the choices we make the texas we create frances deviney, ph.d. texas kids count director center for...
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The Choices We Make
The Texas We CreateFrances 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
United States2M
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
2000 (5.9M)
2010
Texas added nearly ONE MILLION Kids
6.9 M
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
Anglo Black Hispanic Asian Other
104K
28K
251K
13K
100K
34K
320K
9K 3K
2000 2010
Source: 2000 and 2010 Decennial Census Data, U.S. Census Bureau
96%OF BEXAR CO
KIDS ARECITIZENS
2010 American Community Survey, U.S. Census Bureau
Struggling from the Start
1 OF EVERY 7
BEXAR COBABIES BORNPRETERM
Texas Department of State Health Services
@cppp_tx#kidscount
Struggling from the Start
Percentage of BEXAR COBABIES BORN
Weighing less than 5.5 lbs
Up 24%2000-2008, Texas Department of State Health Services
Struggling from the Start
14.1%
16.8%1998
2008
Births to Bexar Co. teens going down
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 7BEXAR COKIDS ARE
UNINSURED(15th best in state)
2009 Small Area Health Insurance Estimates
Public health insurance buffers loss of private health insurance for Texas kids
1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
23
16
61
47
21
42
Private Health Insurance
Public Health Insurance
Uninsured
March supplement, Current Population Survey
Choices: Texas’ Public Policy Decisions Affect Whether Bexar Co.’s Kids Become and Stay Enrolled in Medicaid and CHIP
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
82K
Medicaid 106K
136K 134K
180K
CHIP 34K18K
38K
FAILED PRIVATIZA-TION ATTEMPT
LEADS TO CRISIS IN APPLICATIONS FOR PUBLIC HEALTH IN-
SURANCE
IMPROVED ELI-GIBILITY SYSTEM
Texas Health and Human Services Commission data & CPPP analysis of state policies@cppp_tx
#kidscount
Applying for Medicaid made simpler
CHIP launched
CHIP cuts in 2003 lead to loss of 16,000 on program by 2006
CHIP 12-mth eligibility reinstated
Texas’ poor and uninsured kids less likely to be in excellent/very good health
< Poverty 100-199% 200-399% 400% + FPL
59%
74%
85%93%
Uninsured Public Ins Private Ins.
58%
69%
90%
2007 National Survey of Children’s Health
We have made choices that cut older adult poverty by nearly two-thirds nationally
1970 1980 1990 2000 2010
25%
17%14% 12%
9%
US 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%
KidsWorking
-age 65+
Poverty rates, March supplement, Current Population Survey@cppp_tx
#kidscount
Bexar Co. child poverty has held fairly steady; fluctuations coincide with unemployment
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
23%
Child Poverty25%
23%
25%
3.5%
Unemployment5.7% 4.2%
7.4%
Poverty: SAIPE, Unemployment: TWC
19,090 / year
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!
22.5%18.2%
National Child Poverty Rates
Official Poverty Measure
Supplemental Poverty MeasureUS Census Bureau
@cppp_tx#kidscount
Choices: Income support for kids in the poorest families virtually eliminated
1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010
9.5%
Bexar Co.
4.7%
1.0%
7.5%
Texas 4.5%
1.4%
2003: Start of Texas’ full family sanctions
1996: Start of federal welfare reform
Texas Health and Human Services Commission
Choices: More Bexar Co. kids receiving food assistance (SNAP) thanks to improved enrollment system
2000 2010
11%
29%
Texas Health and Human Services Commission@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
49%34%
Texas Education Agency@cppp_tx
#kidscount
Economically Disadvantaged kids who went to pre-k did better on their TAKS tests
Passed TAKS 3rd grade reading Passed TAKS 3rd grade math
83% 79%88% 85%
No Pre-K Pre-K
Analysis of TEA 2011 TAKS data by the Office of Rep. Mike Villarreal
Bexar Co. TAKS reading achievement gap shrinking
81%
94%
61%
83%GAP
20 points
11 points
Economically Disadvantaged
Not Economically Disadvantaged
2003 2011CPPP analysis of Texas Education Agency data
@cppp_tx#kidscount
Bexar Co. Dropouts: Still Not Great, But Improving
2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011
41%
37%
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
46th Per pupil spending before
the cuts NCES, Kids Count Data Center@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
CPPP analysis of data from the Legislative Budget Board
Pre-k expansion
grants
High school completion
grants
Department of Family and Protective Services
Child Protective Services:Our service of last resort
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
Department of Family and Protective Services@cppp_tx
#kidscount
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 $481vs.
Foster CareIn-home and
Reunification ServicesAverage annual spending per year per child, DFPS
Texas Century for children
Cuts to KidsProvider rate cuts in Medicaid and
CHIP
Initiative to improve rural
health care
Community Mental Health services
State and community
mental health hospitals
Newborn health
screenings
Child abuse, neglect, and delinquency prevention
Children with special health care needs
Early Childhood Intervention
Foundation School Program
Community-based obesity prevention
Family Planning Services
Communities in Schools program
Financial support for Family Based
Services for abused kids
Texas House Speaker Joe Straus
"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."
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, PhDTexas KIDS COUNT
Director deviney@cppp.org
(512) 320-0222 ext. 106
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