Politics Prevail

Sad news today.  LB 1110, Senator Campbell’s bill to restore prenatal care coverage, was “bracketed” today by unanimous consent.  This means that, while the bill is technically still alive, it won’t come up on the floor this session and is essentially dead.  Unfortunately, politics prevailed over good policy and there weren’t enough votes to pass the bill.

Here is the statement we released this afternoon:

Rebecca L. Gould, Executive Director of the Nebraska Appleseed Center for Law in the Public Interest issued the following statement in response to the motion to bracket LB 1110 today:

“We are extremely disappointed that prenatal care for all low-income women will not be restored by the Legislature this session.  It is shameful that politics were prioritized over the lives of low-income women and babies and derailed this long-standing policy.

We commend Senator Kathy Campbell for introducing LB 1110 and are grateful for all her hard work to ensure that all babies in Nebraska have a chance at a healthy start in life.

LB 1110 was good public policy.  It would have saved taxpayer dollars while protecting the health of unborn babies and mothers.  We are deeply concerned about the future health of these unborn children and the families that face the terrifying prospect of going through their pregnancy with no medical attention.

We also thank Speaker Flood, the co-sponsors of the bill, and the many senators who recognized that providing prenatal care is not only the right thing to do for the health of these unborn children, but that it is the right thing to do for Nebraska taxpayers.

This issue obviously does not end with this legislative action.  Indeed, the policy can be restored at any time administratively.  Appleseed remains committed to restoring prenatal care for all-low income women.  We look forward to the restoration of this common sense and fiscally responsible policy that has long reflected Nebraska values.”

Please consider calling or writing the Governor to tell him he should not have opposed LB 1110 and ask that he restore prenatal care to all low-income women.  Contact: Email the Governor or Call the Governor: 471-2244

Many senators mentioned (to us and in the press) that they had received many calls and emails in support of the bill.   That was extremely important given the calls and emails that were being pushed by anti-immigrant groups and other opponents.  Thank you for all your advocacy on this.

Please also consider contacting Senator Campbell, the sponsor of the bill, to thank her for all her efforts on this issue.   Contact: Senator Kathy Campbell,  471-2731.

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Just The Facts Please – The Truth About Prenatal Care

Nearly another whole week has gone by for over 1,500 women and children cut off from prenatal care.  Thankfully, there were a few bright spots this week in the effort to pass LB 1110.  The Omaha World Herald came out with a very strong editorial in support of LB 1110. Other press stories made clear that the majority if calls and emails that Senators have been receiving are in support of LB 1110.  So, keep up the good work!  Your voice truly makes a difference.

But, misperceptions and specious arguments persist.  So, let’s regroup and look at the actual facts:

  1. Providing prenatal care is good for taxpayers.  Providing prenatal care to the unborn child through the Children’s Health Insurance Program (or Kids Connection in Nebraska) rather than Medicaid will save taxpayers close to $5 million.  Further, providing prenatal care will help prevent premature babies, low birth weight babies, and other complications that have lasting consequences for that child and are more expensive to treat.  Once these children are born they will be eligible for Kids Connection and if they are born with complications that will make it more expensive for the state to treat them after they are born.
  2. Providing prenatal care is good for babies.  There is vast evidence that providing prenatal care helps reduce the risks of illness and complications for unborn children.
  3. Providing prenatal care does not drive immigration.   Immigrants do not choose where to settle based on the generosity of a state’s public benefits programs. Between 1995 and 2000, the number of immigrant families with children grew four times faster in states with the least generous “safety nets” for immigrants than it did in states with more generous safety nets.  Moreover, Nebraska has been providing prenatal care to unborn children regardless of the mother’s immigration status for decades.  If this policy was going to drive migration we would have evidence of that.  But we don’t because there is no evidence.  What research does support is that people decide to come to the U.S. to find employment.

Nebraska has long been a leader on this issue.  We decided decades ago that providing prenatal care made sense.  We were right then and we are still right today.  It is shameful that some are letting politics create a swirl of false and unnecessary confusion around the issue.

The  facts and our Nebraska values support LB 1110.  We should be proud that we prioritize the health of mothers and babies in this state.

It is good health policy.  It is fiscally responsible.  It is the right thing to do.

Period.

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OSHA Hears the Voices of Meatpacking Workers

Last week, the Occupational Safety and Health Administration (OSHA) opened its doors to stakeholders from around the country for an all-day “OSHA Listens” event in its Washington, DC headquarters. The purpose of the event was for OSHA to receive comments and suggestions on key issues facing the agency in order to improve OSHA’s efforts to protect the safety and health of workers. The agency was particularly interested in specific actions it can take to enhance the voice of workers in the workplace, particularly workers who are hard to reach, who do not have ready access to information about hazards or their rights, or who are afraid to exercise their rights.

Stakeholders presented their ideas, suggestions and comments to Assistant Secretary of Labor for OSHA Dr. David Michaels, Chief of Staff Deborah Berkowitz, Director of Enforcement Richard Fairfax, and Director of Standards Dorothy Dougherty.

Nebraska Appleseed testified on policy changes by OSHA to improve health and safety conditions for meat and poultry workers. Read our testimony and media coverage of the event.

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Making the Grade on Child Nutrition

I am blogging today from Washington, D.C.   I am attending the Food Research and Action Center’s Annual Anti-Hunger Policy conference and visiting our federal delegation. There is a real movement here surrounding President Obama’s goal of ending childhood hunger by 2015.

This would mean that by the time our current class of sixth grade students graduates from High School child hunger would be eradicated in our nation.  It’s an exciting vision.

Just as they’ll be working through their junior high, freshman, sophomore, junior, and senior years, we advocates must continue to “make the grade” in anti-hunger advocacy.

In the midst of other major issues, children’s health and nutrition needs cannot be lost – particularly now when one in seven children under 18 in Nebraska struggles with food insecurity.

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Healthy Babies or Politics?

Monday, March 1st was not a good day for Nebraska.  On Monday, over 1,500 women and their unborn children lost their access to prenatal care.  For decades Nebraska has been a state that prioritized the health of the mothers and babies in this state.  On Monday, the Administration and the Department of Health and Human Services decided that wasn’t important anymore.  That healthy moms and babies were no longer a Nebraska value.

We don’t agree.  And we hope the Legislature doesn’t either.  As you’ve read and as we’ve discussed on this blog, this problem could have been solved quite easily by the administration and DHHS.  For nearly a year, the state has known that it could continue to provide prenatal coverage to low-income women by covering the unborn child through the Children’s Health Insurance Program (CHIP).  All that is required is a simple state plan amendment.  But they have refused.

Now, thanks to Senator Kathy Campbell, the Legislature can make this right.  Senator Campbell has introduced LB 1110 which would require DHHS to create a program to cover unborn children under CHIP.  This would restore Nebraska’s long-standing policy of providing all low-income mothers and babies with prenatal care, regardless of immigration status.

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Two Important Child Welfare Bills Need Our Support

Last month, the Legislature’s Judiciary Committee heard testimony on two important child welfare bills that Nebraska Appleseed strongly supports.

LB 971, introduced by Sen. Kathy Campbell, would implement several key provisions of the federal Fostering Connections to Success and Increasing Adoptions Act of 2008 into Nebraska statute.

Specifically, the bill requires the state to place siblings together or to provide for ongoing interaction among siblings in foster care unless doing so would be contrary to safety or well being of the siblings. Maintaining sibling connections for children in foster care has many benefits, including the fact that siblings placed together tend to have an enhanced sense of security and connection.

LB 971 also provides for notice to adult relatives within 15 days of the child being removed from the home. Maintaining these extended family connections is critical to the well being of children. While relative placement is not indicated in certain circumstances, generally speaking placing children with relatives has a number of advantages, including that relative placements tend to be more stable and provide important cultural and familial connections for children.

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A Bumpy Ride

Increasingly, the economic downturn is leading Americans, and Nebraskans, to access public benefits programs such as Child Care Assistance and the Supplemental Nutrition Assistance Program (SNAP).  In fact, the New York Times ran a recent story about “the new poor” entitled “Millions of Unemployed Face Years without Jobs”.  The story chronicles the experiences of folks who never imagined they would need assistance.  Similarly, for many Nebraskans, the economic downturn and road towards recovery has been, and continues to be, a very bumpy ride.

Public benefits programs are intended for times such as these – for times when the nation as a whole is struggling and families and workers need support.  And, for many Nebraskans, they are providing vital assistance.  For example, Nebraska’s SNAP participation has increased over 25% in the last year.

Yet, times such as these illustrate the gaps in our programs.  Increased utilization shines a spotlight on the holes in our safety net.  Consider this chart, which illustrates the experiences of a single parent accessing public assistance programs.  This family will lose Child Care and Food Stamps/SNAP assistance far before reaching self-sufficient wages of about $14 in Lancaster County.  For many, the road to requiring assistance was difficult, and the road to moving back towards self-sufficiency will be uneven at best.

Family, Self-Sufficiency and Wages

The need for improvements to our public assistance programs is clear.  For recommendations about how, take a look at our newest report “Back to School, Back to Work”.  As a state, we can improve eligibility for child care assistance, expand participation in the Children’s Health Insurance Program, and improve the quality of our ADC program to ultimately make the road to self-sufficiency just a bit more manageable for struggling Nebraskans.

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Changing the Odds

Back to School, Back to WorkLast week, we launched our Economic Opportunity Campaign, which is a values based policy agenda to build opportunity in the state.   The Campaign puts forth a vision where programs and policies change the odds for working Nebraskans. The vision includes job training, adult education, child care assistance, and access to health care.

In that spirit, we are celebrating five fantastic people, who, in spite of a tough economy, are beating the odds with the help of critical programs to build a better life.

These are folks who have taken advantage of opportunities to gain education, care for their families, and achieve new career goals.  Inspired by them, we ask you to review our Economic Opportunity Campaign report “Back to School, Back to Work” and sign on in support of our effort.

The winners have participated in a variety of state education and training programs, such as the Omaha Area Health Education Center Nurses Up! training program, while caring for their families.   They are all currently either employed or pursuing higher education.

Congratulations to our Winners!

Nicole Austin, Lincoln, NE

Cinthia Arredondo, Kearney, NE

Jennifer Parks, Bayard, NE

Lillie Manuel

Jennifer Engenhauser, Omaha, NE

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Report Documents Immigration Enforcement’s Harmful Effects on Children

While our country is engaged in an intense debate about immigration policy, largely absent from the discussion is the impact of our nation’s policies on the children of immigrants. Today, there are an estimated 5.5 million children with unauthorized immigrant parents, about three-quarters of whom are U.S.-born citizens.

Last week, the Urban Institute released a major report, “Facing Our Future: Children in the Aftermath of Immigration Enforcement,” that examines the consequences of parental arrest, detention, and deportation on 190 children in 85 families in six locations across the country. The report details impacts on children in the days and weeks after parental arrests, in the intermediate and long term while parents were detained or contested their deportation, and in some cases, after parents were deported. The children in the study experienced severe challenges, including separations from parents and economic hardships that likely contributed to adverse behavioral changes that parents reported.

The study found that parent-child separations pose serious risks to children’s immediate safety, economic security, well-being, and longer-term development. Most families in the sample lost a working parent and, as a result, experienced steep declines in income and hardships such as housing instability and food insufficiency.

Children who were separated from detained parents after a raid or other arrest, were more likely to experience behavioral changes in both the short term and the long term such as changes in eating and sleeping habits as well as being increases in anxious, withdrawn, clingy, angry, or aggressive behaviors.

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Common Sense and Prenatal Care

For years Nebraska has had a common sense, compassionate, and fiscally sound policy of providing prenatal care to low-income mothers regardless of immigration status. But now, over 1,000 pregnant women face the terrifying prospect of losing their coverage for prenatal care as of March 1st. One of the worst parts of this? The coverage could easily be continued at a savings to the state. But the ugly politics of our time seems to be driving bad policy.

The obvious reasons for providing prenatal care are clear to most. First, there is the humanitarian reason of prioritizing the health and well-being of the mothers and babies in this state. Second, the cost benefits of proper prenatal care are clear and well-documented. This is a perfect example of a time when an ounce of prevention saves a pound of cure. The mothers who are about to lose access to prenatal care will be eligible for emergency Medicaid to cover the delivery and the children will be eligible for Kids Connection at birth. It makes much more sense for the state to pay a small cost for prenatal care rather than paying a huge cost in caring for a child born early or with serious complications that might have been prevented.

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