Health

The care for the children in our state and communities can be measured by our public investment in our smallest humans. From the fiscal year 2008 to 2022, Voices for Utah Children divided all state programs concerning children into seven categories, without regard to their location within the structure of state government to quantify the level of public funding and identify trends. The seven categories are:

1. K-12 Education
2. Health
3. Food & Nutrition
4. Early Childhood Education
5. Child Welfare
6. Juvenile Justice
7. Income Support

An appendix of our tables, sources, methodology and description of programs can be found here. 

How Much We Spend

The interactive circle chart below compares how much we spend by category, program, and source of funding, just use the filter and click the category to zoom in.

• K-12 Education makes up 92% of the state-funded portion of the Children’s Budget, while the federal-funded portion is more diversified across categories.

Spending Trends

We compare the budget to FY2008 because that was a peak year in the economic cycle before The Great Recession and all figures have been adjusted for inflation, so they are comparable across time.

• From FY2008 to FY2022, total public investment in children increased by 43%, growing much faster than Utah’s public-school enrollment (district & charter schools) by 26%, or the child population ages 0-17 by 13% from 2008-2021.

The federal share of the Children's Budget has fluctuated between 18-26% but had its biggest increase at the beginning of the Great Recession and the Covid-19 Pandemic. This is also when state funding for the Children's Budget has declined, for example real state & local K-12 education funding fell by $206 million since FY2020, the largest two-year decline since the Great Recession in 2008-2010. Several years after the Great Recession the federal share of the Children’s Budget decreased and the state share started to increase again, something that will hopefully happen again as pandemic relief funding rolls back. 

Funding Sources: Federal vs. State

When the categories are disaggregated by source of funding, Food & Nutrition, Income Support, Health, and Early Childhood Education programs are mainly funded by federal sources, and Child Welfare, K-12 Education, and Juvenile Justice programs are funded mainly by state sources. And since Amendment G passed and allowed the income tax to be used to fund programs for children (in addition to K-12 and some Early Childhood Education & Nutrition Programs), the Child Welfare, Juvenile Justice, and Health categories are funded primarily by the income tax. In FY2022, 98% of Juvenile Justice, 100% of Child Welfare, and 88% of Health categories of the state funded Children's Budget were funded by the income tax totaling to $475 M.

When examining the state-funded portion of the budget since FY2008 each category has a different story. 

• Juvenile Justice programs declined the most in dollar amount, $32.9 M or 28% mainly due to a reduction in correctional facility and rural programs and it also had an increase in early intervention services which advocates consider to be a goal of juvenile justice reform.
• Child Welfare programs declined by 16% or $21.8 M, mainly from the Service Delivery program which funds caseworkers to deliver child welfare, youth, and domestic violence services. 
• Income Support declined 49% or $2.1 M and appears to be more cyclical, rising and falling with the Great Recession. Interestingly, the TANF grant is a mix of state and federal funds, and only a small amount goes to Income Support or cash assistance.[i]  
• Food & Nutrition increased by 56% or $19.7 M due to an increase in liquor & wine tax revenues which supports the school lunch program.
• Early Childhood Education had the largest percentage increase of 109% or $42.0 M mainly from the Upstart program but increasing in every program except Child Care Assistance.
• Health has increased by 80% or $139.3 M from the Medicaid and CHIP program but also had a 58% or $12.4 M decrease in Maternal & Child Health. 
• The category that has increased the most in dollar amount is K-12 Education.

K-12 Education Funding

State and local sourced funding for K-12 education increased by $1.6 billion in constant 2022 dollars from FY2008 to FY2022, but per-pupil spending only increased from $10,212 to $10,537 per student. This means that even though more is being spent in total dollars, it barely covers the increase in students during the same time.

In 1948, 100% of the income tax was allocated to public education, an increase from 75% when it was originally imposed in 1931. It was expanded in 1996 to include higher education, in 2021 to include non-education services for children and people with a disability, and may be expanded again depending on a 2024 ballot measure placed by the Utah Legislature.  

The income tax rate has been reduced in 1996, 2006, 2008, 2018, 2022, and 2023.  The graphs below illustrate a timeline of these changes and Utah’s total elementary and secondary public schools (district & charter) funding effort (including capital) as a percentage of personal income and rank compared to other states.

Unfortunately, the result is a downward trajectory and likely explains our second to last place in per-pupil funding in the country.[ii]

Utah's Education Funding Effort as a Percent of Personal Income

According to the fiscal notes, the last two bills that reduced the Income Tax rate in 2022 and 2023 estimated a loss of $1.3 billion in the Income Tax Fund from FY2022-2025 with more ongoing.[iii]

State & Local Funded Portion of K-12 Education

Another result of these changes has been shifts in the funding source for K-12 education. From the fiscal year 2008 to 2022, the federal-funded portion increased by 74% and the state-funded portion declined by 3%.

Meanwhile, Local sources have increased by 12%, possibly to meet the needs of their communities while state-funded sources decline and putting greater pressure on sources like the property tax which is more regressive than the income tax because it takes a greater toll on low-and middle-income families.

Rank of Utah's Education Funding Effort Compared to Other States

We Need to Prioritize Children in the Budget

While Utah doesn’t have the most kids than any other state, we do have the highest share of kids in our population. And we as a community are entrusted to make sure they are cared for, safe, and have the tools they need to achieve their aspirations. As the Utah Legislature drafts, holds hearings on, debates, and passes the Utah state budget we hope they prioritize our most vulnerable and precious group, Utah’s children.

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[i] https://www.cbpp.org/sites/default/files/atoms/files/tanf_spending_ut.pdf 

[ii] https://www.census.gov/programs-surveys/school-finances.html 

[iii] https://le.utah.gov/~2022/bills/static/SB0059.html, https://le.utah.gov/~2023/bills/static/HB0054.html These fiscal notes show the loss from the income tax fund but they are not disaggregated by changes from the income tax rate or tax credit portion of the bills.

BROAD COALITION CALLS FOR INVESTMENT IN UTAH’S FUTURE RATHER THAN TAX CUTS, DOCUMENTS $5.6 BILLION IN URGENT UNMET NEEDS

Salt Lake City – On Monday, January 23, 2023 at the Utah State Capitol, a broad and diverse coalition of advocates for the poor, for disabled Utahns, for education, health care, clean air, the Great Salt Lake, transportation investment, and a variety of other popular Utah priorities held a press conference calling on the Utah Legislature to prioritize addressing Utah’s long and growing list of unmet needs over permanent tax cuts that undermine our long-term capacity to invest in Utah’s future.

Utah’s strong economy and rapid recovery from the pandemic, combined with the ongoing impact of federal spending, have generated unexpected state revenues amounting to a reported $3.3 billion available for FY2024. These revenues put Utah in a position to address chronic revenue shortages that have plagued numerous areas of state responsibility. Instead, state leaders have proposed roughly half a billion dollars in permanent tax cuts, tilted unfairly toward the high end of the income scale, as well as additional hundreds of billions in one-time tax breaks.   

These new proposed permanent tax cuts would be over and above the roughly $4 billion that the Legislature has already cut from annual revenues in recent decades, leaving Utah’s taxes at their lowest level in half a century, relative to incomes.

In response, today the Invest in Utah’s Future coalition presented a list of urgent unmet needs amounting to $5.6 billion, over $2 billion more than the amount of the “surplus” revenues.

The advocates also pointed out that, according to data from the Utah State Tax Commission and the Utah Foundation, taxes in Utah are the lowest that they have been in decades, following repeated rounds of tax cutting. “Of course we all like paying lower taxes, but at a certain point we have to ask ourselves: Is it possible to have too much of a good thing? Are we, as the current generation of Utahns, meeting our responsibility, as earlier generations did, to set aside sufficient resources every year to invest in our children, in our future, in the foundations of the next generation’s prosperity and quality of life?” said Matthew Weinstein of Voices for Utah Children.

Speakers also referenced public opinion surveys by the Deseret News and Hinckley Institute that found that only 25% of Utahns support tax cutting over investing in Utah’s future, consistent with other polls done in recent years by the same organizations as well as by Envision Utah and the Utah Foundation.

Here is the list of urgent unmet needs that Utah has not been able to address due to the state’s chronic revenue shortages:

 The press conference was broadcast live on Facebook: https://fb.watch/ieyT_0Zi14/?mibextid=RUbZ1f 

Media coverage: 

• KJZZ: Local organizations oppose statewide tax cuts, call for investments in Utah's future instead 
• Deseret News: Time to invest more in education, housing, water and other areas, group says 
• KUTV-2: Local organizers oppose tax cuts, call for investments in Utah's future instead
• KSL: Don't cut taxes, advocacy groups urge Utah lawmakers. Here's why. 
• UtahPolicy.com  

 Additional one-pagers distributed by some of the coalition members: 

• Circles Salt Lake: Background about Circles and one-pager about benefits cliffs
• Transit: Utah Transit Riders Union info and one-pager about free-fare transit
• Community Action Partnership of Utah one-pager about rural Utah's needs 
• Child care one-pager from UtahCareforKids.org 
• Housing affordability one-pager from Utah Housing Coalition

By Sariah Villalon (Voices Policy Intern)

We live in a digital world where social media has become integral to our society. It has broadened our communication, allowing us to connect and share information with anyone around the world. It has helped bring awareness to many issues and achievements within our society. But let's face it, unintended risks and consequences come with every innovation. One of them is its effect on our mental health, especially our young people's mental health.

Over the years, there has been an increase in depression, anxiety, and suicide among the youth, especially among girls. Social media may influence these mental health problems through social comparison, cyberbullying, and exposure to other toxic content (Nesi, 2020). 

Governor Spencer Cox recently addressed the relationship between social media on the mental health of our youth and how we could improve the mental health of our youth in Utah. Some of his recommendations are the following:

• Hold social media companies accountable by providing tools for parents to safeguard their children,
• Implement a cell phone-free environment in schools to reduce distraction for students.
• Encourage parents to set an example for their children by spending quality social time with one another without social media use.
• Educate their children on what is appropriate to say on these platforms.
• Monitor their children's social media use by using different tools.
• Have an honest conversation about social media

There are multiple good points that the governor pointed out. We agree that social media companies need to be held accountable for the algorithm and design of their apps that provide a toxic environment for their users. A couple of legislative efforts have been created to hold social media responsible. But is it enough?

We do not see so much urgency from these big techs. Even if they get fined, they could pay everything off quickly. It also puts too much burden on the parents to monitor and safeguard their children. We also have to be honest that we cannot blame everything on these companies. So, what can we do?

We need to hold these social media companies responsible by making them contribute to funding social media education for the youth. Organizations such as Digital Respons-Ability train parents, students, and educators on digital citizenship.

We cannot escape the digital world, and it will only progress from here on. We need to teach our youth how to use the technology and social media they have properly. Removing phones during school time will not solve our problems. By educating the youth, they can be better equipped to make informed decisions for their lives and improve their learning.

Another is research on the effect of social media on youth mental health. As we know, mental health is multi-faceted. We cannot just say that one factor causes mental health problems. We need more longitudinal studies on its effects to counter better or mitigate its adverse effects.

More importantly, let's talk more openly about our mental health. Let us educate ourselves and share our experiences with our children so they can also be aware of their well-being. Give them the resources to improve or manage their mental health. When children are more knowledgeable, it can increase their chances of knowing when and where to get the help they might need. 

Learn more on how we can help through this video. You can also download this infographic on Youth Mental Health & Digital Media for more information. 

Families living with health insurance, and without: New storybook highlights why all Utah children need health insurance

Throughout the pandemic, health insurance has been a critical lifeline for Utah families to stay healthy and avoid medical debt. Yet many Utah children and parents are still unable to access any form of health insurance; they are denied coverage due to their immigration status. A new digital storybook, released by Voices for Utah Children, highlights families’ real-life experiences with health insurance and medical care. The stories reveal how having health insurance- or not having it- can alter a child’s life course.

The digital book is a collection of accounts shared by children, parents and caregivers across Utah. To protect the privacy and sensitive material shared, names were changed. The book includes accounts of children growing up without health insurance; the short and long-term positive impact of CHIP and Medicaid for children; immigrants and asylees finding the care they need; and children being denied care due to immigration status, while their siblings born in the United States can access care.

The storybook humanizes a problem that is often ignored: today in Utah, thousands of Utah children are still shut out of health coverage. As one DACA- recipient recounts in the book, growing up her families was “Too scared of the cost to go to the ER.”

However, there are glimpses of hope on the horizon. In the 2022 General Session, the Utah Legislature considered a bill that would allow all income-eligible children to enroll in Medicaid or CHIP, regardless of their background or immigration status. The bill, sponsored by Senator Luz Escamilla and Representative Mike Schultz, passed the Senate with broad support, but ran out of time in the House.

The book lifts up the stories behind the 2022 legislation. Previous reports from Voices for Utah Children have estimated the significant state savings if all children have coverage. The digital storybook shows the emotional, physical and financial costs families pay when their children are denied health insurance, and the life-changing benefits when families are able to get coverage.

Download Storybook Today!

This Session, one of Voices for Utah Children’s top priority bills received very little public attention despite its behind-the-scenes activity. Below we will unpack what happened, lessons we learned, and what we believe the path forward should be so we can reach 100% Kids Coverage in Utah.

First a little background, during the 2021 Legislative Session, we were thrilled to see many statements in support of children’s health insurance coverage. Speaker Wilson highlighted children’s coverage and Utah’s high rate of uninsured kids during his opening Session remarks and supported funding for CHIP outreach. On the Senate side, Senator Escamilla championed a bill to Cover All Kids, which former House Leader, Representative Gibson, sponsored on the House side. While the bill did not make it through in the final days of the Session, it seemed well-positioned to pass in 2022.

Onto 2022…

This year Senator Luz Escamilla ran Senate Bill 185. Like her bill last year, SB 185 ensured all Utah children could get covered and stay covered by allowing income -eligible Utah children access to Medicaid and CHIP, regardless of immigration status. In addition, SB 185 restored funding for continuous eligibility for Medicaid children. Senator Escamilla skillfully navigated SB 185, with approval from the Senate Revenue and Taxation Committee and broad support on the Senate floor. On the House side, Majority Leader, Representative Mike Schultz, stepped up as the House Sponsor to usher the bill across the finish line. But unfortunately, the bill was never brought to the full floor for a vote in the House.

So what happened this year?

Although SB 185 made it out of the Senate with little objections or pushback, it ran into obstacles in the House. The bill arrived in the House without enough time for a committee hearing. While it could have gone through without one, members of the House did not have the full time to discuss and familiarize themselves with the bill and work through question or concerns.  Although the bill never came to the floor for a full vote, it did have strong bipartisan support. Cover All Kids got even closer this year, but still fell short.

Going forward, we must discuss any questions or concerns directly. We invite lawmakers to join us in having honest conversations about the children we are leaving behind in our state, the children we are deciding not to cover. All children growing up in Utah need health insurance to thrive, regardless of their immigration status. To deny some children access to health care is unconscionable.

It is time we amplify the many voices, the stories, the statewide energy and support for Covering All Kids.  Lawmakers are ready; Utahns are ready. It’s time we act to Cover All Kids.

Learn more about the stories and join our campaign at https://www.100percentkids.health/take-action

Kids Count Utah: A Data Book on the Measures of Child Well-Being in Utah, 2021 is the first glance at the effects of the COVID-19 pandemic on Utah’s children. Please click on the button below for the full report. 

2021 UTAH KIDS COUNT DATA BOOK

Children under the age of 18 make up a third of the state’s population. Not surprisingly, Utah children and their families faced additional challenges as a result of living through a global pandemic.

Unfortunately, over 10 percent of Utah children are experiencing poverty. Additionally, since 2019 Utah saw an increase of over 4,000 additional children considered to be in Intergenerational Poverty (IGP). More children caught in a cycle of IGP is concerning as it could mean that their own children may continue that same cycle if their economic situation does not improve.

Providing a quality education to children during the pandemic continues to be a challenge. The most recent data shows that student proficiency assessment results decreased over the past year. And data also shows that many children are not receiving the mental health treatment they need. A new data indicator shared in the 2021 data book looked at access to mental health. The data collected from the National Survey of Children’s Health shows that approximately 60% of three- to 17-year-olds struggling with mental health are not receiving treatment.

Voices for Utah Children hopes that the yearly KIDS COUNT data book project and the publication of Measuring of Child Well-Being in Utah continues to be a valuable resource that can provide guidance to both policymakers and the general public on how to improve the lives and futures of Utah children.

Utah has 82,000 uninsured children, according to the most recent Census data, which means an estimated 8.3% of children in Utah do not have health insurance. Utah currently ranks 46th in the nation for insured children.

When it comes to addressing this problem, too often public debate focuses on the cost to taxpayers of insuring Utah’s 82,000 uninsured children. But what about the cost of not insuring children?  Are there ways in which Utah taxpayers are already paying a price for allowing such a high number of uninsured children in our state?

In our new report, we address this question, building on findings from previous research. We explore two key ways in which Utah taxpayers are paying millions of dollars in costs annually for uninsured children:

1)  Uncompensated care for Utah’s 82,000 uninsured children may be costing state and local governments in Utah about $8.8 million annually.

2)  Covering all of Utah’s uninsured children would likely result in higher educational attainment levels, potentially adding nearly $10 million to Utah's personal income annually and generating over $800,000 in new tax revenue each year.

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