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Longtime Democratic Sen. Jeanne Shaheen not seeking re-election in 2026 in key northeastern swing state

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Longtime Democratic Sen. Jeanne Shaheen not seeking re-election in 2026 in key northeastern swing state

Democratic Sen. Jeanne Shaheen of New Hampshire is the latest Democrat in the Senate to announce her retirement rather than seek re-election in the 2026 midterms.

The Wednesday announcement by the former governor and three-term senator in a key New England swing state will further complicate the Democrats’ efforts to regain control of the Senate from the Republicans in next year’s elections.

The news also marks the beginning of the end of a long and successful career of the first woman in American politics to win election both as a governor and as a U.S. senator.

SENATE REPUBLICAN CAMPAIGN CHAIR REVEALS HOW MANY SEATS HE’S AIMING FOR IN 2026

Sen. Jeanne Shaheen, D-N.H., speaks before President Joe Biden arrives to deliver remarks on lowering the cost of prescription drugs, at NHTI Concord Community College, Tuesday, Oct. 22, 2024, in Concord, N.H. (AP Photo/Steven Senne) (AP Photo/Steven Senne)

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“I ran for public office to make a difference for the people of New Hampshire,” Shaheen said. “That purpose has never and will never change. But today, after careful consideration, I am announcing that I have made the difficult decision not to seek re-election to the Senate in 2026.”

TOP POLITICAL HANDICAPPER REVEALS DEMOCRATS CHANCES OF WINNING BACK THE SENATE MAJORITY

Shaheen, who turned 78 earlier this year, added that “it’s just time.”

The senator emphasized that “while I am not seeking re-election, believe me I am not retiring. I am determined to work every day over the next two years and beyond, to continue to try to make a difference for the people of New Hampshire and this country.”

There was intense speculation for months regarding whether Shaheen, who first won election to the Senate in 2008 and who this year became the first woman in history to hold one of the top two positions on the powerful Senate Foreign Relations Committee, would seek another term in office.

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Shaheen raised a paltry $170,000 in the final fundraising quarter of 2024, which sparked buzz that the senator might not be preparing for another re-election campaign. But sources in Shaheen’s political orbit noted that the senator did not emphasize fundraising in the fourth quarter of last year, which included the final month of the 2024 presidential election.

Fox News confirmed last week that Shaheen had a major fundraiser scheduled for March 20 in Manchester, New Hampshire. There’s no word yet on whether that event has now been canceled.

It has been 15 years since Republicans last won a Senate election in New Hampshire, with Democrats victorious in the past four elections.

“No Republican has won a Senate race in over a decade in New Hampshire, and that trend will continue in 2026. This is exactly the kind of state where the building midterm backlash against Republicans will hit their candidates especially hard,” Democratic Senatorial Campaign Committee spokesperson David Bergstein told Fox News in a statement.

But national Republicans see opportunities to flip the Senate seat in New Hampshire from blue to red, and the National Republican Senatorial Committee (NRSC) had already run ads targeting Shaheen over her defense of USAID funding that the Trump administration is axing.

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“Another one! Shaheen’s retirement is welcome news for Granite Staters eager for new leadership. New Hampshire has a proud tradition of electing common-sense Republicans – and will do so again in 2026,!” Sen. Tim Scott, the NRSC chair, said in a statement to Fox News.

Former Sen. Scott Brown is interviewed by Fox News Digital, on Dec. 24, 2024 in Rye, New Hampshire (Fox News – Paul Steinhauser)

Former Sen. Scott Brown, the former senator from Massachusetts who later narrowly lost to Shaheen in New Hampshire in the 2014 election, is seriously considering a 2026 run.

FORMER TRUMP AMBASSADOR EYES SENATE RETURN

Brown, who served four years as U.S. ambassador to New Zealand during President Donald Trump’s first administration, has been holding meetings with Republicans across New Hampshire for a couple of months and has met multiple times with GOP officials in the nation’s capital.

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“I appreciate @jeanneshaheen’s service to our state and for her support and vote for me as NH’s Ambassador to NZ and Samoa. Now it’s time for New Hampshire to have someone in the delegation who fights for our priorities and stands with, not against, the Trump agenda,” Brown said in a social media post.

Republican Gov. Chris Sununu of New Hampshire is interviewed by Fox News Digital, on July 11, 2024 in Newfields, N.H.  (Fox News – Paul Steinhauser)

New Hampshire’s popular former Republican governor, Chris Sununu, has said repeatedly in interviews with Fox News and other news organizations over the past year that he had no interest in running for the Senate in 2026.

Sununu was heavily courted to run for the Senate in the 2022 cycle against Democrat incumbent Sen. Maggie Hassan, another former governor, but decided against making a run.

Among Democrats, all eyes will now be on four-term Rep. Chris Pappas to see if he launches a Senate campaign. Pappas, whose family owns and operates an iconic restaurant and conference center in Manchester – the state’s largest city- was first elected to Congress in 2018.

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Rep. Chris Pappas (D-NH) greets supporters after his midterm victory during an election night watch party at the Puritan Conference Center on November 8, 2022 in Manchester, New Hampshire. (Photo by Sophie Park/Getty Images)

A person with knowledge of Pappas thinking confirmed to Fox News that the congressman is seriously considering a Senate run to succeed Shaheen.

Pappas, in a social media post, praised Shaheen as a “trailblazer who has worked every day to put New Hampshire first and make a difference for our families, community, and economy. Thank you for always leading with integrity, determination, and effectiveness for our state and nation.”

Former Democratic Rep. Ann Kuster, who retired from the House at the beginning of this year after a dozen years representing New Hampshire’s other congressional district, told Fox News that she would “take a serious look” at running for the Senate if Pappas decides against launching a campaign.

Also considering a Senate run, according to a source familiar, is Democratic Rep. Maggie Goodlander, who won election to Congress last November and succeeded Kuster.

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Republicans flipped four Democrat-held Senate seats in last November’s elections to win back control of the chamber. They now control the chamber and are aiming to expand their majority in 2026.

Besides New Hampshire, the GOP is targeting battleground Michigan, where Democratic Sen. Gary Peters announced in January that he would not seek re-election. Also on their 2026 radar is Georgia, another key battleground state where Republicans view first-term Democratic Sen. Jon Ossoff as vulnerable.

Democratic Sen. Tina Smith of Minnesota announced last month that she would not bid for another term in next year’s midterms, giving the GOP hope that it might be competitive in the blue-leaning state.

But Republicans are also playing defense in the 2026 cycle.

Democrats plan to go on offense in blue-leaning Maine, where moderate GOP Sen. Susan Collins is up for re-election, as well as in battleground North Carolina, where Republican Sen. Thom Tillis is also up in 2026. 

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And Democrats are looking at red-leaning Ohio, where Republican Lt. Gov. Jon Husted was appointed in January to succeed now-Vice President JD Vance in the Senate. Husted will run next year to finish out Vance’s term.

Sen. Jeanne Shaheen of New Hampshire raises her arms after claiming a re-election victory, at a gathering with supporters on Nov. 3, 2020, in Manchester, N.H.. (AP Photo/Charles Krupa)

Shaheen’s career in politics began long before she ran for elective office.

She served as a county organizer on former President Jimmy Carter’s historic first White House campaign, as part of the team that boosted the little-known former Georgia governor to the presidency. 

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Four years later she ran Carter’s re-election campaign in the first-in-the-nation presidential primary state as the White House incumbent fought off a serious primary challenge from the late Sen.Ted Kennedy of neighboring Massachusetts. 

In 1984, Shaheen ran Gary Hart’s presidential campaign in New Hampshire, helping Hart to a surprise victory over former Vice President Walter Mondale in New Hampshire.

Shaheen went on to win election as a state senator, and in 1996 won the first of three straight two-year terms as New Hampshire governor. And her 2008 Senate victory was the first by a Democrat in New Hampshire in more than three decades.

Shaheen is credited with boosting the Democratic Party in New Hampshire and helping turn a red state purple.

Longtime state party chair Ray Buckley called Shaheen “an iconic New Hampshire trailblazer.”

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New Hampshire

From farm to… freezer? A new approach could help close N.H.’s local food gap. – The Boston Globe

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From farm to… freezer? A new approach could help close N.H.’s local food gap. – The Boston Globe


“This process takes our product to a whole different level,” said Zydenbos. And, she said, it tastes delicious.

Vermont has the highest percentage of local food sales in the region (10.7 percent), followed by Maine (4.9 percent), with New Hampshire coming in third (4.6 percent), according to 2024 data from New England Feeding New England, a partnership of New England organizations advocating that the region produce 30 percent of the food it consumes by 2030. Massachusetts comes in fourth, with 3.6 percent of food spending on local items.

Stephanie Zydenbos, founder and CEO of Micro Mama’s, right, and her sister, COO Samantha Cleveland, chat in their Weare, N.H. workshop.Pat Greenhouse/Globe Staff

New Hampshire is second to last in New England when it comes to the value of vegetable sales ($23 million) and the value of agriculture ($209 million). Many farmers in the state struggle to turn a profit.

“Generally speaking, New Hampshire is a little bit behind,” said Shawn Menard, executive director of Seacoast Eat Local, a local food nonprofit, and board president at the Concord Food Co-op. Menard said other New England states have more robust infrastructure for food processing, purchasing, and distribution that supports local food production.

Since 2012, Zydenbos has operated Micro Mama’s, one of New Hampshire’s first fermented vegetable companies, sourcing local produce and transforming it into fermented vegetables sold at more than 50 locations around New England, including about 30 Whole Foods stores.

The Silly Dilly Carrot Prebiotic & Probiotic Fermented Vegetables, left, will become Micro Mama’s first fermented freeze-dried blend, according to Stephanie Zydenbos.Pat Greenhouse/Globe Staff

Now, Zydenbos wants to try something new, by making more processing equipment available for farmers and producers in New Hampshire and using it to introduce novel local food products. Among them: freeze-dried kimchi, a new take on a traditional Korean dish made with spicy fermented vegetables like napa cabbage and radishes.

With a $96,000 federal grant from the US Department of Agriculture in hand, she purchased new equipment, including an individual quick freezer and a freeze dryer. Food experts said the cost of the equipment is one barrier that’s prevented other small local businesses from offering similar products.

Jennifer Chadbourne, a clinical associate professor in agriculture, nutrition, and food systems at the University of New Hampshire, said freeze-dried kimchi is not widely available.

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“It could be a really novel idea for the manufacturer,” she said.

Traditional kimchi and other fermented vegetables offer certain health benefits, like probiotics that can aid gut health, according to Chadbourne. She said freeze-drying can preserve the nutritional value of food since it doesn’t rely on a high heat during processing, but there’s not yet robust evidence on the nutritional profile of a new food like freeze-dried kimchi. She said flash freezing is another effective way to preserve the peak nutrients of a freshly harvested food.

For the consumer, these products are a convenient way to buy nutritious local produce outside the limited months of New England’s growing season.

“Especially here in New England, where we have such drastic seasons that impact how long we can grow food, any type of novel preservation technique is going to help us maximize our crops during the seasons where we can grow,” said Chadbourne.

The individual quick freezer Zydenbos acquired is different from a typical household freezer. It freezes produce in about 20 minutes as opposed to 48 hours, Zydenbos said. And rather than locking produce into one solid chunk, it freezes berries or broccoli as individual pieces, which makes it easier to use at home.

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If freeze-dried kimchi seems a little out there, that’s a challenge Zydenbos has faced before. When she started her fermented food business in 2012, kimchi was still on the fringes of food culture in New England. Zydenbos said she had to work with state agencies as they learned how to regulate the food. Then she toured the state’s farmers markets educating consumers and evangelizing the benefits of fermented foods.

Even before that, there were her own doubts to overcome.

“When you first do it, you’re like, Oh, my god, this goes against everything that you’ve been taught,” she said. “You’re basically leaving vegetables out on the warm shelf to transform.”

“I’m going to kill somebody,” she remembers thinking while fermenting a batch for her own consumption after attending a kimchi-making workshop.

Micro Mama’s refrigerator trailer outside the processing facility in Weare, N.H.Pat Greenhouse/Globe Staff
Micro Mama’s fermenting tanks inside the temperature-controlled fermenting room in Weare, N.H.Pat Greenhouse/Globe Staff

Zydenbos came to fermenting in search of healing. For years, she relied on copious quantities of probiotic supplements to ease digestive issues. When she started making kimchi, that became her new cure.

From there, a kimchi empire was born.

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“In terms of somebody who really put it on the map in this region, I think Micro Mama’s is a huge player in that,” said Menard. He was the produce manager at the Concord Co-op when Zydenbos landed her account there. Menard said he hadn’t had kimchi before, but he was blown away by the flavor of her product, which was well received among the co-op’s customers.

By 2017, Zydenbos had built a facility in Weare on a property that had been in her family since the 1970s. The fermenting dens now contain 40,000 pounds of vegetables in production, all subject to strict federal and state safety regulations. She sourced stainless steel fermenting tanks from Italy and Germany to avoid using plastic containers.

When Whole Foods first came to New Hampshire, Zydenbos put her line of products forward – including kimchi, sauerkraut, and fermented carrots and beets, sourced from New Hampshire farms. The food safety work she had done with state agencies paid off, Zydenbos said, when she was able to show Whole Foods her quality control measures.

Now, with her new equipment, Zydenbos is planning to add freeze-dried kimchi to her lineup, as well as launch a spice line and food that will appeal to hikers, campers, and preppers.

“The possibilities are endless,” she said.

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With the individual quick freezer, she can produce frozen carrots, beets, potatoes, and French-fry cut potatoes, which could be sold at local grocery stores or to New Hampshire restaurants.

Zydenbos views these efforts as a way to help farms access markets they haven’t been able to reach given a lack of processing equipment, licensing, or capital. She said the demand already exists.

Bruce Wooster of Picadilly Farm in Winchester, N.H., has been selling produce to Zydenbos for about five years. He said her new endeavor with flash frozen and freeze-dried produce could help growers extend their selling season.

“All the local farms have their crop coming all at once,” he said. “It can be tough to spread out those sales, but by freezing you can spread things out and not be like, ‘Hey, we’ve got to sell it this week before it spoils.’”

The Concord Food Co-op is one local grocery store that’s eager to include local frozen produce on its shelves.

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“We have frozen vegetables that fly off the shelf,” said Josh Belanger, the store’s former general manager. “I think if we had them locally they’d do even better.”

Josh Marshall, assistant commissioner of the New Hampshire Department of Agriculture, Markets, and Food, said the new equipment will help make more local food available.

“For a small producer to be able to buy directly from small, New Hampshire farmers, and do this, this seems relatively cutting edge,” Marshall said.


Amanda Gokee can be reached at amanda.gokee@globe.com. Follow her @amanda_gokee.





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New Jersey

7 Of The Most Welcoming Towns In New Jersey

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7 Of The Most Welcoming Towns In New Jersey


New Jersey’s most welcoming towns pair walkable main streets with year-round arts calendars and centuries of preserved history. Some carry deep Revolutionary War legacies. Others grew up around an art museum or a resident orchestra. Free jazz fills Nishuane Park. The Mayo Performing Arts Center hosts touring Broadway shows. Expect Victorian beach streets, summer Shakespeare, and old battlefields. All places where strangers get treated like neighbors.

Cape May

Washington Street Mall at Cape May, New Jersey. Image credit: Jonathan W. Cohen / iStock.com

Cape May built its hospitality on its bed-and-breakfast district. Longtime innkeepers remember returning guests by name. The city holds one of the largest collections of 19th-century frame buildings in the country. That Victorian architecture earned it National Historic Landmark status in 1976. Cape May stands at the southern tip of the state’s coast, where Delaware Bay meets the Atlantic Ocean.

Beach access stretches past Cove Beach and Poverty Beach to the central stretch near Beach Avenue. The Washington Street Mall handles shopping and dining inland. The 1859 Cape May Lighthouse still operates at the southern point. Visitors can climb its 199 steps for a view of the bay and ocean below.

Princeton

Shoppers and pedestrians near a Tudor style building on Witherspoon Street in Princeton, New Jersey
Shoppers and pedestrians near a Tudor style building on Witherspoon Street in Princeton, New Jersey. Image credit: Benjamin Clapp / Shutterstock.com

Princeton turned its university art museum into a public town square. The free museum opened a new building in October 2025 and holds more than 117,000 works. Princeton University began as the College of New Jersey in 1746, among the oldest in the country. Its collegiate Gothic campus stays open for self-guided architectural tours.

Bookstores and cafés line Nassau Street and Witherspoon Street downtown. Princeton Battlefield State Park preserves the ground where George Washington beat British troops in January 1777. The Delaware and Raritan Canal State Park follows the old canal corridor nearby. Level paths there suit walking and biking.

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Morristown

Overlooking Morristown, New Jersey.
Overlooking Morristown, New Jersey.

Morristown holds the country’s first national historical park. Established in 1933, it preserves the site where the Continental Army camped through the brutal winter of 1779-1780. The town carries one of the deepest Revolutionary War legacies anywhere. The National Trust for Historic Preservation named it a Dozen Distinctive Destination. The Ford Mansion served as George Washington’s headquarters and stays open for tours. Acorn Hall, Historic Speedwell, and the MacCulloch Hall Historical Museum round out the historic-house circuit.

The Mayo Performing Arts Center on South Street books classical music, touring concerts, and Broadway shows year-round. The Morristown Green gathers the downtown restaurant and shopping scene around one public square.

Madison

A huge clock in the main street of Madison, New Jersey downtown on a sunny afternoon
A huge clock in the main street of Madison, New Jersey downtown on a sunny afternoon. Image credit: Wirestock Creators / Shutterstock.com

Madison hosts the Shakespeare Theatre of New Jersey at Drew University. It is the state’s only professional company devoted to Shakespeare and the classics. Performances fill the F.M. Kirby Shakespeare Theatre through a long summer season. The town stands about five miles east of Morristown.

Independent cafés, bakeries, and boutiques fill Main Street and Waverly Place. The Museum of Early Trades and Crafts occupies the 1900 James Library building. Its displays show the tools New Jersey artisans used in the 18th and 19th centuries.

Montclair

Park Street in downtown Montclair.
Park Street in downtown Montclair.

The free Montclair Jazz Festival fills Nishuane Park each year. Emerging and established players make it one of the larger jazz gatherings in the region. The town rests on the eastern slope of the Watchung Mountains. It keeps one of New Jersey’s busiest arts calendars. The Montclair Art Museum on South Mountain Avenue centers its collection on American and Native American art.

The Alexander Kasser Theater at Montclair State University books dance, music, and theater all year. Restaurants and shops line Bloomfield Avenue in the Montclair Center district. The restored 1922 Wellmont Theater hosts touring concerts and comedy.

Westfield

Outdoor dining in Westfield, New Jersey
Outdoor dining in Westfield, New Jersey.

The New Jersey Festival Orchestra calls Westfield home and plays venues around town all year. Shops, boutiques, and restaurants fill the Union County downtown along East Broad Street and Elm Street. The 1922 Rialto on East Broad Street was long the town’s movie house. It is being reborn as the Center for Creativity, a community arts venue for film, performance, and exhibitions.

Mindowaskin Park holds a pond, walking paths, and picnic spaces near downtown. The Spring Fling and FestiFall events bring music, food, and family activities to the blocks each year.

East Brunswick

Aerial view of single family homes, a residential district East Brunswick New Jersey
Aerial view of single family homes in a residential district of East Brunswick, New Jersey.

Giamarese Farm and Orchards keeps a pick-your-own operation in East Brunswick. It offers seasonal fruit and vegetable picking, a corn maze, and autumn hayrides. The Middlesex County town leans toward families. Butterfly Park sets aside green space for butterfly conservation. Crystal Springs Family Waterpark gives a summer cooling-off spot.

Playhouse 22 stages community theater, plays, and concerts year-round. The East Brunswick Public Library hosts programs and exhibits as a cultural hub. Bicentennial Park and the Tamarack Golf Course cover the sports side. Route 18 puts New Brunswick and the central Jersey corridor within easy reach.

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Hospitality You Can Walk To

Hospitality here shows up in small, repeatable ways. The Morristown Green fills with the same faces every weekend. Princeton opens its new art museum to everyone for free. The New Jersey Festival Orchestra tunes up in Westfield. Giamarese Farm hands East Brunswick families a basket every fall. None of it is staged for outsiders. These towns built their welcome for the people who live there. The rest of New Jersey keeps showing up anyway.



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Pennsylvania

Half of child deaths left unreviewed in Pa. since 2020 as counties struggle with ‘unfunded mandate’

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Half of child deaths left unreviewed in Pa. since 2020 as counties struggle with ‘unfunded mandate’


Many Pennsylvania counties are failing to review the death of every child in their area, despite a 2008 state law that requires them to do so.

The problem, advocates and program participants say, is a lack of both state assistance in collecting data and time for volunteers to run the local panels.

Gov. Josh Shapiro wants the legislature to approve $2.5 million to improve this work, but it’s unclear if the request will be considered a priority this year.

The effort to study the deaths of Pennsylvania children dates back about two decades, when the state passed a law mandating counties host a local board of healthcare professionals, law enforcement officials, child protective service providers, and a coroner or medical examiner to review the deaths of every resident under the age of 21. The law was one of several initiatives spurred by the murder of Berks County toddler Maxwell Fisher in 1996.

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Based on the information county boards gather, members are charged with creating strategies for local and state policymakers to prevent similar deaths.

But reports shared with Spotlight PA by the Pennsylvania Department of Health show that since 2020, roughly half of childhood deaths statewide have not been reviewed. Those lapses are especially prominent in rural counties, where local teams are more likely to falter or not exist.

Policymakers have known about the program’s issues for years.

A multiyear East Stroudsburg University evaluation of the program commissioned by the state Department of Health concluded in 2024 that the Child Death Review program is “an unfunded mandate.” It issued a long list of recommendations to rectify the program’s shortcomings, including creating regional teams for rural areas.

“Staffing turnovers and pandemic disruptions were detrimental to maintaining complete teams in many regions of Pennsylvania,” researchers wrote. “Some have since begun to rebuild while other teams have yet to meaningfully reengage in (Child Death Review).”

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Still, lawmakers have failed to adopt legislation — or even introduce any, according to a search of the state General Assembly’s website — to address the issues facing the 2008 law.

The status quo could change this year.

Steven Shapiro, a pediatrician and longtime member of the Montgomery County review team, told Spotlight PA that he and fellow pediatrician Erich Batra, of Lebanon County’s review board, have been urging state officials to improve the “flawed” Child Death Review system. They want a coordinated effort to improve data collection and remove some burdens from counties’ responsibilities.

“If you just unpack how the child succumbed, then you begin to learn about how you can protect other children from enduring the same fate and parents enduring the same fate,” Shapiro said.

Shapiro’s son, Gov. Josh Shapiro, happens to be in a position to help get the program some state funding. Though the elder Shapiro said he does not “try to influence” policy when speaking with his son, some topics come up “over table talk at dinner sometimes.”

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Earlier this year, for the first time, the governor proposed using a new $2.5 million from the state’s general fund to support the program. The Department of Health said in an emailed April statement that the money would be used to adopt some of the report’s recommendations. Those include adding health department staff to assist county teams with data collection and prevention strategies, creating a grant that counties could use to “enhance local CDR operations,” and expanding public education campaigns geared toward preventing child deaths.

The Department of Health’s statement did not specify how many positions would be added to improve the program’s organization.

Steven Shapiro said he and Batra are also working on a “cogent, complete and cost-effective” proposal to “redo” how the state is involved in Child Death Review data collection that would not require new legislation. He wouldn’t share details on how that new system might work, but said some funding from the state is essential.

Batra told Spotlight PA the $2.5 million in state funding the governor is proposing would be a good starting point. He envisions it helping counties with data collection and funding local prevention efforts, which can include things like adding signs at dangerous intersections, leading a smoke detector campaign in neighborhoods experiencing fires, or holding fundraisers for a local Cribs for Kids branch.

“A lot of the way Child Death Review works is what I call the intangibles,” Batra said. “It’s the community coming together and working together in a way that they might not always do on a day-to-day basis.”

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But Cathleen Palm, founder of the Center for Children’s Justice and a longtime advocate for improving Child Death Review, told Spotlight PA she’s not convinced Gov. Shapiro’s funding pitch alone is a game-changer.

She said that if improving Child Death Review were truly a priority for policymakers, there would be more fanfare around the funding proposal from the Shapiro administration.

Palm also criticized lawmakers for their inaction on addressing issues within the program that have been known for years.

“Why do we create a law if we don’t want to follow it?” Palm said.

In a year where so many competing interests are fighting over a limited amount of state funds, Palm worries Shapiro’s proposal may go overlooked by lawmakers.

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“Investing in improvements to the CDR process will further allow the Administration to expand public education and outreach, with a focus on preventable causes of child death,” Rosie Lapowsky, Gov. Shapiro’s spokesperson, said in a statement. “The Governor is hopeful the General Assembly shares that mission of protecting children and ensuring their safety.”

The annual proportion of reviewed child deaths plummeted during COVID-19 and has not fully rebounded, even though there has also been a reduction in the total number of deaths, according to annual reports from the Department of Health.

In the history of the review requirement, county boards have never succeeded in studying every death. The closest they got was in 2013 — statewide, about three-quarters of the 1,931 child deaths that happened that year were reviewed.

That rate dropped to an all-time low in 2019, when 43% of that year’s 1,907 child deaths were reviewed. The drop is often associated with the COVID-19 pandemic, because deaths tend to get reviewed many months after the fact.

The review rate climbed back to nearly 60% in 2023 (of 1,551 deaths), the most recent year for which data are available.

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However, local teams across the state left more than 600 deaths unreviewed in 2023.

Unreviewed deaths stem directly from members being “stretched thin with resources” and being “pulled in so many different directions,” according to Christina Phillips, who organized the Child Death Review program from 2018 until her retirement earlier this year.

Phillips said she worked as a “one-person project” at the state level to coordinate with counties about which deaths to review. Part of the reason the Department of Health commissioned East Stroudsburg University to do its 2022-24 study of the program is because Phillips raised concerns, she told Spotlight PA.

Most of the people who serve on local review teams are volunteers who do this work alongside their regular paid positions. Phillips said many rural counties meet as little as once or twice a year.

What they need, she said, is help from state staff to request medical records, synthesize findings into data entry, and translate any patterns they find into prevention strategies.

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Phillips said she was unsure why lawmakers have not tried to address advocates’ concerns, given they have received an annual report that highlights those problems for multiple years.

“Preventing kids from dying is never a partisan issue,” Phillips said. “Preventing kids from dying is possible if there are more resources for Child Death Review.”

East Stroudsburg University researchers sorted counties into categories: ones that already have strong review programs; ones that could improve in various ways; and ones that need to be redeveloped.

They identified 20 rural counties that should at least consider organizing under regional offices to maximize their resources, and 22 counties — 6 urban and 16 rural — that must regroup because although they experienced “sufficient deaths to justify a local team,” they saw inconsistent participation from members.

The 15 “strong” counties were a mix of urban and rural, from Philadelphia to a regional operation between Susquehanna and Wyoming Counties, according to researchers. They suggested that 10 other counties, including Allegheny, build on their current processes.

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Many of the program’s issues stem from data collection. Researchers at East Stroudsburg found that facilitating data collection falls onto volunteer team chairs. In other states, like Maryland and Delaware, there are paid staff at the state level who coordinate data collection efforts prior to meetings, according to researchers.

Roy Hoffman, medical director of Philadelphia’s Fatality Review Program, told Spotlight PA that even for his team of roughly 15 city employees working on death review, data collection is “a pain” and “time-consuming.”

Philadelphia has operated its own death review group since the 1990s, Hoffman said, and saw few differences following the 2008 law.

“I can imagine for some of these smaller counties with coroners, with not having done this, this must be a big pull and hard to do,” Hoffman said.

The most recent state Child Death Review annual report, analyzing 2023 data, found that Black or African American children died at twice the rate of white children — a statistic in line with national trends.

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Roughly 47% of the reviewed deaths in 2023 were caused by medical conditions, including prematurity. “External causes,” including bodily force or a weapon, accounted for about 45% of deaths that year.

Palm pointed to the Department of Health’s finding that roughly one-third of child deaths in 2023 were flagged by local teams as “preventable.”

“All of us as a society want to keep our kids alive and healthy and well,” Palm said. “In order to do that, we have to study the kids who died to figure out how we prevent the next child from dying.”

Palm wants the state to foster the same level of research toward preventing gun safety, motor vehicle crashes, drowning, accidental overdoses, and abuse or violence against kids as it and other institutions direct toward studying youth cancer rates.

Researchers at East Stroudsburg recommended that lawmakers amend current law to require a minimum number of quarterly meetings for each local team, boost training for local and state team members, mandate a specific timeframe for a death review to be completed, and require local teams to include representatives from school districts and “underrepresented community groups.”

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They also urged lawmakers to reduce the age cap to trigger a mandated review, from 21 to 18, and to include an “enforcement provision” to encourage counties to participate in the program.

None of the researchers’ suggested changes to Child Death Review have been proposed in the General Assembly, according to a review of introduced bills on the legislature’s website.

The original bill establishing the program was sponsored by Republican state Sen. Lisa Baker. She told Spotlight PA in response to emailed questions that it’s likely time to reevaluate the system with input from state and local stakeholders to “address evolving needs.”

“Given children are potentially falling through the cracks, a closer examination and review of the program is certainly warranted,” Baker said.

Beth Rementer, a spokesperson for Democratic state House Majority Leader Matt Bradford, noted that the chamber passed Shapiro’s budget proposal in April, which included the $2.5 million for Child Death Review.

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“We are open to discussions with the administration and stakeholders about improving the program to ensure all children are safe,” she said.

A spokesperson for Republican state Senate Majority Leader Joe Pittman did not respond to questions regarding potential changes this year to Child Death Review.

___

This story was originally published by Spotlight PA and distributed through a partnership with The Associated Press.

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