Health
For Former Foster Kids, Moving Out of State Can Mean Losing Medicaid
By Anna Gorman , Kaiser Health News
Soon after moving to Utah this summer, Rainbow Sky Buck ended up at the hospital with a painful ear
infection. There, Buck learned she no longer had access to the free health coverage she had in California as
a former foster youth.
To pay for the care, Buck emptied out her bank account and borrowed money. “Luckily, I got my
antibiotics and I am okay now,” she said. “But what is going to happen next time?”
Under the health law, young adults who age of out of the foster care system are eligible for free Medicaid
coverage until they turn 26. The provision was an attempt to give them the same opportunity as other young people who can stay on their parents’ insurance until their 26th birthday.
But these young adults are encountering a major barrier: They are only guaranteed coverage in the state
where they were in foster care. States have the option of extending the benefit to all former foster youths,
but only about a dozen have done so.
Now, advocates and policymakers are trying to change the law at the federal level, so former foster youths
don’t lose access to Medicaid coverage no matter where they move.
Reps. Karen Bass, D-Calif., and Jim McDermott, D-Wash., have proposed legislation that would allow
them to qualify for Medicaid, the government health program for low-income Americans, in any state.
Sen. Bob Casey, D-Pa., has introduced a similar bill that he said would be a simple clarification of what
Congress intended. Meanwhile, advocates are pushing the Centers for Medicare & Medicaid Services to
change its interpretation of the original provision.
First Focus, which advocates for foster youths, has been receiving calls from young people who had no idea
that they would lose health insurance when they moved.
“We really do feel an urgency about this,” said Shadi Houshyar, vice president of child welfare policy at
the organization. “So many people who have aged out have significant health needs and coverage is so
important. There shouldn’t be an additional barrier.”
Former foster youths are more likely than their peers to have physical and mental health needs, experts say.
Ongoing research in Illinois, Wisconsin and Iowa shows that 22 percent of former foster youths had been
hospitalized at least once in the previous year and one-third had two or more emergency room visits.
Just like other young people, former foster youths move to different states for school, jobs or family, said
Fatima Morales, policy and outreach associate for the advocacy group Children Now. Morales said they
shouldn’t be penalized for doing so.
Morales said her organization is trying to inform youths what they might face if they move. “They need to
know how their health coverage might be impacted,” she said. “It’s just something that they need to weigh.”
Lezlie Martinez, 19, is weighing her options now. She is hoping to move from California to Colorado
because she wants to live in a place with a lower cost of living. Her boyfriend is already there and she is
looking for hospitality jobs to support herself and her 2-year-old son.
But she worries that she may be left uninsured and unable to pay for medical treatment for eczema,
allergies and fibromyalgia. “It is causing foster youth to be stuck in the same state they were raised in,” said
Martinez, who lives in Oceanside, Calif. “It is really stressing me out.”
Buck said she decided to move to Sandy City, Utah, because of the limited job prospects in the small
northern California town of Crescent City. Before moving, she asked social workers about whether she
would still qualify for free health coverage and was told that she would. Buck said she was shocked to learn
otherwise.
She is no longer seeing a therapist for depression and said she is weaning herself off antidepressants
because she can’t afford them. Buck said she also worries about getting another ear infection and not being
able to afford treatment.
“It is just scary to think I am completely on my own,” said Buck, who recently got a job at an automotive
shop but doesn’t get insurance from her employer. “I don’t want to leave, but this is almost forcing me to
move back to California.”
Kaiser Health News can be reached at http://khn.org/
Activism
Oakland NAACP President Stands on the Frontlines for Equity
With education as a cornerstone, Adams emphasized the importance of youth having access to quality kindergarten through 12th-grade education along with college or vocational programming beyond high school. “I feel that it’s so important for our children to get a good education in K-12th grade, along with the colleges of their choice, especially with the HBCU’s (Historically Black Colleges and Universities).”
By Carla Thomas
For Cynthia Adams, president of the Oakland chapter of the NAACP, fighting for the rights of Black people comes naturally. With southern roots in Arkansas, Adams experienced firsthand the injustice and unfairness of racism.
“Growing up in the Jim Crow South, I experienced the unfair treatment of people of color and how faith can inspire communities to bring about positive and long-lasting change,” said Adams. Adams says a combination of her family and faith has kept her strong in the face of adversity and inspired her life’s work of advocacy.
Adams chose education as a career path — and a means to achieve equity and overcome racism. She earned her bachelor’s degree at the University of Arkansas at Pine Bluff and later received an advanced degree from California State East Bay.
Adams’ experience as an Oakland Unified School District (OUSD) recorder, a counselor, a researcher, and a college recruiter has allowed her to be laser-focused on youth. She also served as the chairperson for the Oakland NAACP youth.
“The mission of the National Association for the Advancement of Colored People is to ensure the political, educational, social, and economic equality of rights of all persons and to eliminate race-based discrimination. We want to ensure our citizens have equal rights and opportunities without discrimination based on race.”
As a partner with the State of California’s Stop the Hate campaign, Adams says the initiative is a step in the right direction. “It’s great that our governor and state created the Stop the Hate campaign and provides resources for victims of racism and other hate crimes,” said Adams. “The racism toward Black people has increased and our children are being targeted,” she continued.
“We, at the Oakland branch, created a declaration on racism that will amplify the needs of our community to combat racism,” continued Adams. “That declaration was adopted nationally.”
Bridging communities and collaborating is also a strategy for moving society toward justice, according to Adams.
“Through the NAACP, we build connections between communities and advocate for the rights of historically marginalized and oppressed individuals,” said Adams. “Collective action is the only way to advance civil rights and promote social equity.”
With education as a cornerstone, Adams emphasized the importance of youth having access to quality kindergarten through 12th-grade education along with college or vocational programming beyond high school. “I feel that it’s so important for our children to get a good education in K-12th grade, along with the colleges of their choice, especially with the HBCU’s (Historically Black Colleges and Universities).”
By taking stands on supporting former Oakland Police Chief LeRonne Armstrong to supporting the recall of a mayor faced with a scandal that brought negative national press to the city of Oakland, Adams has always demanded more for her people, and better for Oakland, the city she calls home.
She expressed pride in the national organization’s announcement of a $200 million fund designed to empower Black funders nationwide. “We all know the health of a community begins with economics,” said Adams.
Adams says that strengthening Black businesses automatically sustains a community. “We’ve also got to educate our community on opportunities and teach our children critical thinking so that they can provide the next generation of solutions for society,” said Adams.
Activism
January Is Mental Wellness Month
Mental illness affects people differently. Children ages 6-17 are three times more likely to repeat a grade if they have mental, emotional, developmental, or behavioral problems. Those with severe mental illness have a life span of 10 to 25 years shorter than the general population. 64% of jail inmates have a mental illness compared to 21.6% of the general adult population.
By Scott Knight
January is a time to recharge and recover from the holidays. It is also National Mental Wellness Month, which recognizes the importance of mental health and aims to reduce the stigma associated with mental illness.
According to the National Institutes of Health, 57.8 million adults lived with some form of mental illness in 2023. The severity varies from person to person. Understanding mental health statistics in the U.S. can raise awareness and garner support for those in need.
Anxiety disorders are the most common form of mental illness and women are more likely than men to experience depression. 17% of adolescents ages 12-17 experienced a major depressive episode. And 33.5% of adults with living with a mental illness also has a substance use disorder.
The Substance Abuse and Mental Health Services Administration (SAMHSA) collects data on substance use and mental health. Their 2023 National Survey on Drug Use and Health reported that multiracial people had the highest rate of mental illness at 36.7%, followed by Whites (24%), American Indian/Alaskan natives (23.5%), Hispanics (20.6%), Blacks (19.4%), and Asians (18.1%).
Mental illness affects people differently. Children ages 6-17 are three times more likely to repeat a grade if they have mental, emotional, developmental, or behavioral problems. Those with severe mental illness have a life span of 10 to 25 years shorter than the general population. 64% of jail inmates have a mental illness compared to 21.6% of the general adult population.
National Mental Wellness Month involves highlighting the resources available to equip individuals with the capacity to cope with life’s difficulties; have healthy relationships and take care of their mental well-being before issues arise.
Wellbeingtrust.org tells us that having a purpose in life offers many benefits, including being happier, living longer, sleeping better, and improved heart health. To find that purpose explore your interests, volunteer, consider what you love to do, talk to friends and family, and try new experiences.
The National Alliance on Mental Illness reports that 46% of people who die by suicide had a known mental illness.
The Jason Foundation is a valuable resource if you feel that a friend or loved one is struggling with a mental illness. JFI is dedicated to the awareness and prevention of suicide through educational programs that equip youth, parents, educators, and the community with the tools and resources to identify and assist those who may be struggling mentally.
Visit www.jasonfoundation.com to learn how to make a difference and find the closest Jason Foundation Affiliate Office.
About the Author
Scott Knight is the Education Specialist at the Jason Foundation.
Activism
2024 in Review: 7 Questions for Former Assemblymember Chris Holden
While in office, Holden championed efforts to improve education outcomes for students and advocated for social and racial justice. Legislation he wrote or sponsored also focused on, innovation in transportation, protecting developmental disability service providers and improving public health, more broadly.
By Edward Henderson, California Black Media
In 2012, Assemblymember Chris Holden was first elected to the California State Assembly representing the 41st District in the San Gabriel Valley.
He was re-elected to that position for the following four terms.
While in office, Holden championed efforts to improve education outcomes for students and advocated for social and racial justice. Legislation he wrote or sponsored also focused on, innovation in transportation, protecting developmental disability service providers and improving public health, more broadly.
Holden, a graduate of San Diego State University, lives in Pasadena with his wife, Melanie, and children Nicholas, Alexander, Austin, Mariah and Noah. Holden is the son of former State Senator and LA City Councilmember Nate Holden.
Before he closed out his final year of service in the Assembly, California Black Media (CBM) spoke with Holden. He reflected on his accomplishments this year and his goals moving forward.
Looking back at 2024, what stands out to you as your most important achievement and why?
A project I’ve been working on for well over 36 years — the light rail system — made its way into Pasadena from downtown LA. Now it’s making its way through the San Gabriel Valley to Pomona.
How did your leadership and investments contribute to improving the lives of Black Californians?
Having an opportunity to represent a multi-ethnic and diverse district is exciting, but to be able to bring a voice for a lived African American experience from the San Gabriel Valley is very important.
What frustrated you the most over the last year?
I still am frustrated that we aren’t seeing the kind of progress on affordable housing to allow underrepresented communities to be able to afford to live in the community that they grew up in.
What inspired you the most over the last year?
There has been a lot of movement around reparations through community engagement. Dr. Shirley Weber put forth the bill to establish a reparations task force and that task force met for a number of years. Two members of our caucus served on it, Sen. Steven Bradford and Assemblymember Reggie Jones-Sawyer. A thousand-page report and a hundred recommendations or more came out of that. And now we’re in the process of finding ways to implement some of those recommendations. It’s going to be a longer process, but I’m hopeful because California, once again, is on the front end of taking on a really challenging issue.
What is one lesson you learned in 2024 that will inform your decision-making next year?
Always be mindful how quickly the winds can change. We’ve gone from 10 years of having budget surpluses to this year having a $45 billion deficit.
In one word, what is the biggest challenge Black Californians face?
Inequality.
What is the goal you want to achieve most in 2025?
Well, I won’t be in the legislature in 2025, but I love public policy. I’d like to find myself in a position where I’m continuing to have an influence on how public policy is shaped and formed. I’m just looking forward to being a vital voice going into next year in a different role. It will also be an opportunity to lay a foundation to take another run, possibly for a seat on the LA County Board of Supervisors in 2028.
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