Health

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.

VIEW | DOWNLOAD Report

We are pleased to announce that the Annie E. Casey Foundation has released the 2021 Kids Count Data Book.

Access the book today at www.aecf.org/databook

Background

For 15 years it has been the priority of the Utah KIDS COUNT Project to ensure that policymakers, advocates, community service providers, the media, and concerned citizens have quality data on how children are doing in our state. These yearly publications provide county level data on a variety of child well-being indicators.Utah showed strong gains in key indicators of child well-being from 2010 to 2019, according to the 2021 KIDS COUNT® Data Book, a 50-state report on child well-being by the Annie E. Casey Foundation analyzing how children are doing in four domains encompassing 16 child well-being indicators.

Summary of the 2021 Utah Kids Count Data 

This year’s Data Book shows nearly a decade of progress in all but two of the indicators.

Troublesome indicators appear in the Health domain as low birth-weight babies and child and teen death rates both saw increases over the decade. The percentage of babies born at low birth weight rose from 7.0% in 2010 to 7.4% in 2019, a 6% increase; Utah fell in the national rankings from 12th to13th in this indicator. Similarly, the child and teen death rate rose from 24 deaths per 100,000 children in 2010 to 26 in 2019, an 8% increase. Utah fell in the rankings for this indicator from 14th to 24th.

While Utah showed improvement in most areas of child well-being over the last decade, when comparing 2020 data to 2021 data our rankings from last year fell in all but one category:

- Overall ranking fell from 4th to 5th

- Economic Well-Being fell from 2nd to 5th

- Health ranking fell from 13th to 18th

- Family and Community fell from 1st to 2nd

- Education remained the same at 10th

“The bad news is Utah is not keeping pace with the states that continue to improve,” said Terry Haven, deputy director of Voices for Utah Children, Utah’s member of the KIDS COUNT network.

“The good news is it wouldn’t take much to help our rankings start trending upward again. For example, if Utah wanted to rank number one in percentage of low birth-weight babies, it would only have to reduce the number by 532 babies.”

Impact of the Pandemic on Utah Kids

Sixteen indicators measuring four domains — economic well-being, education, health, and family and community context — are used by the Annie E. Casey Foundation in each year’s Data Book to assess child well-being. The annual KIDS COUNT data and rankings represent the most recent information available but do not capture the impact of the past year:

ECONOMIC WELL-BEING: In 2019, 91,000 children lived in households with an income below the poverty line. Nationally, Utah is praised for its economic success, but Utah families continue to face rapidly increasing housing costs. Utah ranked 10th in 2018 for children living in households that spend more than 30% of their income on housing, and the state dropped to 17th in 2019. With the current housing prices in Utah, it is quite possible this trend will get worse.

EDUCATION: In 2019, Utah education ranking held steady at 10th in the nation. However, Utah’s early education numbers still lag behind much of the country with close to 60% of 3- and 4-year olds not attending school. Utah ranks in the bottom third of states for this indicator.

AFFORDABLE HEALTH CARE: In 2019, 82,000 children in Utah did not have health insurance. The state made an effort to provide all children in Utah with health insurance through the passage of legislation. While the bill was enacted, not enough funding was appropriated to cover all kids. Utah continues to rank 41st in the nation for uninsured children.

FAMILY AND COMMUNITY CONTEXT: Utah has consistently ranked first in the category but fell a bit in 2019 to second. Utah did make improvements in the number of children in single-parent families. In 2018, Utah had 174,000 children in single-parent families but in 2019, the number dropped to 168,000 children.

Let's Continue to #InvestInUtahKids

Investing in children, families and communities is a priority to ensure an equitable and expansive recovery. Several of the Annie E. Casey Foundation’s suggestions have already been enacted in the American Rescue Plan, and additional recommendations include:

1. Congress should make the expansion of the child tax credit permanent. The child tax credit has long had bipartisan support, so lawmakers should find common cause and ensure the largest one-year drop ever in child poverty is not followed by a surge.
2. State and local governments should prioritize the recovery of hard-hit communities of color.
3. States should expand income support that helps families care for their children. Permanently extending unemployment insurance eligibility to contract, gig and other workers and expanding state tax credits would benefit parents and children.
4. States that have not done so should expand Medicaid under the Affordable Care Act. The American Rescue Plan offers incentives to do so.
5. States should strengthen public schools and pathways to postsecondary education and training.

Release Information

The 2021 KIDS COUNT® Data Book is available at https://www.aecf.org/resources/2021-kids-count-data-book. Journalists interested in creating maps, graphs and rankings in stories about the Data Book can use the KIDS COUNT Data Center at datacenter.kidscount.org.                                                                             

Legislative leaders have said that 2021 should be “the year of the tax cut.” Numerous public opinion surveys show that Utahns disagree. This may come as a surprise to policymakers, who have been in the habit of handing out tax break after tax break for decades.

But there seems to be an increasing public awareness that Utah is now paying a price for decades of tax cutting that have left us with the lowest overall tax level in 50 years relative to Utah personal income.

UTAH'S URGENT UNMET NEEDS

We all like being able to pay less in taxes. But there is a growing understanding that tax cuts are leaving us unable to address the long list of urgent unmet needs in education, infrastructure, social services, air quality, public health, and many other areas that affect our standard of living and quality of life. All of these issues will shape the Utah that our children will one day inherit. 

Outlined below are some examples of the urgent unmet needs in Utah. 

Early Care and Education

Health

Human Services

Infrastructure, Environment, and Housing

WHY TAX CUTS ARE A BIG DEAL

Some legislators have said to us, "What's the big deal with $100 million of tax cuts out of a $22 billion budget?".

The big deal is that we’ve been cutting, on average, about $100 million every single year for the last 25 years.

Voices for Utah Children’s research has found that tax cuts from the last 25 years has left us short $2.4 billion each year, amounting to an 18% cut to public revenues.

One could even call us a “slow-motion Kansas” because in 2012 they cut taxes overnight by 15%, leading to an economic slump and political backlash that saw the Republican legislature reverse the cuts in 2017 and the public elect a Democratic governor in 2018.

But here in Utah, we’re like the proverbial frog in the pot of water heating on the stove. The devastating impacts of these revenue reductions have been slow and incremental, so we’ve come to accept as normal a state of affairs that Kansans quickly reversed.

Instead of figuring out the fairest way to restore some of those lost revenues so we can address our most urgent challenges, Utah’s political leadership continues to pass new tax cuts every year, generally skewed toward the top of the income scale.

For example, Voices for Utah Children analyzed two of the tax cuts proposed this year and found that they excluded lower-income Utahns completely and mostly went to the highest-income households – even though their supporters said publicly that they are intended to help low- and middle-income Utahns.

Public opinion surveys conducted last year by the Deseret News and Hinckley Institute, by the Utah Foundation, and by Envision Utah all found a strong popular preference for public investment over tax cuts.

Same thing with surveys this month by the Deseret News-Hinckley Institute and by Voices for Utah Children.

Breaking old habits can be hard. As is often the case, the public appears to be ahead of our political leaders. But let's hope that they too will eventually come to appreciate the wisdom of their constituents, who are increasingly aware of the high price Utah is paying for lower taxes.

Utah has been fortunate in weathering the current recession. This gives us a unique opportunity to be able to make smart long-term investments at a time when other states are cutting budgets. As a State we need to take advantage of this situation and invest in Utah kids, not tax cuts.

THIS OP-ED APPEARED IN THE SALT LAKE TRIBUNE ON MARCH 1, 2021

Salt Lake City - Voices for Utah Children released publicly today (January 6, 2021)  "#InvestInUtahKids: An Agenda for Utah's New Governor and Legislature," the first major publication of our new #InvestInUtahKids initiative. 

Utah begins a new era in this first week of January, with the swearing in of a new Governor and Lt. Governor and a new Legislature. The arrival of 2021 marks the first time in over a decade that the state has seen this kind of leadership transition. Last month Voices for Utah Children began sharing with the Governor-elect and his transition teams the new publication, and on Wednesday morning Voices will share it with the public as well.

The new publication raises concerns about the growing gaps among Utah's different racial, ethnic, and economic groups and lays out the most urgent and effective policies to close those gaps and help all Utah children achieve their full potential in the years to come in five policy areas: 

• Early education 
• K-12 education 
• Healthcare
• Juvenile justice
• Immigrant family justice

The report, which was initially created in December and distributed to the incoming Governor and his transition teams, closes with a discussion of how to pay for the proposed #InvestInUtahKids policy agenda. The pdf of the report can be downloaded here. 

With Amendment G winning 54% of the vote this month, many of our partners and supporters have been asking us: What’s going to happen next?

What changes will result from this Constitutional amendment going into effect January 1, 2021, along with the legislation triggered by it (HB 357)?

The short answer is, “Probably not a lot, at least not immediately, but possibly quite a bit over the long term.”

As a result of the passage of Amendment G, the Utah Constitution Article XIII, Section 5, paragraph 5 changes from

“All revenue from taxes on intangible property or from a tax on income shall be used to support the systems of public education and higher education as defined in Article X, Section 2.”

to the following:

“All revenue from taxes on intangible property or from a tax on income shall be used:

(a) to support the systems of public education and higher education as defined in Article X, Section 2; and

(b) to support children and to support individuals with a disability.”

The state’s budget leaders sought this change because they expect the long-term trend to continue of Utah’s higher education budget shifting from the General Fund (which is financed mainly by the sales tax) to the Education Fund (which is financed mainly by the income tax). This shift has made it possible to make more of the General Fund available for social and healthcare services. But once higher ed has shifted completely out of the General Fund, something expected to happen in the coming years, then budget writers will no longer have a mechanism to free up additional funds to meet the state’s obligations for healthcare and social services. This concern is what drove the decision to place on the ballot a Constitutional amendment to allow budget writers to begin to shift additional items (services for children and for Utahns with disabilities) out of the General Fund and have them financed by the income tax.

In the FY21 budget passed by the Legislature in March and then adjusted in June (the FY21 budget year runs from July 1, 2020 through June 30, 2021), just 4% of the higher education budget came from the General Fund and the remaining 96% from the Education Fund. The chart below shows how the higher education budget has been divided between the two funds in recent fiscal years:

Source: Office of Legislative Fiscal Analyst annual publication “Budget of the State of Utah” at https://le.utah.gov/asp/lfa/lfareports.asp?src=LFAAR

While the trend has not been a straight line, the general direction has been to shift the higher education budget out of the General Fund and into the Education Fund. And, indeed, two of the last three budgets have seen 96% of the higher education budget come out of the Education Fund.

This trend has also been facilitated by the fact that income tax revenue has been growing faster than sales tax revenue.

Assuming these trends continue, we can expect to see the FY22 and future year budgets begin to make gradually increasing use of income tax revenue to finance social and healthcare services for children and Utahns with disabilities, two items that until now were only funded from sales tax revenue (through the General Fund).

What will be the impact of Amendment G on education funding?

As part of the political deal that produced Amendment G, the Legislature passed HB 357, with implementation contingent on voter approval of Amendment G. HB 357 contains three main provisions intended to provide education advocates with compensation for losing the Constitutional earmark of the income tax for education:

• It requires that “when preparing the Public Education Base Budget, the Office of the Legislative Fiscal Analyst shall include appropriations to the Minimum School Program from the Uniform School Fund… in an amount that is greater than or equal to:

(a) the ongoing appropriations to the Minimum School Program in the current fiscal year; and

(b) … enrollment growth and inflation estimates…”

This is intended to avoid what happened in the Great Recession a decade ago, when annual appropriations were not sufficient to keep up with inflation and enrollment growth, and it took almost a decade to restore real per-student education appropriations.

• It requires that 15% of education revenue growth go into a new “Public Education Economic Stabilization Restricted Account” to be saved for recessions until it reaches 11% of the full Uniform School Fund. This is intended to build up a new reserve fund of about $400 million to finance the first commitment mentioned above, the commitment that education funding will always increase by enough to cover enrollment growth and inflation, even in times of recession. This new annual 15% savings requirement will mean smaller education funding increases in good times and larger ones in bad times, in effect smoothing out the annual changes in education funding. It does not change the overall amount available for education budgets over the full course of each economic cycle.
• HB 357 allows local districts to reallocate capital funds to cover operating expenses in recession years. This is something that was allowed on a one-time basis in the Great Recession a decade ago. Now it will be allowed in any year when the Legislature makes use of the new Public Education Economic Stabilization Restricted Account.

What impact will Amendment G and HB 357 have on funding for social and healthcare services for children?

On the positive side, budget writers will now have increased flexibility to use income tax revenues that are now going to education for social and healthcare services for children and Utahns with disabilities. On the negative side, there are no new revenue streams and no rolling back of past tax breaks, and HB 357 does promise an increased commitment to education in recession years (presumably including the current one), so that seems to imply that there will be less available for everything other than education, at least in the short term.

What impact will this have in the coming year?

This depends on how much revenue there is. Will there be enough new education revenue to cover inflation and enrollment growth? And if not, how will the state budget cover that commitment supposedly contained in HB 357 since the new Public Education Economic Stabilization Restricted Account does not yet have any money in it? The Legislature may face the same difficult choices as in the last recession a decade ago between funding enrollment growth and inflation in the education budget or funding life-saving social and healthcare services. And if they choose to keep their promise to fund enrollment growth and inflation in the education budget in the absence of sufficient education revenues, then that commitment will come at the expense of other areas of the state budget, such as social and healthcare services for children.

One wild card here is the question of how the calculations will be impacted by the unprecedented drop in student enrollment that was reported this fall. Student enrollment had been projected to grow by 7,000; instead it fell by over 2,000. This drop is probably a temporary blip due to the impacts of the COVID-19 pandemic. But the Legislature may see it as an opportunity to go with a low-ball estimate of enrollment for FY22 when it meets to pass that year’s budget this coming winter. Doing so would certainly make it easier to keep its commitment to fund enrollment growth and inflation even in the current downturn.

What impact will this new arrangement have in the longer term?

On the negative side, the fact that Amendment G and HB 357 provide for no new revenue streams to roll back any of what now amounts to $2.4 billion every year in tax breaks enacted since 1995 (18% of public revenues) does not bode well for education, for social and healthcare services for Utahns in need, or for any of the many areas of state responsibility that suffer from chronic revenue shortages because of these revenue losses.

On the positive side, the promise made by the state’s leaders to always at least fund inflation and enrollment growth could potentially lead to an increased commitment of existing state resources to education than might have otherwise taken place. If that happens, and since the need for resources in other areas is not going to change, there is the possibility that members of the state’s budget leadership might move closer to public opinion, which has expressed consistent -- and growing -- willingness to pay more to achieve improvements in areas of state responsibility like education, transportation, and air quality, as evidenced by the results of the following public opinion surveys this year:

• Deseret News
• Utah Foundation
• Envision Utah

If that happens, then we will be able to say that Amendment G led to positive changes in state fiscal policy for the benefit of all of Utah’s children. But if not, then we may well be in for many years of budget writers using their newfound flexibility to grant substantial increases to one area of the budget one year and another the next, making different areas of the budget compete with each other to be that year’s “favored child,” but leaving none better off in the long run.

THIS PAPER IS ALSO DOWNLOADABLE AS A PDF HERE.

WE ALSO PRESENTED THIS PAPER AS A SLIDESHOW ON A FACEBOOK LIVE EVENT: https://www.facebook.com/watch/live/?v=380455343223086&ref=watch_permalink 

(view this as a pdf here)

The state's leading child research and advocacy organization Voices for Utah Children announced its opposition to Constitutional Amendment G in an online press conference today (Monday, October 5, 2020).  

Constitutional Amendment G is the proposal to amend the Utah State Constitution to end the Constitutional earmark of all income tax revenues for education.  Since 1946 Utah has dedicated 100% of income tax revenues to education, initially defined only as K-12 education and, since 1996, including also higher education.  The State Legislature voted in March to place on the ballot the question of also allowing these funds to be used for other purposes -- specifically for programs for children and for Utahns with disabilities.  

The arguments made by proponents and opponents are summarized in an online document prepared by the state election administrators in the Lt Governor's office. According to that document, "the state spends about $600 million annually of non-income tax money on programs for children and programs that benefit people with a disability."

Voices for Utah Children CEO Maurice "Moe" Hickey explained the organization's decision to oppose the Amendment: "We believe that the proposed Amendment not only won’t solve Utah’s state budget woes, it is likely to delay the real fiscal policy changes that are needed. Over the past decade we have been continuously ranked last in the country for per pupil spending. This is a caused by our growth in number of students, combined with a lowered tax burden in the past decade. A major question we have to ask is “if the current Constitutional earmark has failed to help Utah invest more in education, how will getting rid of it improve matters?” The unfortunate reality is that getting rid of the Constitutional earmark of income tax for education does nothing to solve the real problem, which is the fact that nearly every area of state responsibility where children are impacted – education, social services, public health, and many others – is dangerously underfunded."

Health Policy Analyst Ciriac Alvarez Valle said, "Utah has one of the highest rates of uninsured children in the country at 8% or 82,000 children, and we have an even higher rate of uninsured Latino children at almost 20%. It is alarming that even during this pandemic, children and families are going without health insurance. There are so many ways to reverse this negative trend that began in 2016. Some of the solutions include investing in our kid’s healthcare. By investing in outreach and enrollment efforts especially those that are culturally and linguistically appropriate for our communities of color, we can ensure they are being reached. We also have to invest in policies that keep kids covered all year round and ensures they have no gaps in coverage. and lastly, we have to invest in covering all children regardless of their immigration status. By doing these things we can ensure that kids have a foundation for their long term health and needs. It's vital that we keep children’s health at the forefront of this issue, knowing that kids can only come to school ready to learn if they are able to get the resources they need to be healthy."

Health Policy Analyst Jessie Mandle added, "All kids need to have care and coverage in order to succeed in school. We are no strangers to the funding challenges and the many competing demands of social services funding. Without greater clarity, more detail, and planning, we are left to ask, are we simply moving the funding of children’s health services into another pool, competing with education funding, instead of prioritizing and investing in both critical areas? Sufficient funding for critical children’s services including school nurse, home visiting and early intervention, and school-based preventive care remains a challenge for our state. We have made important strides in recent years for children’s health, recognizing that kids cannot be optimal learners without optimal health. Let’s keep investing, keep moving forward together so that kids can get the education, health and wraparound services they need."

Education Policy Analyst Anna Thomas: "We often hear that UT is dead last in the nation in per pupil funding. We have also heard from such leaders as Envision Utah that millions of dollars are needed to avert an urgent and growing teacher shortage. What we talk about less is the fact that these typical conservative calculations of our state’s underfunding of education don’t include the amount the state should be paying for the full-day kindergarten programming most Utah families want, nor does it include the tens of millions our state has never bothered to spend on preschool programs to ensure all Utah children can start school with the same opportunities to succeed. Utah currently masks this underfunding with dollars from various federal programs, but this federal funding is not equitably available to meet the needs of all Utah children who deserve these critical early interventions. The state also increasingly relies on local communities to make up the difference through growing local tax burdens - which creates an impossible situation for some of our rural school districts, where local property tax will never be able to properly fund early interventions like preschool and full-day kindergarten along with everything else they are responsible for. Our lack of investment in early education is something we pay for, much less efficiently and much less wisely, later down the road, when children drop out of school, experience mental and physical health issues, and get pulled into bad decisions and misconduct. If kids aren’t able to hit certain learning benchmarks in literacy and math by third grade, their struggles in school - and often by extension outside of school - multiply. We should be investing as much as possible in our children to help ensure they have real access to future success - and can contribute to our state's future success. You don’t have to be a math whiz - third grade math is probably plenty - to see that the general arithmetic of Amendment G, and the attendant promises of somehow more investment in everything that helps kids - just doesn’t add up. We have multiple unmet early education investment obligations right now. Beyond that, we have many more needs, for children and for people with disabilities, that we must be sensitive to as a state especially during a global pandemic. How we will ensure we are investing responsibly in our children and our future, by having MORE expenses come out of the same pot of money - which the legislature tells us every year is too small to help all the Utah families we advocate for - is still very unclear to me. Until that math is made transparent to the public, we have to judge Amendment G to be, at best, half-baked in its current incarnation."

Fiscal Policy Analyst Matthew Weinstein shared information from the Tax Commission (see slide #8) showing that Utah's overall level of taxation is now at its lowest level in 50 years relative to Utahns' incomes, following multiple rounds of tax cutting. He also shared recent survey data from the Utah Foundation showing that three-fourths of Utahns oppose cutting taxes further and are ready and willing to contribute more if necessary to help solve the state's current challenges in areas like education, air quality, and transportation. He also contrasted the public's understanding that there's no "free lunch" with the unrealistic election-year promises made by our political leadership -- more money for both education and social services if the public votes for Amendment G -- even though Amendment G does nothing to reverse any past tax cuts and address the state's chronic revenue shortages.

The organization shared a one-page summary of the arguments (available here in pdf format) for and against the proposed Constitutional Amendment: 

Voices for Utah Children has also published a full five-page position paper that is available in pdf format. 

This press conference was broadcast live at

Media coverage: 

• Deseret News
• KSL
• Cache Valley Daily  
• St. George Spectrum 
• KUTV-2
• Op-eds: Salt Lake Tribune   Ogden Standard-Examiner

The state's leading child research and advocacy organization Voices for Utah Children announced its opposition to Constitutional Amendment G in an online press conference today (Monday, October 5, 2020).  

Constitutional Amendment G is the proposal to amend the Utah State Constitution to end the Constitutional earmark of all income tax revenues for education.  Since 1946 Utah has dedicated 100% of income tax revenues to education, initially defined only as K-12 education and, since 1996, including also higher education.  The State Legislature voted in March to place on the ballot the question of also allowing these funds to be used for other purposes -- specifically for programs for children and for Utahns with disabilities.  

The arguments made by proponents and opponents are summarized in an online document prepared by the state election administrators in the Lt Governor's office. According to that document, "the state spends about $600 million annually of non-income tax money on programs for children and programs that benefit people with a disability."

Voices for Utah Children CEO Maurice "Moe" Hickey explained the organization's decision to oppose the Amendment: "We believe that the proposed Amendment not only won’t solve Utah’s state budget woes, it is likely to delay the real fiscal policy changes that are needed. Over the past decade we have been continuously ranked last in the country for per pupil spending. This is a caused by our growth in number of students, combined with a lowered tax burden in the past decade. A major question we have to ask is “if the current Constitutional earmark has failed to help Utah invest more in education, how will getting rid of it improve matters?” The unfortunate reality is that getting rid of the Constitutional earmark of income tax for education does nothing to solve the real problem, which is the fact that nearly every area of state responsibility where children are impacted – education, social services, public health, and many others – is dangerously underfunded."

Health Policy Analyst Ciriac Alvarez Valle said, "Utah has one of the highest rates of uninsured children in the country at 8% or 82,000 children, and we have an even higher rate of uninsured Latino children at almost 20%. It is alarming that even during this pandemic, children and families are going without health insurance. There are so many ways to reverse this negative trend that began in 2016. Some of the solutions include investing in our kid’s healthcare. By investing in outreach and enrollment efforts especially those that are culturally and linguistically appropriate for our communities of color, we can ensure they are being reached. We also have to invest in policies that keep kids covered all year round and ensures they have no gaps in coverage. and lastly, we have to invest in covering all children regardless of their immigration status. By doing these things we can ensure that kids have a foundation for their long term health and needs. It's vital that we keep children’s health at the forefront of this issue, knowing that kids can only come to school ready to learn if they are able to get the resources they need to be healthy."

Health Policy Analyst Jessie Mandle added, "All kids need to have care and coverage in order to succeed in school. We are no strangers to the funding challenges and the many competing demands of social services funding. Without greater clarity, more detail, and planning, we are left to ask, are we simply moving the funding of children’s health services into another pool, competing with education funding, instead of prioritizing and investing in both critical areas? Sufficient funding for critical children’s services including school nurse, home visiting and early intervention, and school-based preventive care remains a challenge for our state. We have made important strides in recent years for children’s health, recognizing that kids cannot be optimal learners without optimal health. Let’s keep investing, keep moving forward together so that kids can get the education, health and wraparound services they need."

Education Policy Analyst Anna Thomas: "We often hear that UT is dead last in the nation in per pupil funding. We have also heard from such leaders as Envision Utah that millions of dollars are needed to avert an urgent and growing teacher shortage. What we talk about less is the fact that these typical conservative calculations of our state’s underfunding of education don’t include the amount the state should be paying for the full-day kindergarten programming most Utah families want, nor does it include the tens of millions our state has never bothered to spend on preschool programs to ensure all Utah children can start school with the same opportunities to succeed. Utah currently masks this underfunding with dollars from various federal programs, but this federal funding is not equitably available to meet the needs of all Utah children who deserve these critical early interventions. The state also increasingly relies on local communities to make up the difference through growing local tax burdens - which creates an impossible situation for some of our rural school districts, where local property tax will never be able to properly fund early interventions like preschool and full-day kindergarten along with everything else they are responsible for. Our lack of investment in early education is something we pay for, much less efficiently and much less wisely, later down the road, when children drop out of school, experience mental and physical health issues, and get pulled into bad decisions and misconduct. If kids aren’t able to hit certain learning benchmarks in literacy and math by third grade, their struggles in school - and often by extension outside of school - multiply. We should be investing as much as possible in our children to help ensure they have real access to future success - and can contribute to our state's future success. You don’t have to be a math whiz - third grade math is probably plenty - to see that the general arithmetic of Amendment G, and the attendant promises of somehow more investment in everything that helps kids - just doesn’t add up. We have multiple unmet early education investment obligations right now. Beyond that, we have many more needs, for children and for people with disabilities, that we must be sensitive to as a state especially during a global pandemic. How we will ensure we are investing responsibly in our children and our future, by having MORE expenses come out of the same pot of money - which the legislature tells us every year is too small to help all the Utah families we advocate for - is still very unclear to me. Until that math is made transparent to the public, we have to judge Amendment G to be, at best, half-baked in its current incarnation."

Fiscal Policy Analyst Matthew Weinstein shared information from the Tax Commission (see slide #8) showing that Utah's overall level of taxation is now at its lowest level in 50 years relative to Utahns' incomes, following multiple rounds of tax cutting. He also shared recent survey data from the Utah Foundation showing that three-fourths of Utahns oppose cutting taxes further and are ready and willing to contribute more if necessary to help solve the state's current challenges in areas like education, air quality, and transportation. He contrasted the public's understanding that there's no "free lunch" with the unrealistic election-year promises made by our political leadership -- more money for both education and social services if the public votes for Amendment G -- even though Amendment G does nothing to reverse any past tax breaks and address the state's chronic revenue shortages.

The organization shared a one-page summary of the arguments for and against the proposed Constitutional Amendment: 

The organization also published a full five-page position paper that is available in pdf format. 

More Utah Children Lost Health Insurance in 2019, According to Latest National Survey

Last week, the Census Bureau released its annual health insurance data from the American Community Survey (ACS).  The alarming top line news is that children’s health insurance rates have continued, for a third straight year, to decline. Here in Utah, another 10,000 children lost coverage, making 82,000 kids in total without insurance. The percentage of Utah children without insurance has ticked back up to 8%.

This is grim, but sadly not unexpected news. Since 2016, children have been losing health insurance steadily both in Utah and across the country, reversing a decade of progress. Throughout the fall, we will share more in-depth analysis of Utah children’s insurance data, what we can learn from the past three years and solutions moving forward. But here are a few takeaways about kids' coverage in 2019:

The toll is greatest on immigrant children:  The vast majority of immigrant children are eligible for health insurance programs, including CHIP and Medicaid. Only a small number of children in Utah are ineligible for health insurance due to their citizenship status. Nevertheless, anti-immigrant hostilities and policies, like the Trump Administration’s Public Charge rule, keep many families from enrolling their children in health insurance programs for which they are eligible. That’s why we continue to work alongside our partners to counter the “chilling effect” and provide timely and accurate information about the Public Charge rule and other immigration policies.

Behind the numbers: In Utah, Hispanic or Latinx children are disproportionately uninsured. They make up over a third of the uninsured child population, but only 18% of the total child population. However, between 2018 and 2019 it appears that coverage for Latinx children in Utah gained slightly. There may be several contributing factors, but one important driver is the tireless efforts of enrollment & outreach organizations, community health workers, community leaders and others, reaching out to Latinx communities across Utah to help more children get covered.

Has Utah’s strong economy helped or hurt? As we dig through the data, we will examine what impact Utah's economy had on health insurance rates, especially for low-income families on the edge of poverty. Last year's pre-pandemic economy created opportunities for more families to take on new short-term jobs, temporary shifts or gig work. These job changes may have led their children to lose Medicaid or CHIP, while still making affordable private or marketplace insurance out of reach. 

Children below poverty continue to have the highest uninsured rates. 2019 was the year Utah's partial Medicaid expansion went into effect, but many families were confused by this partial expansion plan and whether or not they qualified. Full Medicaid expansion rolled out in January 2020.  As we look to 2021, Utah’s Medicaid Expansion will be even more critical to help children and families who have lost their jobs as a result of the economic downturn.

What lies ahead? In the coming weeks, we will provide additional analysis about coverage loss in Utah over the last 3 years and how we can get kids' coverage back on track.  Health insurance status is one of the strongest predictors of a child’s outcomes later in life. Children with health insurance not only have better health outcomes (which they do), they also do better in school, have higher graduate rates and are less likely to experience poverty as adults. Health insurance provides a foundation for kids to thrive. We must get Utah kids’ coverage back on track for their future, and for our state’s future too.

A Healthy Foundation for All Utah Kids to Thrive

Children and families need access to affordable, quality, health care. Health insurance provides a critical foundation for kids, so they can stay healthy, manage health conditions or problems, perform better in school, be active and thrive. ALL Utah kids should have access to health insurance. 

Unfortunately, too many Utah children do not have access to health coverage. Utah has:

• One of the highest rates of uninsured children in the nation, 82,000 children (8%).
• The highest rate of uninsured Hispanic/ Latinx children in the nation (19%).
• The highest rate of children currently eligible for health insurance, but not enrolled. 

To address these problems, Voices for Utah Children works to strengthen health care access for families. Utah parents are working hard every day to make sure their kids are healthy, we need to make sure our healthcare policies are working for them.  

How do we do we reach 100% coverage and care for Utah kids?

• Protect the foundational coverage that CHIP and Medicaid provides 
• Connect Kids to Coverage! Improve children’s ability to access affordable, high-quality care 
• Support Parent Coverage! It is critical for kids.
• Cover All Kids! Remove all barriers to coverage.

Together we can help all kids be healthy and reach their full potential! Join our coalition of over 25 organizations who endorsed our 100% Kids Coverage Campaign to ensure all children in Utah have access to care! Click hear to sign on to our campaign today.

• Alliance for a Better Utah
• Catholic Diocese of Salt Lake City
• Centro de la Familia de Utah
• Centro Cívico Mexicano
• Coalition of Religious Communities
• Community Health Connect
• Community Health Workers Section -UPHA
• Comunidades Unidas
• Consulate of Mexico in Salt Lake City
• Crossroads Urban Center
• Family Healthcare in St. George
• Friends of the Children - Utah
• Granite Education Foundation
• Holy Cross Ministries
• International Rescue Committee
• Kids Who Count
• Neighborhood House
• Neighborworks Salt Lake
• NW Salt Lake Rotary Club
• OCA Asian Pacific Islander American Advocates Utah (OCA UTAH)
• People’s Health Clinic
• Primary Children’s Hospital
• Root for Kids
• Salt Lake City Mayor's Office
• Salt Lake County Mayor's Office for New Americans
• Smart Smiles School-Based Oral Health Program (Denticare Management)
• The University of Utah Health Plans
• Utah Health Policy Project
• Utah Dental Hygienists' Association
• Utah Chapter American Academy of Pediatrics
• University Health Communities Clinics
• YWCA of Utah