Kaiser Health News
Child Care Gaps in Rural America Threaten to Undercut Small Communities
Jazmin Orozco Rodriguez
Tue, 02 Jan 2024 10:00:00 +0000
Candy Murnion remembers vividly the event that pushed her to open her first day care business in Jordan, a town of fewer than 400 residents in a sea of grassland in eastern Montana.
Garfield County’s public health nurse, one of few public health officials serving the town and nearly 5,000 square miles that surround it, had quit because she had given birth to her second child and couldn’t find day care.
“My primary goal was to give families a safe place to take their children so they could work if they needed to,” said Murnion, 63. She started in 2015 with eight slots, the maximum she could cover herself, and slowly grew. Then, during the covid-19 pandemic, a surge in federal aid to child care programs helped her raise wages for her workers and expand to a second facility.
Today, her day care programs, the only ones in Jordan, can serve up to 30 children, ranging from 6 weeks old to school age. But after that pandemic-era funding support ended in September, Murnion began to wonder how long she could sustain her expanded capacity, or whether she’d need to raise prices or lower enrollment.
And she isn’t alone.
Data collected prior to the pandemic shows that more than half of Americans lived in neighborhoods classified as child care deserts, areas that have no child care providers or where there are more than three children in the community for every available licensed care slot. Other research shows parents and child care providers in rural areas face unique barriers. Access to quality child care programs and early education is linked to better educational and behavioral outcomes for kids and can also help link families and children to immunizations, health screenings, and greater food security by providing meals and snacks.
Policymakers and researchers now fear that inequitable child care access threatens the sustainability and longevity of rural communities.
“If we want to keep rural parts of this country alive and thriving, we need to address this,” said Linda Smith, director of the Early Childhood Initiative at the Bipartisan Policy Center, a Washington, D.C.-based think tank.
According to an October report that Smith co-authored, there is a 35% gap between the need for and availability of child care programs in rural areas, compared with 29% in urban areas, based on data from 35 states.
The report echoed concerns local, state, and national experts have raised for a number of years.
A report published last year by the National Advisory Committee on Rural Health and Human Services found that, per capita, more parents rely on family members or friends for child care in rural areas than in urban areas. This isn’t sustainable for parents, said Cara James, CEO and president of Grantmakers in Health, a nonprofit that helps guide health philanthropy.
“Right now, we have a system that’s very expensive for people who can afford it and for people who can access it, not necessarily available to all those who need it,” James said. “That’s leading us to rely on other workarounds that are not ideal or ones that are giving the children the best support that they need to grow into healthy adults.”
For example, according to a state report, Montana’s total child care capacity met 44% of estimated demand in 2021 and infant care capacity met only 34% of estimated demand. Garfield County had only 23% of potential demand for children under six. Nationally, the rural health advisory committee has found, child care deserts are most likely to be located in “low-income rural census tracts.”
The dearth of child care in many rural communities exacerbates workforce shortages by forcing parents, including those who work in health care locally, to stay home as full-time caregivers, and by preventing younger workers and families from putting down roots there.
Eighty-six percent of parents in rural areas who are not working or whose partner is not working said in a 2021 Bipartisan Policy Center survey that child care responsibilities were a reason why, while 45% said they or their spouse cared for at least their youngest child. Staying home to care for children is a responsibility that disproportionately falls on women, affecting their ability to participate in the workforce and make an independent living.
A report from the rural health advisory committee shows that when center-based care is readily available in a community, the percentage of mothers who use that type of care and are employed doubles from 11% to 22%.
According to the Biden administration, pandemic emergency funding increased maternal labor workforce participation, stabilized employment and increased wages for child care workers, tempered costs for families, and helped providers afford their facilities.
That funding included $52 billion in emergency aid allocated by Congress for child care program owners and low-income families. Murnion’s day care was one of an estimated 30,000 in rural counties that received federal grants.
She said the roughly $100,000 she received in federal aid allowed her to raise wages for her workers to $13 an hour and expand her facility space. She said she doesn’t take a paycheck from the business and instead relies on income from a family ranch and trucking business.
Now that the federal aid programs have expired, Murnion and other child care operators nationwide are wrestling with how to sustain those wages without hiking the cost of care for parents.
The Biden administration requested congressional approval of $16 billion to extend the pandemic-era child care stabilization program but doesn’t have enough support to continue the funding, despite nearly 80% of voters supporting increasing federal funding for states to expand their child care programs.
According to the administration, the funding would support more than 220,000 child care providers in the U.S. that collectively serve more than 10 million kids. Montana would receive an estimated additional $46 million if Congress approved the request.
Although federal aid helped Murnion get through the pandemic, she said she doesn’t want to rely on the government forever. She charges parents $30 a day for one child and $22 a day each for siblings. And she doesn’t charge parents for days their children don’t attend. If she does need to raise prices, Murnion said, she’ll increase the per-sibling cost.
The pandemic provided some meaningful lessons, said Smith of the Bipartisan Policy Center. “Those stabilization grants were, I think, a key to what we actually need to do with child care down the road.”
The number of child care programs has grown since before the pandemic in most states, but the employee count per facility has decreased. The federal cash infusion helped child care employment rebound after a 35% dip at the beginning of the pandemic. By November 2022, the number of workers in child care jobs had climbed to 92% of the pre-pandemic level.
In the best circumstances, Smith said, parents would pay more for child care, and the corresponding supply or availability of programs would increase. But because parents are struggling to keep up with the rising costs, which in some places can be more than in-state college tuition, supply is stagnant.
Smith said the end of federal aid programs kicked the issue back to state and local governments. “I think most people would agree that what we need is some type of funding that goes to the programs to keep it so that they can do what they need to do and not charge the parents for it,” she said.
Some state and local governments are doing so. In Alabama, lawmakers approved $42 million last year in the state budget for child care. The Missouri state legislature approved $160 million for child care. Voters in rural Warren, Minnesota, narrowly approved a half-percent sales tax to support a child care center that was struggling to stay open.
During last year’s legislative session, Montana lawmakers and Republican Gov. Greg Gianforte approved new laws to improve child care access, including removing state licensing requirements for small in-home day cares and expanding a program that helps lower-income families pay for child care.
“You can’t sit here in Washington, D.C., and figure out how you’re going to get child care out in eastern Montana,” Smith said. “It just doesn’t work.”
——————————
By: Jazmin Orozco Rodriguez
Title: Child Care Gaps in Rural America Threaten to Undercut Small Communities
Sourced From: kffhealthnews.org/news/article/rural-child-care-shortage-cost-funding-cliff/
Published Date: Tue, 02 Jan 2024 10:00:00 +0000
Kaiser Health News
Montana’s Medicaid Expansion Conundrum – KFF Health News
SUMMARY: Montana’s Republican-led legislature and GOP governor are poised to extend the state’s Medicaid expansion program, covering 76,000 adults, beyond its June 30 expiration. With potential changes at the federal level, state lawmakers must act quickly. Discussions prioritize preparing for possible federal rollbacks, including cuts and work requirements. Recent legislation passed in the House to make expansion permanent, while other proposals suggest tightening eligibility and cost control. Although concerns over increased state costs loom if federal support decreases, some lawmakers argue against making adjustments based on uncertain federal policies. Bipartisan opposition has surfaced regarding proposals to curtail the expansion.
The post Montana’s Medicaid Expansion Conundrum – KFF Health News appeared first on kffhealthnews.org
Kaiser Health News
Texas Measles Outbreak Nears 100 Cases, Raising Concerns About Undetected Spread
SUMMARY: A measles outbreak in West Texas has led to private school closures, overwhelming local health departments. Since the outbreak began three weeks ago, 90 cases have been confirmed, mostly in children under 18, with 16 hospitalizations. Health officials fear the outbreak will worsen, and some parents may be avoiding testing their children. The outbreak has been exacerbated by low vaccination rates, particularly in communities like Gaines, which has one of the lowest vaccination rates in Texas. Local officials are working to contain the virus through pop-up clinics, mobile testing, and educating schools, but the situation remains challenging.
The post Texas Measles Outbreak Nears 100 Cases, Raising Concerns About Undetected Spread appeared first on kffhealthnews.org
Kaiser Health News
GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk
SUMMARY: Republicans are again targeting Medicaid, proposing significant funding cuts to finance President Trump’s agenda on tax cuts and border security. Approximately 79 million people rely on Medicaid and the Children’s Health Insurance Program (CHIP), vital for numerous hospitals and states. Amid Democratic resistance, potential cuts could include reducing federal matching funds and imposing work requirements, which critics argue adds unnecessary barriers. Historically controversial, these efforts reflect deep partisan divides over Medicaid’s role as a safety net versus a welfare program. Many Americans favor Medicaid, making proposed cuts politically sensitive. The outcome remains uncertain as GOP leaders face internal challenges.
The post GOP Takes Aim at Medicaid, Putting Enrollees and Providers at Risk appeared first on kffhealthnews.org
-
News from the South - Louisiana News Feed3 days ago
Jeff Landry’s budget includes cuts to Louisiana’s domestic violence shelter funding
-
News from the South - North Carolina News Feed3 days ago
Bills from NC lawmakers expand gun rights, limit cellphone use
-
News from the South - Texas News Feed4 days ago
ICE charges Texas bakery owners with harboring immigrants
-
News from the South - Oklahoma News Feed6 days ago
Remains of Aubrey Dameron found, family gathers in her honor
-
News from the South - West Virginia News Feed9 hours ago
‘What’s next?’: West Virginia native loses dream job during National Park Service terminations
-
News from the South - Florida News Feed6 days ago
Trump says AP will continue to be curtailed at White House until it changes style to Gulf of America
-
News from the South - Missouri News Feed5 days ago
Interstate 44 reopens following mass traffic
-
Mississippi Today3 days ago
Forty years after health official scaled fence in Jackson to save malnourished personal care home residents, unchecked horrors remain