHIP2000: CHIP established2003: CHIP 6-month eligibility (lost 16,000)2007: CHIP 12-month eligibility reinstatedMedicaid2002: applying for Medicaid made simpler2006-2008: Failed privatization attempt leads to crisis in applications for public health insurance2009-2011: Improved eligibility systemUnfortunately, the 2011 Legislature made substantial cuts to Medicaid and the Children’s Health Insurance Program (CHIP), which threaten that progress. Facing a $27 billion revenue shortfall, our legislators chose to reduce health and human services spending by $10 billion for the next two years—pledging to restore $5 billion of that funding in January 2013—rather than raising new revenues or using the state’s rainy day fund. Even if the 2013 Legislature makes good on that pledge, the remaining cuts are projected to significantly affect access to care for low-income Texas children and affect the health of our whole community
Geography: TX = 78%, U.S. = 84%When 7.5 million Texans no longer have a lifetime limit on their health insurance, it’s obvious that health reform is good!More than 300,000 young Texans have stayed on their parent’s insurance thanks to ACA.More than 15% of Texas children now have access to additional preventive services through their insurer thanks to #ACA.
In times of crisis, we rally around our family because they give us support and strength. Families know that when one member is not doing well, the whole family is affected. But that doesn’t just hold for the traditional nuclear family. We’ve rallied around each other as a nation (9/11), and at the state (Hurricane Katrina) and local levels (2011 wildfires) in times of crisis. We came together—as a family—to help those in need get back on their feet because it was the right thing to do for them, and for the whole community.For a community, poverty is as much a crisis as a one-time disaster. The effects are just as powerful and devastating. But unlike a one-time disaster, poverty is ongoing. It’s also something we can change.
We have made specific choices over the last several decades to fight poverty for our oldest residents. Our choices to secure their physical (Medicare) and financial (Social Security) health has cut poverty for people over 65 by nearly 2/3http://www.census.gov/hhes/www/poverty/data/historical/people.html
But we haven’t made as strong a commitment to reducing child poverty, even though children living in poverty are at a high risk for cognitive, emotional, educational, and health problems that last into adulthood. CPS Table Creator
Today, more than one of every four Texas kids live in poverty, a 24 percent increase since 2000. Unfortunately, as the child poverty rate rose, we made choices that make it even harder for kids and families to get their financial footing by cutting those programs designed to support Texans in times of crisis.
Thresholds from -- http://aspe.hhs.gov/poverty/12poverty.shtmlFamily of 3 = $18,530Family of 4 = 22,350Thresholds from: http://www.census.gov/hhes/www/poverty/data/threshld/index.html
WHEN YOU COUNT WORK-SUPPORTS, MANY CHILDREN PROTECTED FROM POVERTY NATIONALLYThe Official Poverty Measure is based solely on income and doesn’t take into account programs that help kids. Though still considered experimental, the Supplemental Poverty Measure’s rate for children is lower because it shows the success of nutrition and housing assistance, the Earned Income Tax Credit, child care subsidies, and child health insurance programs in lifting children and families out of poverty.
Beginning in 1996, the number of kids receiving Temporary Assistance for Needy Families (TANF, aka cash assistance) declined due to policies attempting to help parents find work combined with strict time restrictions for benefits. In 2003, the goal of reducing the rolls in Texas, rather than moving families to work, became the focus when full-family sanctions pushed droves of kids off assistance.26 Although many TANF kids ended up receiving Supplemental Security Income (SSI) because they have been evaluated as disabled, SSI cannot fully absorb the more than two-thirds loss from TANF since 2003.27
Harris: 2000 = 50,584 (5.1%); 2010 = 263,012 (22.9%) – the number on SNAP has quadrupledTexas: 2000 = 539,696 (9.2%); 2010 = 1,809,902 (26.4%) 1999: State appropriated funds for SNAP outreach and application assistance2001: SNAP requirements are simplified and funding appropriated to support fresh produce programs at food banksThe federal nutrition safety net protects kids from going hungry and promotes healthy food choices by providing money to states for anti-hunger programs such as the Supplemental Nutrition Assistance Program (SNAP, formerly Food Stamps), WIC, and the School Breakfast/School Lunch program. These programs often provide the only nutritious food some children receive each day.
2005: Expanded free lunch program auto-enrollment for kids on SNAPThis is VERY important as Texas ties for worst in food insecurity (with NM, OK, AZ). That’s 1.9 million Texas kids whose families report that they don’t know where their next meal is coming from. State-level policy choices determine the reach and benefits of our food assistance programs. Kids’ nutrition benefitted from several positive choices during 2011, such as expanded access to school breakfast and summer food programs, and easier SNAP enrollment. These gains were tempered by extensive school funding cuts, including eliminating middle school P.E. grants and reducing funding for Fitnessgram, which provides data to schools to help them assess overall student fitness. And nutrition programs face continued risks at the state and federal levels, such as possible across-the-board funding cuts and increased eligibility restrictions.
Hungry children: miss more school, are less attentive, are more likely to fail and be held back, and are more likely to drop out.Many of our youngest Texans are not only getting a rough physical start, but many children also aren’t receiving the cognitive boost they need from their home environment.
Following a statewide trend . . . Harris Co: 2000-2001 = 23,839 (42.8%); 2010-2011 = 40,508 (61.8%)Pre-kindergarten is designed to prepare kids for kindergarten and is targeted to, among others, economically disadvantaged kids.50 But the effects of pre-k last beyond kindergarten.
Economically disadvantaged third graders who had participated in pre-k were more likely to pass their TAKS tests than those who did not.
On the good side, dropout rates, no matter how you measure them, are going down thanks to joint community, private sector, and public education investments in dropout prevention programs.Even with these improvements, Texas is 51st in the percentage of residents with a high school diploma (2009 ACS Rankings Table).
Table B20004Making them three times as likely to live in poverty (and almost twice as likely as HS grads).
Table C17003With a high school degree, most single-earners can support families of 2, 3 or 4 above the federal poverty levelThese education gaps leave low-skilled workers with limited employment opportunities, channeling them and their children into a life of poverty and hardship. In our technology and service-oriented economy, our economic well-being will rise and fall with the skills of our workforce.Recent research by Brian Kelsey at CAPCOG showed that one of the largest groups of unemployment insurance claimants were people with some college but no degree. These are likely people who have some debt but none of the benefit of the degree or often a marketable skill. http://dallasfed.org/news/ca/2009/09raise_kelsey.pdf
Per pupil expenditure data from Kids Count Data Center.2011, TX spends $8,439 per student, ahead only of AZ, NC, NV, & UT (lowest at $6,525). WY & VT spend $17K+/student$4B primary school funding formulas$1.3 for categorical funding (aka, state support for full-day pre-K, dropout prevention programs-student success initiative, teacher incentive pay)We say $5.3 billion, but others say $5.4 billion. The smaller number is taking into account all the appropriations bills, not just HB 1. One of the other budget bills gave a little more money to school dropout prevention/at risk programs. (Eva)
Our future success depends on the investment we make in educating our kids now. For Texas to stay a great place to do business, we have to make smart choices about educating our future workforce. We must fully fund public education, prepare for growth, and build on the success of programs that help kids succeed. That is the only viable long-term plan for success.
Home should be a place where every child feels safe. Our policy decisions in recent years reflected a renewed commitment to protecting abused and neglected children and helping support a safe home environment. Policymakers made significant reforms and provided additional money to the Texas Child Protective Services (CPS) agency during the 2005, 2007, and 2009 legislative sessions.Harris Co.: 5,493 kids = 4.9/1000 children
File #: 9047047
Harris Co: % of all kids in substitute care who are in foster careHarris Co: % of all kids in substitute care who are in foster care (Foster Care for ages 0-21 from DFPS Data Book. Texas KIDS COUNT Foster care # in Data Center is only for kids 0-17, so # in notes below and # we report don’t match).2011Substitute care = 7878Foster care = 4888 (62.0%)2000Substitute care = 4271Foster care = 3460 (81.0%)
File #: 3511992Harris Co: % of all kids in substitute care who are in foster care (Foster Care for ages 0-21 from DFPS Data Book. Texas KIDS COUNT Foster care # in Data Center is only for kids 0-17, so # in notes below and # we report don’t match).Harris co: 2011Substitute care = 7878Foster care = 4888 (62.0%)Harris co: 2000Substitute care = 4271Foster care = 3460 (81.0%)
Growing rapidlyToo many living in povertyToo many born too early and too smallToo many dropping outToo many w/out health insurance and unhealthy
Also, the budget bills do not fund caseload growth, cost increases/inflation, or replace the big influx of federal funds in the 2010-2011 budget from the federal ARRA stimulus law. This represents an even deeper under-funding than the rate cuts.For example, when you factor in rate-cuts plus not replacing ARRA or accounting for growth and other increased costs, Medicaid underfunded by $7.6B
Texas House Speaker Joe Straus: We have to correct the deficit By Zahira Torres \\ Austin Bureauelpasotimes.com Posted: 10/28/2011 12:00:00 AM MDT http://www.elpasotimes.com/news/ci_19211497 He added that since the Rainy Day Fund, projected to have about $7 billion by January 2013, "will not be the crutch that it's been to date," lawmakers must act to find solutions for the underperforming Texas Franchise Tax, also known as the "margins tax." "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."
When it comes to Texas’ children, it’s time to get back to basics. That means investing in the things that helped give us our start—like a strong public education, access to doctors before we get sick, and healthy food on the table. We can make the smart choices to protect the health and well-being of Texas kids and help families build economic security. It doesn’t get any more basic than that.
But the real story is not the numbers. It’s the people behind the numbers.Let’s meet Manuel Luna. He’s a husband and father four living with his family in San Antonio. The Annie E. Casey Foundation interviewed him following his experience being unemployed for almost five months after he lost his job in 2009—a time he calls “our depression.”
Angry and despondent after losing his role as the family breadwinner, Manuel Luna attended anger management classes and family counseling. The family found resources and service providers through the Annie E. Casey Foundation’s Making Connections program and the Casey-supported Center for Working Families, which serves low-income families.
He credits the help he received from several programs with pulling his family through. The Earned Income Tax Credit provided extra cash to help the family catch up on bills and pay off debts. Supplemental Nutrition Assistance Program benefits (formerly food stamps) and the San Antonio Food Bank not only helped feed his family, but also freed up money to buy other essentials, like school uniforms and shoes.
The Energy Assistance Program helped pay for utilities, which allowed other money to pay such bills as the rent.“Right now, we’re stable,” says Luna, 31, who has worked since September 2010 as a utility technician for the city’s public water system and, before that, in a restaurant warehouse. “But we really went through a hard time. The programs helped us.”
After their financial and emotional health improved, Manuel and Hilda Laura Luna plunged into community activities. Manuel has served as a PTA president and coached his children’s sports teams.
The couple has been involved in a neighborhood improvement group and the Volunteer Income Tax Assistance program.
Just like Manuel Luna’s family, every child should have the chance to fulfill his or her full potential. That means seeing a doctor when they need one, having access to nutritious food, feeling safe at home, and obtaining a high quality education. But positive or negative outcomes for kids don’t just happen. They are the inevitable results of effective or failed policy choices.
Every child should have the chance to fulfill his or her full potential. That means seeing a doctor when they need one, having access to nutritious food, feeling safe at home, and obtaining a high quality education. But positive or negative outcomes for kids don’t just happen. They are the inevitable results of effective or failed policy choices.
Who keeps kids healthy? Who keeps kids safe? Who helps educate our kids? We do . . . With our voice. Talk to your families, friends, neighbors, and leaders about how our choices matter. It’s time we learn from our past choices, positive and negative, so that we can shape a different story for our future. If we keep kids as our number one priority, the story about how we turned things around to build a better Texas can be an inspiration for generations to come.
09 15-12 - kc pres for houston economic summit kcb
The Choices We Make The Texas We Create Frances Deviney, Ph.D. Texas Kids Count Director Center for Public Policy Priorities September 15, 2012
What trail will Texas’ children follow? @cppp_tx #kidscount
The U.S. added 2 million kids in last decade 2M @cppp_txU.S. child pop grew by 2 million between 2000 and 2010 Decennial Census data, U.S. Census Bureau #kidscount
Texas accounted for half of that growth! 50% @cppp_txU.S. child pop grew by 2 million between 2000 and 2010 Decennial Census data, U.S. Census Bureau #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
Harris Co grew to over 1.1 M kids, with largest growth occurring in the Hispanic population 589K 2000 2010 403K 324K 274K 221K 195K 56K 62K 7K Anglo Black Hispanic Asian OtherSource: 2000 and 2010 Decennial Census Data, U.S. Census Bureau
93% OF HARRIS CO KIDS ARE CITIZENS2010 American Community Survey, U.S. Census Bureau
Struggling from the Start 1 OF EVERY 8 HARRIS CO BABIES BORN PRETERM @cppp_tx2008, Texas Department of State Health Services #kidscount
Struggling from the Start Percentage of HARRIS CO BABIES BORN Weighing less than 5.5 lbs Up 35%2000-2008, Texas Department of State Health Services
Struggling from the Start Births to Harris Co. teens going up after decline throughout 1990s and early 2000s 1998 12.4% 2004 11.8% 2008 14.1% @cppp_txTexas Department of State Health Services #kidscount
Struggling from the Start Of Harris Co. babies born to teens, more than 1 in 5 were born to teens who were already moms 21% @cppp_tx2008 Texas Dept of State Health Svcs #kidscount
Struggling from the Start 43% OF HARRIS CO BABIES BORN WITHOUT PRENATAL CARE2008 Texas Department of State Health Services
Choices:And to make mattersworse . . .• 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 4 HARRIS CO KIDS ARE UNINSURED2010 Small Area Health Insurance Estimates
Public health insurance buffers loss of private health insurance for Texas kids 62% Private Health Insurance 51% Public Health Insurance 39% 21% 15% Uninsured 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011Percentage of kids 0-17 in each category, March supplement, Current Population Survey
Choices: Texas’ Public Policy Decisions Affect Whether Harris Co.’s Kids Become and Stay Enrolled in Medicaid and CHIP 180K 136K 134K Medicaid 106K 82K 34K 38K CHIP 18K 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 @cppp_txTexas Health and Human Services Commission data & CPPP analysis of state policies #kidscount
Texas’ poor and uninsured kids less likely to be in excellent/very good health 90% 93% 69% 85% 58% 74% 59% Uninsured Public Ins Private Ins. < Poverty 100-199% 200-399% 400% + FPL2007 National Survey of Children’s Health
We have made choices that cut older adult poverty by nearly two-thirds nationally 25% 16% 12% 10% 9% 1970 1980 1990 2000 2011US poverty rates for people 65+, March supplement, Current Population Survey
We haven’t made the same commitment to reduce poverty for Texas kids 27% 15% 10% Working Kids -age 65+ @cppp_tx2011 Poverty rates, March supplement, Current Population Survey #kidscount
Harris Co. child poverty has risen in recent years, coinciding with unemployment 27.1% Child Poverty 23.3% 21.8% 19.1% Unemployment 8.5% 7.0% 4.3% 4.3% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Poverty: SAIPE, Unemployment: TWC
To be considered “officially poor,” a family of three has to make less thanSource: 2012 Poverty Thresholds 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% Official Poverty Supplemental Measure Poverty Measure @cppp_tx2010 CPS and Supplemental Poverty Rates, US Census Bureau #kidscount
Choices: Income support for kids in the poorest families virtually eliminated 7.50% Texas 6.9% 2003: Start of Texas’ 4.50% full family sanctions 3.9% Harris Co. 1.40% 1996: Start of federal welfare reform 0.7% 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010Texas Health and Human Services Commission
Choices: More Harris Co. kids receiving food assistance (SNAP) thanks to improved enrollment system 23% 5% 2000 2010 @cppp_txTexas Health and Human Services Commission #kidscount
Choices: Expansion of Summer Food ProgramSource: Texas Department of Agriculture. Summer food data is the average daily participation from summer 2010.
One of Every Four Texas Preschoolers Not Read to RegularlySource: 2007 National Survey of Children’s Health from Annie E. Casey Foundation, KIDS COUNT Data Center
Choices: Increase in Harris Co. 4-yr-olds in pre-k due, in part, to pre-k expansion grants 43% 62% @cppp_txTexas Education Agency #kidscount
Economically Disadvantaged kids who went to pre-k did better on their TAKS tests No Pre-K Pre-K 88% 85% 83% 79% Passed TAKS 3rd grade reading Passed TAKS 3rd grade mathAnalysis of TEA 2011 TAKS data by the Office of Rep. Mike Villarreal
Harris Co. TAKS reading achievement gap shrinking 94% Not Economically Disadvantaged 10 points 81% GAP 84% 21 points Economically Disadvantaged 60% 2003 2011 @cppp_txCPPP analysis of Texas Education Agency data #kidscount
Harris Co. Dropouts: Still Not Great, But Improving 47% 32% 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011Attrition rate, Intercultural Development Research Association
In Texas, dropouts only make 36 cents for every dollar earned by college graduatesMedian earnings for adults 25+ yrs by educational attainment, 2010 American Community Survey
Choices: Texas’ Educational th Investment Per pupil spending before the cuts @cppp_txNCES, Kids Count Data Center #kidscount
Choices: We underfunded public education by $5.3 Billion for 2012-13CPPP analysis of data from the Legislative Budget Board
Choices: Including the elimination of High Pre-k school expansion completion grants grantsCPPP analysis of data from the Legislative Budget Board
ChildNearly 5,500ProtectiveHarris CountyServices:kidsconfirmedOuras abusedservice ofor neglectedlast resortin 2011Department of Family and ProtectiveServices
Choices: Helping support a safe home environment 70% of kids who receive child protective services are served in their homesDepartment of Family and Protective Services
Choices: When Harris Co. kids are removed from their homes, fewer are going to foster care, 81% 62% thanks to increased focus on placing kids with relatives @cppp_txDepartment of Family and Protective Services #kidscount
Even with more kids placed with relatives Nearly 4,900 Harris County children lived in foster careDepartment 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 In-home and Foster Care Reunification ServicesAverage annual spending per year per child, DFPS
Children with special health care needsCommunities inSchools program Cuts to Kids Family Planning Services Provider rate cuts in Medicaid and Community Mental CHIP Health services State and Early Childhood Intervention communitymental health Community-based obesity prevention hospitals Foundation School Financial support Program for Family Based Child Newborn Services for abused abuse, neglect, and health Initiative to kids delinquency screenings prevention improve rural health care
"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 cant cut your way to prosperity." Texas House Speaker Joe StrausOct 28, 2011, El Paso Times