CINXE.COM

Secure Families

<!DOCTYPE html> <html lang="en"> <head> <style> html { visibility: hidden; opacity: 0; } </style> <link rel="shortcut icon" href="/Images/Favicon/AAP-Favicon-4_Black.png" type="image/x-icon"> <meta name="viewport" content="width=device-width" /> <meta http-equiv="X-UA-Compatible" content="IE=11;IE=Edge,chrome=1" /> <meta name="referrer" content="always" /> <meta property="og:title" content="Secure Families" /> <meta property="og:type" content="website" /> <meta property="og:url" content="https://www.aap.org/en/advocacy/blueprint-for-children/secure-families/" /> <meta property="og:image" content="" /> <meta property="og:description" /> <meta name="twitter:card" content="summary" /> <meta name="twitter:title" content="Secure Families" /> <meta name="twitter:description" /> <meta name="twitter:image" content="" /> <meta name="robots" content="noindex, no follow" /> <meta name="description" content="The AAP outlines policies that promote secure families, including access to nutrition programs, Children&#x2019;s Health Insurance Program (CHIP) and Medicaid." /> <meta name="keywords" content="children&#x27;s health, child health, child welfare system, childhood poverty, child health care, healthy children, Affordable Care Act, ACA, Children&#x27;s Health Insurance Program, CHIP, Supplemental Nutrition Assistance Program, SNAP, Medicaid, advocacy" /> <meta name="publish_date" content="2020-10-02"> <meta name="publish_image" content="https://www.aap.org/globalassets/aap-img-placeholder.png"> <meta name="vertex_keywords" content="children&#x27;s health, child health, child welfare system, childhood poverty, child health care, healthy children, Affordable Care Act, ACA, Children&#x27;s Health Insurance Program, CHIP, Supplemental Nutrition Assistance Program, SNAP, Medicaid, advocacy"> <title>Secure Families</title> <!-- CookiePro Cookies Consent Notice start for www.aap.org --> <script src="https://cookie-cdn.cookiepro.com/scripttemplates/otSDKStub.js" type="text/javascript" charset="UTF-8" data-domain-script="3e68ef05-4f6d-4004-898a-78b94ce0823e" ></script> <script type="text/javascript"> function OptanonWrapper() { } </script> <!-- CookiePro Cookies Consent Notice end for www.aap.org --> <!-- Google Tag Manager --> <script> (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start': new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0], j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src= 'https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f); })(window, document, 'script', 'dataLayer', 'GTM-N2RV28J'); </script> <!-- End Google Tag Manager --> <script async src="https://securepubads.g.doubleclick.net/tag/js/gpt.js"></script> <script> var googletag = googletag || {}; googletag.cmd = googletag.cmd || []; </script> <script type='text/javascript'> googletag.cmd.push(function() { var AAPorg = googletag.sizeMapping(). addSize([730, 0], [728, 90]) //desktop .build(); var gptAdSlots = []; gptAdSlots[0] =googletag.defineSlot('/22410314033/aap_leadert', [728, 90], 'div-gpt-ad-1633540336787-0').defineSizeMapping(AAPorg).addService(googletag.pubads()); googletag.pubads().enableSingleRequest(); googletag.pubads().collapseEmptyDivs(); googletag.enableServices(); }); </script> <!-- Donate Widget Script --> <script>(function(w,d,s,n,a){if(!w[n]){var l='call,catch,on,once,set,then,track'.split(','),i,o=function(n){return'function'==typeof n?o.l.push([arguments])&&o:function(){return o.l.push([n,arguments])&&o}},t=d.getElementsByTagName(s)[0],j=d.createElement(s);j.async=!0;j.src='https://cdn.fundraiseup.com/widget/'+a; t.parentNode.insertBefore(j,t);o.s=Date.now();o.v=4;o.h=w.location.href;o.l=[];for(i=0;i<7;i++)o[l[i]]=o(l[i]);w[n]=o}})(window,document,'script','FundraiseUp','ADAHKUXY');</script> <!-- End Donate Widget Script --> <!-- Magnet Mail --> <script type="text/javascript" src="https://tracking.magnetmail.net/MagnetLeads.js"> </script> <script type="text/javascript"> com.realmagnet.MagnetLeads.init('hXdIOUQOZEy77inoSnCQWg'); com.realmagnet.MagnetLeads.visitPage(); </script> <!-- share this script --> <script type='text/javascript' src='https://platform-api.sharethis.com/js/sharethis.js#property=6480b01ae58f550012ea9faa&product=sop' async='async'></script> <!--New Relic --> <script type = "text/javascript" > ; window.NREUM || (NREUM = {}); NREUM.init = { distributed_tracing: { enabled: true }, privacy: { cookies_enabled: true } }; ; NREUM.loader_config = { accountID: "1613493", trustKey: "1613493", agentID: "342119000", licenseKey: "0c3b4b61ad", applicationID: "342118967" };; NREUM.info = { beacon: "bam.nr-data.net", errorBeacon: "bam.nr-data.net", licenseKey: "0c3b4b61ad", applicationID: "342118967", sa: 1 };; /*! 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</div> </div> </header> <div class="preload-hide"></div> <div class="container main-body" id="main-body"> <!-- ShareThis BEGIN --> <div class="sharethis-inline-share-buttons share-this"></div> <!-- ShareThis END --> <div class="content-container"> <div class="main-content"> <div><div class="row row0"><div class="block wysiwygblock"> <section class="adage-block wysiwyg "> <div class="adage-block-inner adage-wysiwyg-block"> <p><br /><img style="display: block; margin-left: auto; margin-right: auto;" src="/contentassets/0b857eb2fd594b3c91ef1614bb67b857/aap_blueprintforchildren_logo_color.png" alt="AAP_BlueprintForChildren_Logo_Color.png" width="50%" /></p> <h2>Secure Families</h2> <p>The COVID-19 pandemic has worsened a reality that already plagued the wealthiest country on earth: over a third of young children in the United States live in poverty or near poverty.<a href="https://www.childstats.gov/americaschildren/tables/econ1a.asp" target="_blank" rel="noopener"><sup>45</sup></a> The childhood poverty rate is significantly higher than the rate for adults 65 and older<a href="https://www.census.gov/content/dam/Census/library/publications/2020/demo/p60-270.pdf" target="_blank" rel="noopener"><sup>46</sup></a>, with the pandemic making it harder for parents living in poverty to provide safe, affordable housing, a regular family income, nutritious food, and access to health care for their children.</p> <p>In 2018, one in seven American children had too little food to eat.<a href="https://www.feedingamerica.org/sites/default/files/2020-04/Brief_Impact of Covid on Child Food Insecurity 4.22.20.pdf" target="_blank" rel="noopener"><sup>47</sup></a> COVID-19 has increased that number to as many as one in four.<a href="https://www.feedingamerica.org/sites/default/files/2020-04/Brief_Impact of Covid on Child Food Insecurity 4.22.20.pdf" target="_blank" rel="noopener"><sup>48</sup></a> Nearly 22 million children who rely on school-based nutrition programs have lost two to three meals per day.<a href="/en/news-room/aap-voices/pandemic-has-exposed-the-inequities-of-childhood-hunger/"><sup>49</sup></a> Children of color, children with disabilities, and children with single parents are most likely to go hungry.<a href="https://www.feedingamerica.org/sites/default/files/2020-04/Brief_Impact of Covid on Child Food Insecurity 4.22.20.pdf" target="_blank" rel="noopener"><sup>50</sup></a></p> <p>Not surprisingly, poor children are less likely to do well in school, more likely to drop out of high school, and more likely to be unemployed as adults. Children who grow up poor are also more likely to be poor at age 30 than children who don&rsquo;t experience poverty.<a href="https://www.childrensdefense.org/policy/resources/soac-2020-child-poverty/" target="_blank" rel="noopener"><sup>51</sup></a></p> <p>Even before COVID-19 and its consequent economic crisis forced millions of families off employer-sponsored health care, American children faced a coverage crisis. In the past three years, the number of uninsured children has increased and 2019 saw the largest increase in over a decade.<a href="https://ccf.georgetown.edu/wp-content/uploads/2020/10/ACS-Uninsured-Kids-2020_10-06-edit-3.pdf" target="_blank" rel="noopener"><sup>52</sup></a> Hispanic children saw the biggest jump in their uninsured rate and American Indian/Alaska Native children continue to have the highest uninsured rates.<a href="https://ccf.georgetown.edu/wp-content/uploads/2020/10/ACS-Uninsured-Kids-2020_10-06-edit-3.pdf" target="_blank" rel="noopener"><sup>53</sup></a></p> <p>Our nation must ensure every child&rsquo;s success &mdash; by ensuring every child has food and health care.</p> <h2>Policies that Promote Secure Families</h2> <ul> <li>Improve families&rsquo; access to Medicaid coverage and services by simplifying eligibility processes, reducing bureaucratic barriers to care, and streamlining enrollment.</li> <li>Increase funding for and access to federal nutrition programs including breastfeeding support and nutrition education.</li> <li>In light of school closures and physical distancing, develop and fund alternative sites and strategies to distribute meals to food-insecure families and maintain access to WIC.<a href="/en/work-in-progress/election-vote-kids/key-child-health-issues/"><sup>54</sup></a></li> <li>Promote optimal child development and ensure parents can provide children with needed care and support by making access to paid family and medical leave universal.</li> <li>Increase opportunities to lift families out of poverty, including raising the minimum wage, offering job training, strengthening tax credits, cash assistance, bolstering SNAP, and expanding family and medical leave.</li> <li>Expand federal rental assistance, increase loan and rental availability, and improve and enforce public housing standards to combat housing inequities and environmental racism that harm communities of color.</li> <li>Improve the child welfare system to prioritize supporting families and promoting equitable outcomes, so that rather than reflexively putting children in foster care, we give parents the tools and services they need, including economic and social supports and access to needed services such as mental health and substance use disorder treatment.</li> <li>Reform child welfare policies to eliminate inappropriate institutional placements of children and youth and promote family placement and permanency.</li> <li>Ensure that infant and child product safety regulations prioritize the safety and wellbeing of children, including promoting safe sleep environments and reducing unintentional injuries through safer product standards and recall processes.</li> <li>Ensure that TRICARE covers needed services for children who live in military families and that they have access to pediatricians and other medical providers throughout the Military Health System.</li> </ul> <h2 style="text-align: center;">A Child Health Policy Agenda for 2020 and Beyond</h2> </div> </section> </div></div><div class="row row1"><div class="block cardblock col-xxl-4 col-xl-4 col-lg-4 col-md-6 col-sm-12"> <a href="/en/advocacy/blueprint-for-children/healthy-children/"> <div class="card-block"> <div class="card-block-image"> <img src="/contentassets/7ffefb7ea52b4d2d88d010678fed36f5/pediatrician-taking-a-mouth-swab.jpg" /> </div> <div class="card-block-content rich-text"> <h3 class="card-block-header">Healthy Children</h3> <p class="paragraph-caption"> The federal government must use every tool at its disposal to address the public health crises facing children and adolescents. </p> </div> </div> </a></div><div class="block cardblock col-xxl-4 col-xl-4 col-lg-4 col-md-6 col-sm-12"> <a href="/en/advocacy/blueprint-for-children/strong-communities/"> <div class="card-block"> <div class="card-block-image"> <img src="/contentassets/6d4aebd552d843bf94d932d9f1c2ef03/teenage-girl-volunteer-delivering-groceries.-she-wearing-a-protective-face-mask.jpg" /> </div> <div class="card-block-content rich-text"> <h3 class="card-block-header">Strong Communities</h3> <p class="paragraph-caption"> Our nation must ensure that all children and families live in safe communities that address systemic inequalities. </p> </div> </div> </a></div><div class="block cardblock col-xxl-4 col-xl-4 col-lg-4 col-md-6 col-sm-12"> <a href="/en/advocacy/blueprint-for-children/a-leading-nation-for-youth/"> <div class="card-block"> <div class="card-block-image"> <img src="/contentassets/3e9d0e30536a42c5a1ba9a4654647083/little-peruvian-girls-near-canion-colca-arequipa.jpg" /> </div> <div class="card-block-content rich-text"> <h3 class="card-block-header">A Leading Nation for Youth</h3> <p class="paragraph-caption"> Our leaders must show their commitment to the future by investing in child and adolescent health &#x2014; within our borders and beyond. </p> </div> </div> </a></div></div><div class="row row2"><div class="block sourcelastupdatedblock"> <div class="last-updated-block-container"> <h5 class="last-updated-block-label">Last Updated</h5> <p class="last-updated-text">10/15/2020</p> </div> <div class="source-block-container"> <h5 class="source-block-label">Source</h5> <div class="source-text"> <p>American Academy of Pediatrics</p></div> </div> </div></div></div> </div> </div> <div class="back-to-top" tabindex="0" id="backToTop"> <svg class="back-to-top-arrow"> <use xlink:href="#back-to-top-arrow"></use> </svg> </div> </div> <script type="text/javascript"> window.searchBox = { searchBoxText: 'Search All AAP', searchButtonText: 'Search', findIndexUrl: 'https://es-us-api01.episerver.com/3fu1nB75NF5xwBMuzJdHOF0KFePbaflM/aaop_index00214/', searchPageUrl: '/en/search/', shopSearchBoxText: 'Search shopAAP' }; </script> <script type="text/javascript"> window.GoogleAnalyticsBootstrap = { sendUserInformationtoGA: 'False', lockedContentUniqueUserId: '', userVisitorGroupName: '', } </script> <script> window.errorText = { dismissButtonText: 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