document resume institution southern inst. on children … · tik5 ik5u ikistitu1 5 on cuargn lana...

24
DOCUMENT RESUME ED 431 506 PS 027 287 TITLE Southern Institute on Children and Families 1997 Annual Report. INSTITUTION Southern Inst. on Children and Families, Columbia, SC. PUB DATE 1997-00-00 NOTE 45p. PUB TYPE Reports Descriptive (141) EDRS PRICE MF01/PCO2 Plus Postage. DESCRIPTORS Annual Reports; *Child Welfare; Disadvantaged Environment; Economically Disadvantaged; *Family Programs; Health Insurance; Low Income Groups; Poverty Programs; Program Improvement; Welfare Agencies; *Welfare Services IDENTIFIERS *Service Delivery Assessment; *Southern Institute on Children and Families; United States (South) ABSTRACT During 1997, in cooperation with 17 southern states and the District of Columbia, the Southern Institute on Children and Families held site visits to identify ways to uncomplicate the delivery of health coverage, child care and other benefits to assist low wage families. This report presents key findings and recommended actions states can take to remove barriers that families face in accessing benefits, as well as descriptions of other Institute activities during 1997. Key issues discussed include information outreach to dispel confusion about government benefits, child health coverage, child care assistance, transportation, and earned income tax credit. The report briefly describes the Institute's efforts at website development, the Southern Regional Forum, and the program Covering Kids: A National Health Access Initiative for Low-Income, Uninsured Children. (This document is relevant to the field of education in that the U.S. Department of Education is working with teachers, providers, and others to notify families with low to moderate income about children's insurance programs.) (JPB) ******************************************************************************** Reproductions supplied by EDRS are the best that can be made from the original document. ********************************************************************************

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Page 1: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

DOCUMENT RESUME

ED 431 506 PS 027 287

TITLE Southern Institute on Children and Families 1997 AnnualReport.

INSTITUTION Southern Inst. on Children and Families, Columbia, SC.PUB DATE 1997-00-00NOTE 45p.

PUB TYPE Reports Descriptive (141)EDRS PRICE MF01/PCO2 Plus Postage.DESCRIPTORS Annual Reports; *Child Welfare; Disadvantaged Environment;

Economically Disadvantaged; *Family Programs; HealthInsurance; Low Income Groups; Poverty Programs; ProgramImprovement; Welfare Agencies; *Welfare Services

IDENTIFIERS *Service Delivery Assessment; *Southern Institute onChildren and Families; United States (South)

ABSTRACTDuring 1997, in cooperation with 17 southern states and the

District of Columbia, the Southern Institute on Children and Families heldsite visits to identify ways to uncomplicate the delivery of health coverage,child care and other benefits to assist low wage families. This reportpresents key findings and recommended actions states can take to removebarriers that families face in accessing benefits, as well as descriptions ofother Institute activities during 1997. Key issues discussed includeinformation outreach to dispel confusion about government benefits, childhealth coverage, child care assistance, transportation, and earned income taxcredit. The report briefly describes the Institute's efforts at websitedevelopment, the Southern Regional Forum, and the program Covering Kids: ANational Health Access Initiative for Low-Income, Uninsured Children. (Thisdocument is relevant to the field of education in that the U.S. Department ofEducation is working with teachers, providers, and others to notify familieswith low to moderate income about children's insurance programs.) (JPB)

********************************************************************************

Reproductions supplied by EDRS are the best that can be madefrom the original document.

********************************************************************************

Page 2: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

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Page 3: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

The

Sou

ther

n In

stitu

te o

n C

hild

ren

and

Fam

ilies

is a

n in

depe

nden

t non

prof

it pu

blic

pol

icy

orga

niza

tion

foun

ded

in19

90. I

t end

eavo

rs to

impr

ove

oppo

rtun

ities

for

child

ren

and

fam

ilies

in th

e S

outh

with

a fo

cus

on d

isad

vant

aged

child

ren.

Thr

ough

spe

cial

pro

ject

s an

d su

rvey

s, th

e S

outh

ern

Inst

itute

on

Chi

ldre

n an

d F

amili

es s

potli

ghts

hea

lth,

soci

al a

nd e

cono

mic

issu

es o

f reg

iona

l sig

nific

ance

. It w

orks

to e

ncou

rage

pub

lic/p

rivat

e se

ctor

col

labo

ratio

n on

beh

alf

of c

hild

ren

and

fam

ilies

and

see

ks to

rem

ove

bure

aucr

atic

and

oth

er b

arrie

rs th

at r

estr

ict a

cces

s to

nee

ded

serv

ices

.T

he S

outh

ern

Inst

itute

on

Chi

ldre

n an

d F

amili

es is

fund

ed th

roug

h gr

ants

and

con

trib

utio

ns.

The

Sou

ther

n In

stitu

te o

n C

hild

ren

and

Fam

ilies

conc

entr

ates

on

the

follo

win

g:

Ala

bam

aA

rkan

sas

Del

awar

eD

istr

ict o

f Col

umbi

aF

lorid

aG

eorg

iaK

entu

cky

Loui

sian

aM

aryl

and

Mis

siss

ippi

Mis

sour

iN

orth

Car

olin

aO

klah

oma

Sou

th C

arol

ina

Ten

ness

eeT

exas

Virg

inia

Wes

t Virg

inia

Page 4: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Tik

5ik

5U I

KIS

TIT

U1

5

oNcu

argN

laN

a kA

hig,

A s

peci

al d

eliv

ery

pack

age

has

arriv

ed o

n th

e do

orst

eps

of A

mer

ica'

s lo

w in

com

e fa

mili

es w

ith c

hild

ren.

The

box

con

tain

s m

uch

need

edpr

oduc

ts s

uch

as c

hild

hea

lth c

over

age,

chi

ld c

are

subs

idie

s an

d th

e E

arne

d In

com

e T

ax C

redi

t (E

ITC

).

The

pro

duct

s ar

e in

indi

vidu

al c

onta

iner

s w

ith c

ompl

icat

ed in

stru

ctio

ns fo

r op

enin

g. S

ome

allo

w r

efill

s (M

edic

aid

child

hea

lth c

over

age

and

the

EIT

C a

re a

vaila

ble

to a

ll el

igib

le fa

mili

es),

whe

reas

oth

ers

(chi

ld c

are

subs

idie

s an

d st

ate

child

hea

lth in

sura

nce

prog

ram

s) a

re in

sm

alle

rco

ntai

ners

mar

ked

"Sub

ject

to A

vaila

ble

Fun

ds."

Stil

l oth

ers

are

mar

ked

"Mus

t Hav

e C

urre

nt o

r P

revi

ous

Wel

fare

Con

nect

ion"

to o

pen.

Dur

ing

1997

, in

coop

erat

ion

with

17

sout

hern

sta

tes

and

the

Dis

tric

t of C

olum

bia,

the

Sou

ther

n In

stitu

te o

n C

hild

ren

and

Fam

ilies

hel

dsi

te v

isits

to id

entif

y w

ays

to u

ncom

plic

ate

the

deliv

ery

of h

ealth

cov

erag

e, c

hild

car

e an

d ot

her

bene

fits

to a

ssis

t low

wag

e fa

mili

es. O

ur k

eyfin

ding

s an

d re

com

men

datio

ns a

re in

clud

ed in

this

rep

ort,

as w

ell a

s de

scrip

tions

of o

ur o

ther

act

iviti

es d

urin

g th

e pa

st y

ear.

Gre

ater

opp

ortu

nitie

s ar

e no

w a

vaila

ble

to h

elp

wor

king

fam

ilies

, and

lead

ersh

ip is

urg

ently

nee

ded

to s

ee th

at th

ese

oppo

rtun

ities

are

not m

isse

d. T

o re

ally

mak

e a

diffe

renc

e in

the

qual

ity o

f life

for

low

inco

me

fam

ilies

with

chi

ldre

n w

ill r

equi

re p

ublic

and

priv

ate

orga

niza

tions

toth

ink

"out

of t

he b

ox"

in d

evis

ing

way

s to

rem

ove

barr

iers

and

impr

ove

acce

ss to

hea

lth c

over

age,

chi

ld c

are

and

othe

r ne

eded

ben

efits

. We

mus

t act

now

on

beha

lf of

chi

ldre

n in

the

Sou

th.

Sar

ah C

. Shu

ptrin

eP

resi

dent

Page 5: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

ni5

1151

ZK

I IN

IST

ITU

T5

cuar

gN&

Na

F&N

fim

The

pos

ition

of C

hairm

an o

f the

Boa

rd o

f Dire

ctor

s fo

r th

e S

outh

ern

Inst

itute

on

Chi

ldre

n an

d F

amili

es is

one

in w

hich

I ta

keex

cept

iona

l prid

e. T

he S

outh

ern

Inst

itute

dea

ls w

ith is

sues

abo

ut w

hich

I am

abs

olut

ely

pass

iona

te, a

nd I

know

my

colle

ague

son

the

Boa

rdsh

are

that

pas

sion

. Eac

h of

us

advo

cate

s st

rong

civ

ic c

onsc

ious

ness

. We

are

touc

hed

by th

e pr

oble

ms

of fa

mili

es w

ith in

adeq

uate

res

ourc

es a

ndun

met

nee

ds. T

he fa

mili

es w

ho h

ave

part

icip

ated

in o

ur s

tudi

es a

re s

ince

rely

tryi

ng to

ear

n a

livin

g w

age,

kee

p th

emse

lves

and

thei

r ch

ildre

nhe

alth

y, a

nd a

ttain

eco

nom

ic in

depe

nden

ce to

the

grea

test

ext

ent p

ossi

ble.

How

ever

, the

y ar

e di

scou

rage

d w

ith b

enef

it pr

ogra

ms

that

are

base

d on

an

"all

or n

othi

ng"

elig

ibili

ty s

tatu

s, ig

norin

g th

e re

aliti

es o

f how

far

you

can

stre

tch

low

wag

e ea

rnin

gs.

Dur

ing

1997

, the

Sou

ther

n In

stitu

te fo

cuse

d on

impr

ovin

g ac

cess

to c

hild

hea

lth c

over

age,

chi

ld c

are

and

othe

r be

nefit

s de

sign

ed to

assi

st lo

w in

com

e fa

mili

es, d

evel

opin

g re

com

men

datio

ns b

ased

on

leng

thy

pers

onal

inte

rvie

ws

and

focu

s gr

oups

with

fam

ilies

. Sup

port

from

The

Rob

ert W

ood

John

son

Fou

ndat

ion

and

the

Fou

ndat

ion

for

Chi

ld D

evel

opm

ent f

acili

tate

d S

outh

ern

Inst

itute

res

earc

h si

te v

isits

to 1

7 so

uthe

rnst

ates

and

the

Dis

tric

t of C

olum

bia.

Als

o in

199

7, th

e na

tiona

l spo

tligh

t foc

used

on

the

need

to in

form

low

inco

me

fam

ilies

abo

ut h

ealth

cov

erag

e op

port

uniti

es fo

r th

eir

child

ren

and

to a

ssur

e th

at a

pplic

atio

n pr

oces

ses

do n

ot im

pede

acc

ess

to s

uch

cove

rage

. We

wer

e de

light

ed w

hen

The

Rob

ert W

ood

John

son

Fou

ndat

ion

aske

d th

e S

outh

ern

Inst

itute

to b

e th

e N

atio

nal P

rogr

am O

ffice

for

"Cov

erin

g K

ids:

A N

atio

nal H

ealth

Acc

ess

Initi

ativ

e fo

r Lo

w-

Inco

me

Uni

nsur

ed C

hild

ren.

" W

e be

gan

our

wor

k w

ith C

over

ing

Kid

s in

Oct

ober

.

Sin

ce 1

990,

the

Sou

ther

n In

stitu

te h

as e

mbr

aced

the

plig

ht o

f wor

king

fam

ilies

with

chi

ldre

n an

d co

ntin

ues

to d

o so

with

spu

nk a

ndfe

rvor

. We

appr

ecia

te th

e op

enne

ss a

nd C

oope

ratio

n w

e ha

ve e

xper

ienc

ed in

our

wor

k w

ith th

e so

uthe

rn s

tate

s in

rec

ent y

ears

. Wor

king

toge

ther

has

ena

bled

us

to d

evel

op n

ew s

trat

egie

s fo

r ac

tion.

We

now

mus

t hav

e th

e co

urag

e an

d co

mm

itmen

t to

take

wha

t we'

ve le

arne

d an

dap

ply

it.

Uni

ta B

lack

wel

lC

hairm

an

Page 6: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Con

taes

The

Sou

ther

n R

egio

nal I

nitia

tive

to Im

prov

e A

cces

s to

Ben

efits

for

Low

Inco

me

Fam

ilies

With

Chi

ldre

nO

verv

iew

3

Key

Issu

es:

Info

rmat

ion

Out

reac

h4

Chi

ld H

ealth

Cov

erag

e6

Chi

ld C

are

Ass

ista

nce

8

Tra

nspo

rtat

ion

10

Ear

ned

Inco

me

Tax

Cre

dit

11

Web

site

Dev

elop

men

t12

The

Sou

ther

n R

egio

nal F

orum

13

Look

ing

Ahe

ad: C

over

ing

Kid

s15

Boa

rd o

f Dire

ctor

s16

Sta

ff17

Foo

tnot

es18

11

Page 7: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

5©2

Agg

iona

InK

laV

vec-

cp Im

prov

e A

cces

s.ft

Bea

r M

s fo

r L©

Lc©

rand

Oks

Mth

ChA

dren

Ovo

rvilw

With

the

pass

age

of w

elfa

re r

efor

m, t

heco

nsol

idat

ion

of c

hild

car

e pr

ogra

ms,

the

atta

inm

ent o

f mor

est

ate

optio

ns u

nder

Med

icai

d an

d th

e en

actm

ent o

f the

Sta

te C

hild

ren'

s H

ealth

Insu

ranc

e P

rogr

am (

CH

IP),

sta

tes

are

mak

ing

sign

ifica

nt c

hang

es in

fund

amen

tal h

ealth

and

F r

nks

re f

r st

r te

prov

ide

enef

its b

ase

rule

s th

tre

n t

rel

In F

ebru

ary

1997

, The

Rob

ert W

ood

John

son

Fou

ndat

ion

prov

ided

fund

ing

for

expl

orat

ion

of h

ealth

cove

rage

, chi

ld c

are

and

othe

r po

licie

s af

fect

ing

low

inco

me

fam

ilies

. Inf

orm

atio

n-ga

ther

ing

site

vis

its w

ere

cond

ucte

d in

17 s

outh

ern

stat

es a

nd th

e D

istr

ict o

f Col

umbi

a. T

heF

ound

atio

n fo

r C

hild

Dev

elop

men

tpr

ovid

ed a

dditi

onal

sup

port

for

two

ofth

e si

te v

isits

. Thi

s re

gion

al in

itiat

ive

was

des

igne

d to

hel

p so

uthe

rn s

tate

sw

ork

colla

bora

tivel

y in

iden

tifyi

ng w

ays

to im

prov

e ac

cess

to h

ealth

cov

erag

e,ch

ild c

are

and

othe

r_be

nefit

s fo

r lo

win

com

e w

orki

ng fa

mili

es w

ith c

hild

ren.

The

pro

ject

bui

lt on

ear

lier

Sou

ther

n In

stitu

tein

itiat

ives

in G

eorg

ia a

nd N

orth

Car

olin

a, w

here

27

focu

sgr

oups

in n

ine

urba

n an

d ru

ral c

ount

ies

wer

e co

nduc

ted.

Fro

mth

is r

esea

rch,

the

Sou

ther

n In

stitu

te d

evel

oped

and

test

edey

e-ca

tchi

ng, e

asy-

to-u

nder

stan

d in

form

atio

n ou

trea

chbr

ochu

res

and

vide

otap

es to

con

vey

posi

tive

mes

sage

s ab

out

bene

fits

for

low

inco

me

wor

king

fam

ilies

.W

ith th

e in

valu

able

hel

p of

pub

lic a

nd p

rivat

eor

gani

zatio

ns th

at p

artic

ipat

ed in

the

site

vis

its, t

heS

outh

ern

Inst

itute

pre

pare

d a

list o

f key

issu

es a

nd a

ctio

nsst

ates

can

take

to r

emov

e ba

rrie

rs fa

mili

es fa

ce in

acc

essi

ngbe

nefit

s. T

he p

roje

ct r

epor

t con

tain

s st

ate-

by-s

tate

info

rmat

ion

and

is a

vaila

ble

on r

eque

st. T

he k

ey fi

ndin

gs a

resu

mm

ariz

ed o

n th

e fo

llow

ing

page

s.

by p

blic

vro

gram

s th

atar

bitr

ry

time

limits

and

tet

thei

rab

ility

to p

ay.

LJI

3

soci

al p

olic

ies

rela

ted

to c

hild

ren.

Whi

le p

rodu

cing

muc

hco

ntro

vers

y, w

elfa

re r

efor

m b

roug

ht lo

ng o

verd

ue a

ttent

ion

to th

e ec

onom

ic is

sues

and

ince

ntiv

es in

tert

win

ed in

wel

fare

and

heal

th p

olic

y.A

s st

ates

mov

e fo

rwar

d to

des

ign

and

impl

emen

tpu

blic

pol

icie

s th

at s

uppo

rt lo

w in

com

e w

orki

ng fa

mili

es, i

t is

criti

cal t

hat t

hey

incl

ude

the

view

s of

fam

ilies

in th

eir

delib

erat

ions

. In

Sou

ther

n In

stitu

te o

n C

hild

ren

and

Fam

ilies

stud

ies

on h

ealth

and

wel

fare

issu

es, a

res

ound

ing

mes

sage

from

fam

ilies

has

bee

n th

at th

ey n

eed

assi

stan

ce in

pay

ing

for

child

hea

lth c

over

age,

chi

ld c

are

and

othe

r ne

eds,

and

they

wou

ld li

ke s

uch

assi

stan

ce to

be

rela

ted

to th

eir

inco

me.

Fam

ilies

are

frus

trat

ed b

y pu

blic

pro

gram

s th

at p

rovi

debe

nefit

s ba

sed

on a

rbitr

ary

time

limits

and

oth

er r

ules

that

are

not r

elat

ed to

thei

r ab

ility

to p

ay.

1213

Page 8: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Inf©

rmaV

on °

ITU

-rea

chC

onfu

sion

abo

unds

on

the

issu

e of

gov

ernm

ent

bene

fits.

A c

omm

on m

isco

ncep

tion

is th

at o

nly

child

ren

onw

elfa

re c

an r

ecei

ve M

edic

aid.

The

fact

is th

at M

edic

aid

cove

rage

is a

vaila

ble

to m

any

child

ren

in lo

w in

com

e fa

mili

esw

ho h

ave

no c

onne

ctio

n to

wel

fare

.M

ost c

omm

unic

atio

n on

ben

efits

and

ser

vice

s fo

rfa

mili

es h

as b

een

in th

e fo

rm o

f bur

eauc

ratic

ally

wor

ded

docu

men

ts a

nd o

ften

is b

urie

d in

lang

uage

on

right

s an

dre

spon

sibi

litie

s. R

arel

y do

mat

eria

ls c

omm

unic

ate

info

rmat

ion

on a

vaila

ble

bene

fits

in a

n ea

sy-t

o-un

ders

tand

, "us

er-

frie

ndly

" m

anne

r. C

onse

quen

tly, w

ord

on th

e st

reet

is th

atth

e M

edic

aid

appl

icat

ion

proc

ess

isle

ngth

y, in

trus

ive,

com

plic

ated

and

dem

eani

ng. T

hus,

man

y el

igib

le fa

mili

esar

e no

t tak

ing

adva

ntag

e of

ben

efits

that

can

hel

p pr

ovid

e he

alth

cov

erag

efo

r th

eir

child

ren,

ass

ist t

hem

in p

ayin

gfo

r ch

ild c

are

and

allo

w th

em to

take

awar

e of

Med

icai

d an

d ot

her

bene

fits

that

sup

plem

ent t

hew

ages

of t

heir

low

inco

me

wor

kers

with

chi

ldre

nat

no

cost

to th

em. F

orty

-thr

ee (

43)

perc

ent o

f em

ploy

ers

did

not

know

abo

ut th

e av

aila

bilit

y of

Tra

nsiti

onal

Med

icai

d co

vera

gefo

r up

to o

ne y

ear.

Fift

y (5

0) p

erce

nt d

id n

ot u

nder

stan

dth

at th

e E

ITC

is a

vaila

ble

to lo

w in

com

e w

orki

ng fa

mili

esre

gard

less

of w

heth

er o

r no

t the

y ow

e ta

xes.

And

86

perc

ent d

id n

ot u

nder

stan

d th

at th

ey c

ould

add

a p

ortio

n of

the

EIT

C to

the

empl

oyee

's p

aych

eck

each

pay

per

iod.

Com

mun

ity o

rgan

izat

ions

sur

veye

d al

so d

emon

stra

ted

a la

ck o

f aw

aren

ess.

Ful

ly 9

2 pe

rcen

t did

not

und

erst

and

Con

fusi

bene

fits

.

child

re

boun

dsn

the

iss

eof

gov

ernm

ent

com

mi m

cocq

fiov

isth

at °

My

weO

f re

can

rec

eive

Med

icai

d.

11.

hom

e m

ore

of w

hat t

hey

earn

.In

focu

s gr

oups

con

duct

ed in

Geo

rgia

dur

ing

1996

,th

e S

outh

ern

Inst

itute

foun

d th

at 5

5 pe

rcen

t of A

FD

C a

ndM

edic

aid

reci

pien

ts d

id n

ot u

nder

stan

d th

at if

par

ents

get

off w

elfa

re b

ecau

se o

f wor

k, th

eir

child

ren

still

wou

ld b

eab

le to

get

Med

icai

d. F

ifty-

seve

n (5

7) p

erce

nt d

id n

otun

ders

tand

that

eve

n if

a ch

ild's

par

ents

live

toge

ther

, the

child

can

get

Med

icai

d. A

nd 5

3 pe

rcen

t did

not

kno

w th

at if

pare

nts

get a

job,

they

mig

ht q

ualif

y to

rec

eive

mor

e ta

ke-

hom

e pa

y fr

om th

e E

arne

d In

com

e T

ax C

redi

t (E

ITC

).A

dditi

onal

ly, 3

9 pe

rcen

t of r

ecip

ient

s di

d no

tun

ders

tand

that

if p

aren

ts g

et o

ff w

elfa

re b

ecau

se o

f wor

k,th

ey c

an g

et h

elp

with

chi

ld c

are

expe

nses

for

up to

one

yea

r.F

amili

es a

re n

ot th

e on

ly o

nes

who

are

mis

info

rmed

.M

any

empl

oyer

s pa

rtic

ipat

ing

in th

e fo

cus

grou

ps w

ere

not

1 4

that

chi

ldre

n un

der

age

six

wer

e el

igib

le fo

r M

edic

aid

athi

gher

inco

me

leve

ls th

an o

lder

chi

ldre

n, a

nd o

ne-t

hird

did

not k

now

abo

ut th

e av

aila

bilit

y of

Tra

nsiti

onal

Med

icai

dco

vera

ge fo

r up

to o

ne y

ear.

Cle

arly

, effe

ctiv

e ou

trea

ch s

trat

egie

s ar

e ne

eded

toen

sure

that

elig

ible

fam

ilies

, em

ploy

ers

and

com

mun

ityor

gani

zatio

ns r

ecei

ve a

ccur

ate

and

relia

ble

info

rmat

ion

abou

tav

aila

ble

bene

fits.

The

Sou

ther

n In

stitu

te r

ecei

ved

supp

ort f

rom

Geo

rgia

and

Nor

th C

arol

ina

to d

evel

op o

utre

ach

broc

hure

sth

at e

ffect

ivel

y co

mm

unic

ated

the

avai

labi

lity

of b

enef

its.

The

Rob

ert W

ood

John

son

Fou

ndat

ion

subs

eque

ntly

pro

vide

dsu

ppor

t to

repl

icat

e th

e br

ochu

res

for

use

in o

ther

sta

tes,

with

eac

h st

ate

payi

ng it

s ow

n pr

intin

g an

d di

strib

utio

n

/5

Page 9: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

cost

s. T

he b

roch

ures

wer

e en

thus

iast

ical

ly r

ecei

ved

by th

ose

atte

ndin

g th

e 19

97 s

ite v

isit

mee

tings

, and

11

sout

hern

stat

es c

urre

ntly

are

usi

ng th

e in

form

atio

n ou

trea

chbr

ochu

res.

(T

he b

lack

-and

-whi

te v

ersi

ons

of th

e co

lorf

ulbr

ochu

res

are

pict

ured

bel

ow.)

With

furt

her

supp

ort f

rom

The

Rob

ert W

ood

John

son

Fou

ndat

ion,

six

acc

ompa

nyin

gin

form

atio

n ou

trea

ch v

ideo

s w

ere

deve

lope

d fo

r us

e w

ith th

ebr

ochu

res.

Foc

us g

roup

s te

stin

g th

e fa

mily

targ

eted

out

reac

hvi

deos

, whi

ch a

re a

vaila

ble

in S

pani

sh a

nd E

nglis

h, s

ugge

sted

show

ing

the

vide

os in

pla

ces

such

as

doct

or's

offi

ces,

hos

pita

lor

em

erge

ncy

room

wai

ting

area

s, h

ealth

dep

artm

ents

,lib

rarie

s, w

omen

's s

helte

rs, p

ost o

ffice

s, c

hurc

hes

and

wor

kpla

ce b

reak

roo

ms.

[See

Cha

pter

2 o

f the

full

proj

ect

repo

rt fo

r de

taile

d in

form

atio

n.]

Info

rmat

ion

Out

reac

h B

roch

ures

dev

elop

ed b

y th

e So

uthe

rn I

nstit

ute

11.1

F..:

1 N

IG W

EE

FC

C)R

)R.D

.S

h.tr

-et

tZ

ITT

SE

CF

-6S

DID

YO

U K

NO

W Y

OU

CO

ULD

WO

RK

FU

LL T

IME

AN

D S

TIL

L R

EC

EIV

E S

OM

E B

EN

EF

ITS

? TH

EA

NS

WE

R IS

ER

Thi

s br

ochu

re is

for

use

with

fam

ilies

on

cash

assi

stan

ce to

hel

p th

em u

nder

stan

d th

at th

ey d

ono

t hav

e to

be

on w

elfa

re in

ord

er to

rec

eive

bene

fits

that

can

hel

p th

em m

eet t

he n

eeds

of

thei

r ch

ildre

n w

hile

wor

king

in lo

w w

age/

no b

enef

itjo

bs. I

t is

idea

l for

rev

iew

with

wel

fare

fam

ilies

at

rede

term

inat

ion

inte

rvie

ws

and

in jo

b re

adin

ess

clas

ses.

316

AV

E Y

OU

HE

RA

OU

Y L

NE

TS

FOR

WO

K I

NG

li.A

.AA

.E1

LE

I E

S???

,$

ME

DIC

AID

CO

VE

RA

GE

FO

R C

HIL

DR

EN

CH

ILD

CA

RE

AS

SIS

TA

NC

E

EA

RN

ED

INC

OM

E T

AX

CR

ED

IT

nFO

OD

ST

AM

PS

FR

EE

HE

LP W

ITH

FIL

ING

TA

X R

ET

UR

N

AS

SIS

TA

NC

E w

rni C

HIL

D S

UP

PO

RT

Big

Efa

l TO

LE

AR

N A

BO

UT

BE

N E

HT

ST

HA

T C

AN

HE

LP L

OW

INC

OM

E F

AM

ILIE

S W

ITH

CH

ILD

RE

N!

Thi

s br

ochu

re is

des

igne

d fo

r ge

nera

l com

mun

ityou

trea

ch. I

t will

hel

p fa

mili

es w

ho a

pply

for

cash

assi

stan

ce to

und

erst

and

that

they

can

rec

eive

Med

icai

d an

d ot

her

bene

fits

with

out h

avin

g to

be

on w

elfa

re. I

t als

o is

app

ropr

iate

for

dist

ribut

ion

thro

ugh

scho

ols,

hea

lth p

rovi

ders

, chu

rche

s an

dot

her

com

mun

ity o

rgan

izat

ions

and

to e

mpl

oyer

sfo

r di

ssem

inat

ion

in th

e w

orkp

lace

.

BE

ST C

OPY

AV

AIL

AB

LE

L CD

EM

PLO

YE

RS

CO

NN

EC

IING

EM

PLO

YE

ES

TO

BE

NE

FIT

S F

OR

LOW

INC

OM

EW

OR

KIN

G F

AM

ILIE

S

Did

you

kno

w y

ou c

an h

elp

your

low

inco

me

wor

kers

mak

em

ore

mon

ey, g

et h

elp

with

fam

ily h

ealth

cov

erag

e an

d ch

ildca

re a

t no

addi

tiona

l cos

t to

you?

E/C

heck

out

thes

e be

nefit

s th

at -

can

bein

g%ly

htg

and

ret_

gb w

orke

rs.

Chi

ldre

n do

not

hav

e to

be

on w

elfa

re to

be

digi

ble

for

Med

icai

dco

win

g. M

edic

aid

elig

ibik

roe

dam

., is

bas

ed o

n fa

mily

inco

me,

se

ofch

ildre

n an

d ci

site

nshi

p. M

edic

aid

is a

vaila

ble

for

child

ren

thro

ugh

age

la in

sing

le a

nd o

vo p

aren

t fam

ilies

.

Par

rots

who

leav

e w

elfa

re fo

r w

ork

may

rtc

eive

Med

icai

d fo

r up

to o

ne y

ear

- ch

ildre

n to

o! A

fter

one

year

, dep

endi

ng o

n th

e fa

mily

'sin

com

e, th

e ch

ildre

n m

ay s

till b

e di

gibl

e A

u M

edic

aid

cove

rage

.

Par

ents

who

leav

e w

elfa

re fo

r w

ork

may

rec

eive

hel

p w

ith c

hild

non

mpe

nsm

for

an le

ast o

ne y

ear.

Afte

r on

e ye

a, d

epen

ding

on

the

fam

ily%

inco

me

and

the

avai

labi

lity

of fu

ndin

g. th

e fa

mily

may

stil

l qua

*fo

r as

sist

ance

wid

t chi

ld c

ue a

mas

s.

Low

inco

me

wor

king

fam

ilies

can

get

mor

e ta

ke h

ome

pay

inth

eir

payc

heck

thro

ugh

the

Ear

ned

Inco

me

Tao

Cre

dit (

EIT

C).

A p

ortio

n ad

o< E

ITC

mon

ey c

an b

e re

ceiv

ed m

onth

ly a

nd th

e re

mai

nder

whe

n th

ey fi

le th

eir

fede

ral t

ax r

endo

rega

ntle

st o

f whe

ther

or

not t

hey

OW

C(v

et.

Low

inco

me

fam

ilies

may

qua

lify

for

Foo

d S

tam

ps w

hile

wor

king

full

time.

For

exa

mpl

e, a

hun

ily o

f thr

ee w

ith in

com

e at

one

and

a h

alf

tinte

r th

e m

inim

um w

age

may

qua

lify

for

amis

ranc

e th

roug

h th

e ro

od

Soo

mP

117

good

bus

ines

s in

be

info

rmed

abo

ut b

enef

its fo

r lo

w in

com

e w

orld

ng fa

mili

es.

Rea

d on

!

Thi

s br

ochu

re p

rovi

des

empl

oyer

s w

ith in

form

atio

non

how

to li

nk lo

w in

com

e em

ploy

ees

to b

enef

itsth

at b

asic

ally

sup

plem

ent l

ow w

ages

at n

o co

st to

empl

oyer

s. T

he b

roch

ure

is e

spec

ially

app

ropr

iate

for

empl

oyer

s w

ho p

ay m

inim

um w

age

or s

light

lyab

ove

or e

mpl

oyer

s w

ho o

ffer

no o

r ve

ry li

mite

dbe

nefit

s. It

is a

n ef

fect

ive

com

mun

icat

ion

tool

for

use

with

em

ploy

ers

and

busi

ness

gro

ups.

1 7

Page 10: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Mid

Hea

Oth

Cun

rage

It is

a li

ttle

know

n fa

ct th

at m

ost u

nins

ured

chi

ldre

nliv

e in

fam

ilies

whe

re a

t lea

st o

ne p

aren

t is

empl

oyed

full

time

at lo

w w

ages

.1 E

ven

if de

pend

ent h

ealth

cov

erag

e is

avai

labl

e th

roug

h th

e w

orkp

lace

, whi

ch it

ofte

n is

not

for

low

inco

me

wor

kers

, it i

s fin

anci

ally

out

of r

each

for

man

yfa

mili

es. S

ince

the

mid

dle

1980

s, p

ublic

pol

icy

initi

ativ

es h

ave

been

ena

cted

to p

rovi

de o

ppor

tuni

ties

for

poor

and

low

inco

me

fam

ilies

to o

btai

n M

edic

aid

cove

rage

for

thei

rch

ildre

n w

ithou

tre

quiri

ng th

e fa

mili

es to

be o

n w

elfa

re. A

maj

orst

ep w

as ta

ken

in 1

986,

whe

n C

ongr

ess

pass

edan

am

endm

ent t

o al

low

nonw

elfa

re p

regn

ant

wom

en a

nd in

fant

s up

to

cove

rage

for

low

inco

me,

uni

nsur

ed c

hild

ren

thro

ugh

Med

icai

dex

pans

ions

or

stat

e he

alth

cov

erag

e pr

ogra

ms.

Res

earc

h ha

s sh

own

that

chi

ldre

n w

ithou

t hea

lthco

vera

ge a

re le

ss li

kely

to h

ave

acce

ss to

a r

egul

ar s

ourc

e of

med

ical

car

e or

to s

eek

care

for

inju

ries,

and

are

mor

e lik

ely

to r

ecei

ve c

are

in a

clin

ic o

r em

erge

ncy

room

and

less

like

lyto

be

appr

opria

tely

imm

uniz

ed.3

For

low

inco

me

fam

ilies

,af

ford

abili

ty o

f chi

ld h

ealth

cov

erag

e is

a m

ajor

impe

dim

ent

to th

eir

child

ren

havi

ng a

cces

s to

pre

vent

ive

and

prim

ary

Sim

plif

icat

i n o

f th

e pr

oces

s by

whi

ch f

Hie

s fi

lepp

lic ti

ons

is c

ritic

i to

seri

us

eff

rts

the

lp c

hild

rg

incc

ess

t Med

ic c

id o

r ith

er h

e It

h co

vera

gpr

ogro

ms.

age

one

to b

e el

igib

le fo

r M

edic

aid.

Lea

ders

hip

for

this

sign

ifica

nt a

nd p

rogr

essi

ve c

hang

e in

nat

iona

l pub

lic p

olic

yem

anat

ed fr

om th

e so

uthe

rn s

tate

s as

they

sou

ght w

ays

tore

duce

the

high

num

ber

of in

fant

dea

ths

and

disa

bilit

ies

occu

rrin

g in

the

Sou

th.2

Sin

ce 1

986,

add

ition

al a

men

dmen

ts h

ave

incr

ease

dM

edic

aid

age

and

inco

me

elig

ibili

ty le

vels

to a

llow

mor

ech

ildre

n in

low

inco

me

wor

king

fam

ilies

to b

e el

igib

le fo

rM

edic

aid.

Thi

s gr

oup

of c

hild

ren

ofte

n is

ref

erre

d to

as

"pov

erty

rel

ated

" be

caus

e th

eir

Med

icai

d in

com

e el

igib

ility

leve

ls a

re b

ased

on

a sp

ecifi

c pe

rcen

tage

of t

he fe

dera

lpo

vert

y le

vel,

rath

er th

an a

rel

atio

nshi

p to

wel

fare

.E

ffect

ive

in O

ctob

er 1

997,

the

Titl

e X

XI S

tate

Chi

ldre

n's

Hea

lth In

sura

nce

Pro

gram

(C

HIP

) ga

ve s

tate

sen

hanc

ed fe

dera

l mat

chin

g do

llars

to p

rovi

de h

ealth

18

heal

th c

are.

And

in th

e S

outh

, 65

perc

ent o

f all

unin

sure

dch

ildre

n liv

e in

fam

ilies

with

inco

me

at o

r be

low

200

per

cent

of th

e fe

dera

l pov

erty

leve

l.4It

is a

stou

ndin

g, b

ut a

n es

timat

ed 4

.7 m

illio

nch

ildre

n un

der

age

18 n

atio

nwid

e ar

e el

igib

le fo

r M

edic

aid

cove

rage

but

are

not

enr

olle

d.5

Man

y fa

mili

es d

on't

know

that

thei

r ch

ildre

n ar

e el

igib

le fo

r M

edic

aid,

and

nav

igat

ing

the

com

plex

elig

ibili

ty s

yste

m h

as d

isco

urag

ed m

any

fam

ilies

from

app

lyin

g or

follo

win

g th

roug

h w

ith a

n ap

plic

atio

n fr

omst

art t

o fin

ish.

Sim

plifi

catio

n of

the

proc

ess

by w

hich

fam

ilies

file

appl

icat

ions

is c

ritic

al to

ser

ious

effo

rts

to h

elp

child

ren

gain

acce

ss to

Med

icai

d or

oth

er h

ealth

cov

erag

e pr

ogra

ms.

To

decr

ease

elig

ibili

ty b

arrie

rs a

nd in

crea

se th

e lik

elih

ood

that

elig

ible

chi

ldre

n ca

n be

com

e en

rolle

d w

ill r

equi

re s

tate

and 1

96

Page 11: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

loca

l elig

ibili

ty a

genc

ies

to u

nder

take

a c

ompr

ehen

sive

rev

iew

of c

urre

nt p

olic

ies

and

proc

edur

es w

ith th

e cl

ear

inte

nt o

fm

akin

g be

nefit

s m

ore

acce

ssib

le. T

his

mea

ns p

rovi

ding

mor

eap

plic

atio

n lo

catio

ns, a

ccep

ting

mai

l and

pho

ne s

ubm

issi

ons,

usin

g gr

eate

r fle

xibi

lity

rega

rdin

g ve

rific

atio

n re

quire

men

tsan

d pr

ovid

ing

appl

icat

ion

assi

stan

ce to

fam

ilies

.T

o he

lp c

hild

ren

mai

ntai

n co

vera

ge, s

tate

s m

ust

redu

ce b

urde

nsom

e re

port

ing

requ

irem

ents

, dev

elop

20

info

rmat

ion

syst

ems

that

aut

omat

ical

ly tr

ansf

er c

hild

ren

from

one

elig

ibili

ty c

ateg

ory

to a

noth

er w

ithou

t dis

rupt

ing

bene

fits,

est

ablis

h a

perio

dic

revi

ew p

roce

ss o

f elig

ibili

tyou

tcom

e da

ta a

nd a

dopt

con

tinuo

us e

ligib

ility

. [S

ee C

hapt

er 3

of th

e fu

ll pr

ojec

t rep

ort f

or d

etai

led

info

rmat

ion

by s

tate

.]

21

Page 12: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Cor

e A

ss M

ance

Wor

king

at a

low

wag

e jo

b an

d be

ing

unab

le to

pay

for

dece

nt c

hild

car

e w

hile

at w

ork

is a

hea

rtpo

undi

ngdi

lem

ma

for

man

y lo

w w

age

fam

ilies

. With

out s

ome

finan

cial

assi

stan

ce, i

t ofte

n is

not

pos

sibl

e fo

r lo

w w

age

fam

ilies

toob

tain

dep

enda

ble,

qua

lity

child

car

e.A

fford

abili

ty o

f qua

lity

child

car

e is

a m

ajor

pub

licpo

licy

issu

e. F

amili

es e

arni

ng b

elow

the

fede

ral p

over

ty le

vel

spen

d an

ave

rage

of 3

3 pe

rcen

t of t

heir

tota

l inc

ome

on c

hild

care

.6 In

ord

er fo

r w

elfa

re r

efor

m to

wor

k, fa

mili

es w

illne

ed c

hild

car

e as

sist

ance

that

is n

ot ti

me

limite

d bu

t is

term

inat

ed o

nly

whe

n th

e '

fam

ily's

ear

ning

s in

crea

seto

the

poin

t tha

t ass

is-

tanc

e is

no

long

er n

eede

d.U

nlik

e M

edic

aid,

child

car

e is

not

a fe

dera

len

title

men

t pro

gram

.T

here

is n

o gu

aran

tee

ofac

cess

to c

hild

car

eas

sist

ance

, eve

n if

fam

ilies

are

elig

ible

und

er a

sta

te's

crite

ria. T

he n

umbe

r of

elig

ible

fam

ilies

rec

eivi

ng a

ssis

tanc

eis

det

erm

ined

by

the

amou

nt o

f fun

ding

mad

e av

aila

ble

byea

ch s

tate

. Thu

s, n

ot a

ll in

com

e el

igib

le fa

mili

es r

ecei

veas

sist

ance

.W

elfa

re r

efor

m le

gisl

atio

n pa

ssed

in 1

996

subs

tant

ially

incr

ease

d fe

dera

l fun

ding

for

child

car

e. E

ven

with

this

add

ition

al fu

ndin

g, th

e ne

ed r

emai

ns g

reat

. Dur

ing

the

1997

Sou

ther

n In

stitu

te s

ite v

isits

, ins

uffic

ient

fund

ing

for

child

car

e fr

eque

ntly

was

men

tione

d by

sta

tes

as a

maj

oris

sue.

Sta

tes

mus

t pro

vide

mat

chin

g fu

nds

to r

ecei

ve th

isfe

dera

l chi

ld c

are

mon

ey. S

tate

s al

so h

ave

the

optio

n to

incr

ease

fund

ing

for

child

car

e by

rea

lloca

ting

up to

30

perc

ent f

rom

thei

r T

empo

rary

Ass

ista

nce

for

Nee

dy F

amili

es(T

AN

F)

bloc

k gr

ant i

nto

the

Chi

ld C

are

and

Dev

elop

men

tB

lock

Gra

nt (

CC

DB

G).

Eve

ry s

outh

ern

stat

e su

rvey

ed p

lann

edto

mak

e us

e of

all

avai

labl

e fe

dera

l mat

chin

g do

llars

.H

owev

er, O

nly

six

stat

es p

lann

ed to

spe

nd b

eyon

d th

e fe

dera

lm

atch

, and

sev

en s

tate

s op

ted

to tr

ansf

er fu

nds

from

TA

NF

to C

CD

BG

.B

efor

e th

e pa

ssag

e of

wel

fare

ref

orm

, Tra

nsiti

onal

Chi

ld C

are

was

gua

rant

eed

for

up to

one

yea

r to

fam

ilies

leav

ing

wel

fare

for

reas

ons

due

to e

arni

ngs.

The

per

iod

of

In o

rder

for

we0

f re

rf®

rt

wrk

0 fa

mili

es w

i Ied

chiO

d ca

re a

ssIs

tanc

e th

t is

?rt

d on

0y w

hen

the

fam

i Vs

earn

ings

incr

ease

tc, t

he p

oint

assi

stan

ce is

nI

ned

.el

igib

ility

was

set

by

fede

ral l

aw a

t no

long

er th

an 1

2 m

onth

s.S

tate

s no

w c

an d

ecid

e ho

w th

ey w

ant t

o pr

ovid

e ch

ild c

are

assi

stan

ce to

fam

ilies

leav

ing

wel

fare

for

wor

k. M

ost

sout

hern

sta

tes

volu

ntar

ily h

ave

reta

ined

man

y el

emen

ts o

fth

e fo

rmer

fede

ral T

rans

ition

al C

hild

Car

e pr

ogra

m. A

maj

oris

sue

with

a T

rans

ition

al C

hild

Car

e ap

proa

ch is

that

it li

mits

child

car

e as

sist

ance

to a

n ar

bitr

ary

time

perio

d, a

fter

whi

chas

sist

ance

is te

rmin

ated

reg

ardl

ess

of w

heth

er o

r no

tfa

mili

es h

ave

incr

ease

d th

eir

earn

ings

eno

ugh

to a

fford

full

paym

ent o

f chi

ld c

are.

Prio

r to

wel

fare

ref

orm

, fam

ilies

had

to b

e on

wel

fare

for

thre

e ou

t of t

he p

revi

ous

six

mon

ths

in o

rder

tobe

elig

ible

for

Tra

nsiti

onal

Chi

ld C

are.

Thi

rtee

n so

uthe

rn

23

Page 13: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

stat

es h

ave

elim

inat

ed th

is fe

dera

l req

uire

men

t, ef

fect

ivel

yre

mov

ing

the

ince

ntiv

e to

be

on w

elfa

re fo

r a

shor

t per

iod

inor

der

to g

ain

acce

ss to

chi

ld c

are

assi

stan

ce.

Oth

er a

cces

s is

sues

bei

ng e

xplo

red

by s

tate

s in

clud

e:el

imin

atin

g as

set t

estin

g in

asc

erta

inin

g el

igib

ility

, allo

win

gm

ail a

nd te

leph

one

appl

icat

ions

, per

mitt

ing

elig

ibili

tyw

orke

rs g

reat

er d

iscr

etio

n, a

nd c

ondu

ctin

g au

tom

atic

sear

ches

for

othe

r el

igib

ility

cat

egor

ies

to fa

cilit

ate

elig

ibili

ty c

ontin

uity

.

9

Of f

amili

es s

urve

yed

by th

e S

outh

ern

Inst

itute

, 48

perc

ent s

tate

d th

at c

hild

car

e w

as th

e be

nefit

they

need

ed m

ost t

o be

abl

e to

wor

k fu

ll tim

e. T

he e

norm

ity o

fth

is is

sue

to lo

w w

age

fam

ilies

sho

uld

com

pel s

tate

s to

take

deci

sive

act

ion

to p

rovi

de m

ore

assi

stan

ce w

ith c

hild

car

eex

pens

es. [

See

Cha

pter

4 o

f the

full

proj

ect r

epor

t for

deta

iled

info

rmat

ion

by s

tate

.]

25

Page 14: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Trm

sp©

r?al

ion

The

bar

riers

that

fam

ilies

with

out p

erso

nal

auto

mob

iles

conf

ront

eve

ry d

ay, e

spec

ially

if th

ey li

ve in

rura

l are

as o

r ou

tsid

e of

city

bus

rou

tes,

are

min

d-bo

gglin

g.A

rran

ging

tran

spor

tatio

n to

and

from

wor

k, h

ealth

car

ese

rvic

es, c

hild

car

e ce

nter

s an

d ag

enci

es th

at r

equi

re fa

ce-

to-f

ace

appl

icat

ion

inte

rvie

ws

can

be a

sub

stan

tial d

rain

of

time

and

ener

gy.

Tra

nspo

rtat

ion

cons

iste

ntly

sho

ws

up a

s a

barr

ier

toac

cess

ing

heal

th c

are

and

othe

r se

rvic

es, e

spec

ially

in r

ural

area

s. It

als

o ha

s be

en id

entif

ied

as a

maj

or im

pedi

men

t to

gain

ing

and

sust

aini

ngem

ploy

men

t for

fam

ilies

atte

mpt

ing

to le

ave

wel

fare

for

wor

k.T

rans

port

atio

n is

an

area

whe

re a

sset

lim

its h

ave

prov

en to

be

poor

pub

licpo

licy.

impo

veris

hed

in o

rder

to o

btai

n an

d re

tain

wel

fare

assi

stan

ce. T

hus,

it is

not

sur

pris

ing

that

toda

y on

ly 6

perc

ent o

f wel

fare

fam

ilies

ow

n ca

rs.7

With

the

new

flexi

bilit

y th

at s

tate

s no

w h

ave

unde

r T

AN

F, m

any

stat

esha

ve ta

ken

actio

n to

rem

ove

auto

mob

ile a

sset

lim

itsal

toge

ther

or

have

rai

sed

the

valu

e lim

it.A

ctio

ns s

tate

s ca

n ta

ke to

impr

ove

acce

ss to

tran

spor

tatio

n in

clud

e el

imin

atio

n of

the

auto

mob

ile a

sset

test

for

fam

ilies

app

lyin

g fo

r ch

ild h

ealth

cov

erag

e, c

hild

care

ass

ista

nce

and

othe

r be

nefit

s. T

his

wou

ld e

nd th

e

Tra

nspo

rtat

ion

cons

iste

ntly

sho

ws

up a

sa

b rr

ier

to a

cces

sing

heal

th c

are

and

othe

r se

rvic

es,

espe

cial

ly in

rur

0 ar

eas.

For

man

y ye

ars,

fede

ral w

elfa

re a

nd M

edic

aid

rule

sdi

d no

t allo

w a

fam

ily to

ow

n a

car

with

an

equi

ty v

alue

of

mor

e th

an $

1,50

0. T

here

wer

e no

exc

eptio

ns fo

r w

ork

or jo

btr

aini

ng a

ctiv

ities

, as

was

allo

wed

und

er F

ood

Sta

mp

asse

tlim

its. S

uch

stric

t ass

et li

mits

req

uire

fam

ilies

to b

e

26

unfo

rtun

ate

prac

tice

of p

enal

izin

g lo

w in

com

e fa

mili

es w

hoow

n an

aut

omob

ile.

Sta

tes

also

can

cre

ate

stat

e or

mul

tista

te w

ork

grou

ps to

iden

tify

stra

tegi

es to

hel

p lo

w in

com

e fa

mili

esov

erco

me

tran

spor

tatio

n ba

rrie

rs. [

See

Cha

pter

5 o

f the

full

proj

ect r

epor

t for

det

aile

d in

form

atio

n.]

2710

Page 15: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Ear

ned

Ene

ma

Tax

Cre

d?T

he E

arne

d In

com

e T

ax C

redi

t (E

ITC

) is

adm

inis

tere

d by

the

Inte

rnal

Rev

enue

Ser

vice

and

was

esta

blis

hed

to s

uppl

emen

t the

inco

mes

of f

amili

es m

akin

g lo

ww

ages

. The

EIT

C c

an p

rovi

de s

ubst

antia

l ass

ista

nce

to p

oor

and

low

inco

me

wor

king

fam

ilies

.T

he a

mou

nt o

f EIT

C a

ssis

tanc

e re

ceiv

ed b

y fa

mili

esis

bas

ed o

n a

slid

ing

scal

e. In

199

7, fo

r ex

ampl

e, a

one

-chi

ldfa

mily

ear

ning

at t

he m

inim

um w

age

coul

d re

ceiv

e $2

,210

inE

ITC

cas

h, a

nd a

two-

child

fam

ily e

arni

ng a

t the

min

imum

wag

e co

uld

rece

ive

$3,6

56.

Get

tinth

eb

t The

EX

TC

sh

ulf

r pu

blic

and

pri

vat

rni

zatio

ns d

ttekw

nco

me

wor

king

fam

ili

publ

ic a

nd p

rivat

e or

gani

zatio

ns a

ttem

ptin

g to

ass

ist l

owin

com

e w

orki

ng fa

mili

es.

Info

rmat

ion

outr

each

bro

chur

es d

evel

oped

by

the

Sou

ther

n Ir

istit

ute

and

info

rmat

iona

l mat

eria

ls p

repa

red

byth

e C

ente

r on

Bud

get a

nd P

olic

y P

riorit

ies

prov

ide

stat

esw

ith to

ols

to e

duca

te c

asew

orke

rs, c

omm

unity

org

aniz

atio

ns,

empl

oyer

s an

d fa

mili

es a

bout

the

cash

ava

ilabl

e th

roug

h th

eE

ITC

and

abo

ut F

orm

W-5

, whi

ch is

the

EIT

C a

dvan

cepa

ymen

t for

m to

be

filed

with

em

ploy

ers.

To

assu

re th

at fa

mili

es le

arn

abou

t the

EIT

C, s

tate

ssh

ould

con

duct

bem

ajor

goa

lpt

int

#i5t

The

re a

re tw

o w

ays

fam

ilies

can

get

the

cash

prov

ided

thro

ugh

the

EIT

C. T

hey

can

rece

ive

it at

the

end

of th

e ye

ar w

hen

they

file

thei

r ta

x re

turn

, or

they

can

get

part

of t

he E

ITC

in a

dvan

ce w

ith e

ach

payc

heck

and

the

rest

whe

n th

ey fi

le th

eir

tax

retu

rn. A

fam

ily m

ust f

ile a

fede

ral

tax

retu

rn to

rec

eive

the

EIT

C.

The

EIT

C c

ash

can

help

fam

ilies

pay

for

heal

thco

vera

ge, c

hild

car

e, tr

ansp

orta

tion

and

othe

r ne

eds.

Get

ting

the

wor

d ou

t abo

ut th

e E

ITC

sho

uld

be a

maj

or g

oal f

or

28

info

rmat

ion

outr

each

cam

paig

ns w

ith s

peci

alef

fort

s ta

rget

ed to

fam

ilies

on

wel

fare

and

prov

ide

EIT

Cin

form

atio

n an

d W

-5fo

rms

to T

AN

F, F

ood

Sta

mp

and

Med

icai

d el

igib

ility

wor

kers

. Fur

ther

, sta

tes

shou

ld e

xclu

de th

e ca

sh r

ecei

ved

thro

ugh

the

EIT

C fr

om th

est

ate'

s de

finiti

on o

f ass

ets

to a

ssur

e th

at c

hild

ren

do n

otlo

se M

edic

aid

cove

rage

bec

ause

thei

r fa

mily

cla

imed

the

EIT

C. [

See

Cha

pter

6 o

f the

full

proj

ect r

epor

t for

det

aile

din

form

atio

n.]

Page 16: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Web

scl-

To

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era

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ong

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r im

port

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ents

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7 m

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l and

ISD

N fo

r th

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outh

ern

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itute

,w

hich

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ow a

cces

sibl

e on

line

24 h

ours

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ay v

ia th

e in

tern

etat

the

addr

ess

ww

w.k

idso

uth.

org.

Sup

port

for

deve

lopm

ent o

f thi

s w

ebsi

te w

as jo

intly

prov

ided

by

The

Rob

ert W

ood

John

son

Fou

ndat

ion

and

the

Fou

ndat

ion

for

Chi

ld D

evel

opm

ent.

The

site

incl

udes

info

rmat

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abou

t tho

se s

tate

s an

dre

gion

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here

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Sou

ther

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stitu

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wor

k is

conc

entr

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cur

rent

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ject

s an

d da

ta o

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insu

red

popu

latio

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mis

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each

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ateg

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spec

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epor

ts a

lso

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be fo

und,

as

wel

l as

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ther

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stitu

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ublic

atio

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bers

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he B

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irect

ors

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taff.

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ebsi

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lso

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mun

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veh

icle

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ers

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-mai

l the

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stitu

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uest

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req

uest

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port

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d ot

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mat

eria

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ong

man

y pl

ans

for

the

futu

re o

f thi

s w

ebsi

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the

uplo

adin

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full

text

from

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ther

n In

stitu

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cum

ents

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pub

licat

ions

.T

he S

outh

ern

Inst

itute

con

tinue

s to

exa

min

e w

ays

toim

prov

e its

web

site

and

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mak

e m

odifi

catio

ns a

nd a

dd li

nks

over

the

next

yea

r. U

sers

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invi

ted

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all o

r e-

mai

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ents

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stio

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gges

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to th

e w

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outh

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ids.

org.

3122

Page 17: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

The

Sou

them

Rog

©E

nCI

FOT

UE

N

ecem

ber

Nol

ogue

In D

ecem

ber

1997

, the

Sou

ther

n In

stitu

te h

oste

d th

eS

outh

ern

Reg

iona

l For

um o

n Im

prov

ing

Acc

ess

to B

enef

its fo

r F

amili

esW

ith C

hild

ren.

Mor

e th

an 1

20 p

artic

ipan

ts a

t the

Cha

rlest

on, S

outh

Car

olin

a, e

vent

lear

ned

abou

t str

ateg

ies

to im

prov

e ac

cess

to h

ealth

cove

rage

, chi

ld c

are,

the

Ear

ned

Inco

me

Tax

Cre

dit a

nd tr

ansp

orta

tion

serv

ices

. In

com

bina

tion,

thes

e be

nefit

s ca

n pr

ovid

e si

gnifi

cant

hel

p to

fam

ilies

who

wor

k in

low

wag

e jo

bs.

Rep

rese

ntat

ives

from

sev

eral

sou

ther

n st

ates

are

pic

ture

dbe

low

and

opp

osite

.

Fro

m le

ft, E

mily

Cor

nell,

Ran

dy D

eson

ia a

nd V

icki

Gra

nt d

iscu

ss is

sues

rai

sed

durin

g th

e m

orni

ngse

ssio

n.

2332

Jack

Fra

zier

add

ress

es fo

rum

on

the

topi

c of

stat

e an

d co

mm

unity

out

reac

h.

Bec

ky S

hoaf

desc

ribes

Geo

rgia

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ight

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m T

he S

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Med

icai

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trea

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ent i

nitia

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Bar

bara

Kam

ara

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n W

ells

mak

e th

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way

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e fo

rum

lunc

h at

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erni

an H

all.

Page 18: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Pam

Ley

he m

oder

ates

ses

sion

on

mak

ing

heal

th c

over

age

avai

labl

e to

wor

king

fam

ilies

.

Sou

ther

n In

stitu

te C

hairm

an U

nita

Bla

ckw

ell a

nd B

oard

Mem

ber

Ray

Mar

shal

lgr

eet C

harle

ston

May

or J

oe R

iley,

far

right

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For

um p

anel

on

heal

th c

over

age

initi

ativ

es, f

rom

left,

Will

iam

Fre

ebur

n, J

ana

Key

, Cor

nelia

Gib

bons

, Kei

th J

ohns

on, D

ebor

ahG

riffin

and

Ric

hard

Fen

ton.

Kei

th J

ohns

onte

lls th

egr

oup

abou

tou

trea

chac

tiviti

es in

Ten

ness

ee.

flkao

rtr

KR

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34

Phe

on B

eal c

onfe

rs w

ith S

teph

anie

Fan

jul o

nch

ild c

are

initi

ativ

es in

Nor

th C

arol

ina.

Sec

reta

ry A

lvin

Col

lins

mod

erat

es a

foru

m s

essi

onon

out

reac

h.

35

Page 19: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Loo

khg

Ahe

ad0 0

Cov

erhg

Mds

In S

epte

mbe

r 19

97, T

he R

ober

t Woo

d Jo

hnso

nF

ound

atio

n de

sign

ated

the

Sou

ther

n In

stitu

te to

ser

ve a

sth

e N

atio

nal P

rogr

am O

ffice

for

a ne

w p

rogr

am, C

over

ing

Kid

s: A

Nat

iona

l Hea

lth A

cces

s In

itiat

ive

for

Low

-Inc

ome,

Uni

nsur

ed C

hild

ren.

Cov

erin

g K

ids

is a

nat

ural

ext

ensi

on o

fth

e S

outh

ern

Inst

itute

's p

revi

ous

wor

k an

d a

cent

ral p

art o

fits

ong

oing

mis

sion

.T

his

thre

e-ye

ar in

itiat

ive

was

est

ablis

hed

to h

elp

stat

es a

nd lo

cal c

omm

uniti

es in

crea

se th

e nu

mbe

r of

elig

ible

child

ren

enro

lled

in h

ealth

insu

ranc

e pr

ogra

ms.

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ill p

rovi

de

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oord

inat

e ex

istin

g co

vera

ge p

rogr

ams

for

low

inco

me

child

ren.

Som

e of

the

maj

or r

easo

ns e

ligib

le c

hild

ren

are

not

enro

lled

in h

ealth

cov

erag

e pr

ogra

ms

are:

A F

amili

es la

ck in

form

atio

n or

are

mis

info

rmed

abo

utth

e av

aila

bilit

y of

cov

erag

e fo

r ch

ildre

n in

wor

king

fam

ilies

and

two-

pare

nt fa

mili

es.

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ligib

ility

rul

es a

re c

onfu

sing

and

ofte

n ill

ogic

al.

A V

erifi

catio

n re

quire

men

ts a

re e

xces

sive

.A

Aut

omat

ic s

earc

hes

for

othe

r el

igib

ility

cat

egor

ies

Thi

s th

ree-

year

dtk1

1vw

s e

stcc

blis

hes,

to h

elst

ates

and

loca

l co-

nmun

ities

incr

ease

The

num

bcr

of e

ligi l

e ch

ildre

nen

rolle

d in

he

Ith

insu

r*nc

e pr

ogra

s.

13

gran

ts r

angi

ng fr

om $

500,

000

to $

1 m

illio

n fo

r st

ate-

loca

lco

aliti

ons

to:

A D

esig

n an

d co

nduc

t out

reac

h pr

ogra

ms

that

iden

tify

and

enro

ll el

igib

le c

hild

ren

into

Med

icai

d an

d ot

her

heal

th c

over

age

prog

ram

s.A

Sim

plify

enr

ollm

ent p

roce

sses

.

36

are

not a

lway

sco

nduc

ted

befo

recl

osin

g ch

ildre

n's

case

s.T

hese

are

sig

nific

ant

barr

iers

, but

they

are

not i

nsur

mou

ntab

le.

Giv

en th

e op

port

uniti

espr

esen

ted

by th

e M

edic

aid

prog

ram

and

the

new

Sta

teC

hild

ren'

s H

ealth

Insu

ranc

e P

rogr

am a

ppro

ved

by C

ongr

ess

in19

97, t

he C

over

ing

Kid

s in

itiat

ive

com

es a

t a c

ritic

al ti

me.

Cal

ls fo

r P

ropo

sals

wer

e di

strib

uted

in J

anua

ry 1

998.

37

Page 20: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Boa

rd

Uni

ta B

lack

wel

lS

outh

ern

Inst

itute

Boa

rd C

hairm

anM

ayor

of t

he T

own

of M

ayer

svill

eM

ayer

svill

e, M

issi

ssip

pi

of b

iree

ors

Sara

h C

. Shu

ptri

neP

resi

dent

Sou

ther

n In

stitu

te o

n C

hild

ren

and

Fam

ilies

Col

umbi

a, S

outh

Car

olin

a

Mic

hael

N. C

astle

Con

gres

sman

At L

arge

, Del

awar

eU

.S. H

ouse

of R

epre

sent

ativ

esW

ashi

ngto

n, D

C

Mar

ian

Wri

ght E

delm

anP

resi

dent

Chi

ldre

n's

Def

ense

Fun

dW

ashi

ngto

n, D

C

Reu

ben

M. G

reen

berg

Chi

ef o

f Pol

ice

Cha

rlest

on P

olic

e D

epar

tmen

tC

harle

ston

, Sou

th C

arol

ina

Was

hing

ton

Cla

rk H

ill, M

.b.

Dire

ctor

, Mat

erna

l-Fet

al M

edic

ine

Sar

asot

a M

emor

ial H

ospi

tal

Sar

asot

a, F

lorid

a

38

Judy

Lan

gfor

dS

enio

r C

onsu

ltant

Fam

ily R

esou

rce

Coa

litio

nC

hica

go, I

llino

is

Ray

Mar

shal

lR

apop

ort C

ente

nnia

l Cha

ir, E

cono

mic

s an

dP

ublic

Affa

irsU

nive

rsity

of T

exas

Aus

tin,

Tex

as

F. D

avid

Mat

hew

sP

resi

dent

and

CE

OT

he K

ette

ring

Fou

ndat

ion

Day

ton,

Ohi

o

Paul

M. S

tarn

esP

resi

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r T

rend

Pro

duct

sC

hatta

noog

a, T

enne

ssee Bee

gie

Tru

esda

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outh

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reas

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Pro

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s A

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alifo

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3926

Page 21: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

Sluff

Sara

h C

. Shu

ptri

neP

resi

dent

Vic

ki C

. Gra

ntR

esea

rch

Dire

ctor

Gen

ny G

. McK

enzi

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tant

Dire

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stin

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artv

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nC

omm

unic

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irect

or

Lyn

n G

rego

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Man

ager

JoA

n M

. Pri

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Adm

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Ass

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nt

1,7

4041

Page 22: DOCUMENT RESUME INSTITUTION Southern Inst. on Children … · Tik5 ik5U IKISTITU1 5 oN cuargN laNa kAhig, A special delivery package has arrived on the doorsteps of America's low

F(D

OM

CA

23

1 G

ener

al A

ccou

ntin

g O

ffice

, New

Str

ateg

ies

to In

sure

Chi

ldre

n, (

Was

hing

ton,

DC

: US

Gen

eral

Acc

ount

ing

Offi

ce,

GA

O/H

EH

S-9

6-35

, Jan

uary

199

6) p

. 4.

2 S

outh

ern

Reg

iona

l Tas

k F

orce

on In

fant

Mor

talit

y, F

inal

Rep

ort f

or th

e C

hild

ren

of T

omor

row

(W

ashi

ngto

n, D

C: S

outh

ern

Gov

erno

rs' A

ssoc

iatio

n, N

ovem

ber

1985

).

3 G

ener

al A

ccou

ntin

g O

ffice

, New

Str

ateg

ies

to In

sure

Chi

ldre

n, 3

Lin

da J

. Blu

mbe

rg a

nd D

avid

W. L

iska

, The

Uni

nsur

ed in

the

Uni

ted

Sta

tes:

A S

tatu

s R

epor

t (W

ashi

ngto

n, D

C: T

he U

rban

Inst

itute

, Apr

il 19

96);

and

Ron

Pol

lack

, Che

ryl F

ish-

Par

cham

and

Bar

bara

Hoe

nig,

Unm

et N

eeds

: The

Lar

ge D

iffer

ence

s in

Hea

lth C

are

Bet

wee

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Pro

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Chi

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" H

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(Bet

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Brie

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Inst

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sent

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Sou

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For

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4243

H3

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