The Los Angeles Healthy Kids program provides health insurance to low income children in the county who have no other source of coverage (including undocumented children and children above the income limits for Medi-Cal and Healthy Families). These findings from a longitudinal survey of parents of young children in the program indicate that access to medical and dental care for enrolled children increased dramatically over time, use of the emergency room went down, and parents perceived improvements in the health status of their children. This analysis is one piece of a broader Urban Institute evaluation of the program.

Despite extensive research documenting the benefits of investing in young children, infants and toddlers are underrepresented in the federal budget, a new study from the Urban Institute and Brookings Institution found.

The nation’s 12.5 million children under age 3 are 4.2 percent of the population, but they received just 2.1 percent—$44.1 billion—of federal domestic spending in 2007. Domestic outlays, which exclude defense, homeland security, and international affairs, totaled $2.1 trillion.

Every parent recognizes the inextricable connections between where we live and the quality of our children's education. Although public policies have historically contributed to disparities in both neighborhood affordability and school quality, federal programs focused on affordable housing rarely take public schools into account and school officials typically assume that they have no influence over housing patterns. This paper focuses on four principles regarding the vitality and performance of schools and communities, discussing opportunities for constructive policy interventions, summarizing what we know about their likely effectiveness, and recommending next steps for the Department of Housing and Urban Development and the Department of Education.

A college education strongly affects whether or not children from poor or low-income families move up the economic ladder when they become adults. But they are less likely to enroll in either two- or four-year colleges, and less likely to complete a degree when they do, relative to those from middle- and upper-income families — even after accounting for differences in academic preparation. We review current federal efforts to help low-income students attend college, and recommend new policies that would improve their academic preparation, provide more effective guidance on selecting and paying for college, and improve retention and graduation rates.

After weeks of debate, the Senate Health, Education, Labor and Pensions (HELP) Committee just passed legislation to transform our broken health care system. And the House of Representatives recently introduced a similar bill which will be debated in three key committees.

These are major steps forward for health care reform.

Both the Senate HELP Committee and House bills propose significant health care advances that would:

(1) End discriminatory practices by insurance companies that deny coverage to people based on pre-existing conditions, or charge higher rates because of gender or health status;
(2) Help make coverage more affordable by capping families' out-of-pocket costs and providing subsidies for low-income families; and
(3) Keep costs under control by getting more for our health care dollars, for example by rewarding doctors for quality (not quantity) of services provided.

We applaud this progress, but the fight continues. There is still a long way to go in both the Senate and the House!

The House is preparing to mark-up health reform legislation in all three committees with oversight over the issue and the Senate Finance Committee is releasing their draft this week or next. We are very concerned about the possibility of children being left worse off in the legislation and need to keep raising awareness about the important issues for children in health reform. We have drafted the following sign-on letter to the House and Senate.

If your organization would like to sign-on to this letter to the House and Senate, please reply to signon@firstfocus.net or contact Cate Hodgetts at catherineh@firstfocus.net if you have any questions or need additional information. Thanks so much for your consideration!!!

The Nonprofit Risk Management Center's 2009 Risk Management and Finance Summit is an educational event that draws nonprofit leaders from across the country who assist and support nonprofits. The Summit offers a time and place for nonprofit executives, managers and other leaders to network and discuss hot topics and trends that affect the governance and operations of their organizations. At the Summit a spotlight is focused on the topics of risk management, finance and human resources-three disciplines that play a significant role in creating and sustaining a firm foundation on which an effective nonprofit organization can deliver its mission. The Summit is an event for those who want to strengthen the foundations of their organizations, fine tune risk management practices, and thereby enable greater focus and resources to be devoted to mission fulfillment. Sunday to Tuesday, September 20-22, 2009, Austin, TX.

Last month the Section 8 Voucher Reform Act was introduced in the House. H.R. 3045 would streamline and make improvements to the Housing Choice Voucher program and authorize 150,000 new vouchers in fiscal year (FY) 2010.

By providing state Medicaid programs with $87 billion in fiscal relief, American Recovery and Reinvestment Act of 2009 (ARRA) is likely to be effective in preventing many large Medicaid cutbacks. Targeting 35% of assistance to states with particularly high unemployment rates, ARRA will provide more "bang for the buck" in preventing state cutbacks and stimulating the economy than did fiscal relief legislation in 2004, which gave all states the same level of help.