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High death rates, unchanging poverty level puts Arkansas among worst states for child well-being • Arkansas Advocate

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High death rates, unchanging poverty level puts Arkansas among worst states for child well-being • Arkansas Advocate


The experience of growing up in Arkansas has worsened in most areas of child well-being according to the latest Annie E. Casey Foundation report.

The group’s latest KIDS COUNT Data Book, released Monday, shows 2022 was the deadliest year on record for child deaths in Arkansas. Child poverty and low educational performance persisted.

The report uses information from 2022 to analyze nationwide data from 16 indicators in four domains: family and community, education, health and economics. The report then ranks states by overall child well-being. Arkansas’ position at 45th is down two slots from its ranking the last two years.

Arkansas has ranked as one of the country’s 10 worst states for overall child well-being nine times in the last decade. The only year it didn’t rank in the bottom 40, it came in at 39.

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The recent drop in rankings results from a combination of Arkansas’ indicators worsening and other states improving at a quicker rate, leaving the Natural State to fall farther behind, said Pete Gess, economic policy director at Arkansas Advocates for Children and Families (AACF).

Keesa Smith, Arkansas Advocates for Children and Families

AACF is a member of the KIDS COUNT network, and staff provided a report preview last week and offered policy solutions. Executive Director Keesa Smith spoke to the connectedness between the indicators.

“If you start with the big piece of data, which is the number of children living in poverty, that speaks to a situation already that families are trying to overcome that will lead to additional problems,” Smith said.

The ability to secure affordable housing, purchase healthy food and access transportation for well-paying jobs all start with the state’s poverty level, Smith said.

By the report’s count, approximately 150,000 of Arkansas’ 683,000 children were living in poverty in 2022. While the percentage of children in poverty, 22%, went unchanged this year, state officials have the ability to improve that number, Gess said.

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“We could cut childhood poverty in half … simply if we had spent less than what we have given away in tax cuts over the past decade,” he said. “Those tax cuts, of course, have gone mostly to the wealthy. If we had used that and targeted it at child tax credits, most children would be lifted out of poverty in Arkansas.”

Report highlights

Arkansas performed worst when it came to health, and one standout statistic came from the child and teen death rate.

From 2019 to 2022, the rate at which children and teenagers died in Arkansas increased by 26%. At 44 deaths per 100,000 children and teens in 2022, Arkansas’ rate was the third-highest in the country, and well above the national average of 30 deaths, according to the report.

It was the deadliest year for Arkansas kids on record, said Camille Richoux, AACF’s health policy director.

The state data isn’t broken out into cause of death, but firearm-related deaths have become the leading cause of death among U.S. teens in recent years. Deaths from accidents such as car crashes account for most child deaths.

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Richoux referenced other research that suggested Arkansas had one of the highest firearm injury rates as well. She said children and teens often have easy access to unsecure firearms and aren’t safely taught how to handle them.

1 in 5 Arkansas children lost Medicaid during ‘unwinding’ process, report finds

Six percent of children in Arkansas were without health care in 2022, according to the report. This data doesn’t include children who were disenrolled from Medicaid during the state’s “unwinding process,” which started in April 2023. 

Richoux said there is more work to be done than what the latest report shows as one in five children in Arkansas recently lost access to Medicaid.

The teen birth rate in Arkansas decreased 17% from 2019 to 2022, but the state’s rate of 25 births per 1,000 females remained one of the highest in the nation. In combination with low-birth weights, these statistics were troubling for AACF staff when considering Arkansas’ high maternity and infant mortality rates.

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Laura Kellams, Arkansas Advocates for Children and Families

“This is a really important indicator, not only for those young people who are becoming parents before they plan to, but also for their young children who are so much more likely to live in poverty,” said Laura Kellams, AACF’s Northwest Arkansas director.

Arkansas teens aren’t necessarily more sexually active than teens in other states, Kellams said. The difference in Arkansas is the lack of education they receive about safe sex and their ability to access contraceptives.

A post-pandemic education analysis

The latest national report marked the third year of the COVID-19 pandemic and the return of some sense of normalcy. The data highlights how the pandemic affected children and families, specifically related to education and learning loss.

Arkansas’ education performance ranked 36th nationwide, one position higher than in the last report, and data showed that students struggled to keep up with standardized testing measures.

From 2019 to 2022, the percent of Arkansas eighth graders who scored below proficient in math  increased by 11% to 81%, ranking the state 43rd in the country. Most fourth graders, 70%, scored below a proficient reading level in 2022, a slight increase from pre-pandemic numbers.

Olivia Gardner, AACF’s education policy director, noted that while standardized tests are a useful tool when marking achievement, they’re not perfect measurements.

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“We have research that shows more affluent students perform better than low-income students because [low-income students] lack resources,” Gardner said.

Olivia Gardner, education policy director, Arkansas Advocates for Children and Families
Olivia Gardner (Courtesy of Arkansas Advocates for Children and Families)

Pre-K attendance also decreased from 2019 to 2022, according to the report. Whereas half of children ages 3 and 4 were previously not attending preschool, that percentage has risen to 57%.

To improve students’ classroom experience, AACF staff recommended universal low- or no-cost meals, a reliable internet connection, a place to study or spend time with friends, and access to high-quality teachers and counselors. AACF also suggested an expansion of intensive, in-person tutoring and policy measures that invest in community schools.

Of the 16 measured indicators, Arkansas’ outcomes were worse than the national average in 13.

All members of AACF’s staff noted it is necessary for state officials to make intentional investments that will act as preventative measures when it comes to child well-being.

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End-of-year ATLAS test scores show improvements but most Arkansas students still not proficient | Arkansas Democrat Gazette

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End-of-year ATLAS test scores show improvements but most Arkansas students still not proficient | Arkansas Democrat Gazette


Arkansas students’ end-of-year test scores improved across grade levels and subject areas, state officials said Thurday, but most students still aren’t meeting performance targets.

Results from the Arkansas Teaching and Learning Assessment System exam, known as ATLAS, showed students’ overall proficiency rose from 36.9% in 2025 to 42.2% in 2026, according to an executive summary of the scores.

The number of students performing at the lowest level across all subjects declined from 27.3% in 2025 to 23.1% in 2026, according to the report.

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This is only the third year that Arkansas has used the ATLAS test, limiting direct comparisons to years before 2024. State Education Secretary Jacob Oliva has said the state shifted to ATLAS from its previous end-of-year test, the ACT Aspire, to better align measurement of student performance with Arkansas’ academic standards.

“The 2026 ATLAS exam scores confirm what we’re hearing from educators across the Natural State: Arkansas LEARNS is working and students across Arkansas are doing better because of it,” Gov. Sarah Huckabee Sanders said in a news release.

Sanders’ signature legislative package on education, the LEARNS Act, mandated the state move to a new student test and adopt a new grading system for schools and districts. The state offers grants for districts to administer high-impact tutoring, and students who struggle to read can also qualify for supplemental literacy tutoring.

Under LEARNS, third grade students who don’t read at grade level will be held back, though school districts also may give students good-cause exemptions from the requirement. Early numbers suggest that large numbers of third graders in some districts will be promoted to fourth grade even though they fell short of the literacy standards.

LEARNS also includes the Educational Freedom Account program, which significantly expanded state taxpayer funding of student tuition and other costs related to private schools and homeschooling. Over 44,000 students received an Educational Freedom Account in the 2025-26 school year, the first year participation was open to all K-12 students.

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Participants in the school choice program are not required to take the ATLAS but still must take a national, norm-referenced test each year.

In the 2024-25 school year, Arkansas students showed slight increases in subject mastery overall, with the most notable increases in math and science.

The results come roughly a month after the release of the 2026 Education Scorecard, a cross-state analysis that says schools across the nation — including Arkansas — are in the midst of a “learning recession” that began in 2013. Math and reading performance declined over the past decade in most places, according to that report. Though the longer-term trend is downward nationally, the Education Scorecard says student performance has partly rebounded from the damage done by COVID-19.

As of 2024, Arkansas’ math and reading scores continued to lag national averages on the National Assessment of Educational Progress, a test often called the Nation’s Report Card.

Students who take ATLAS are classified into one of four performance levels, with level four being the highest. Level three indicates mastery of grade-level content, according to the report released Thursday. It describes each level as follows:

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Level 4: Students demonstrate an advanced understanding of the knowledge and skills required of the grade-level standards. These students are on track for career and college, and demonstrate readiness for advanced and accelerated content at the next grade/course.

Level 3: Students demonstrate a proficient understanding of knowledge and skills and show mastery of grade-level standards. These students are on track for career and college, and demonstrate readiness for content at the next grade/course.

Level 2: Students demonstrate a basic understanding of knowledge and skills required of the grade-level standards and personalized support and intervention may be needed to access content taught in the next grade/course.

Level 1: Students demonstrate limited understanding of knowledge and skills required of the grade-level standards and will require significant support/scaffolding and intervention to access content taught at the next grade/course.

Check back for updates.

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With support from the ADG Community Journalism Project, LEARNS reporter Josh Snyder covers the impact of the law on the K-12 education system across the state, and its effect on teachers, students, parents and communities. The Arkansas Democrat-Gazette maintains full editorial control over this article and all other coverage. View all LEARNS Act coverage at arkansasonline.com/learns



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Arkansas pathology lab, owners to pay $30M to settle kickback allegations

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Arkansas pathology lab, owners to pay M to settle kickback allegations


A North Little Rock pathology lab and several of its current and former owners are paying $30 million to settle federal allegations that the company used unlawful kickbacks and ordered testing that wasn’t medically necessary.

Advanced Pathology Solutions PLLC, formerly known as Advanced Pathology Solutions LLC, and its management services organization, APS MSO LLC — together referred to as APS — agreed to the settlement with the United States. The agreement also includes current and former owners Kevin Hannah, Donell Burkett and Daniel Hunter Pledger.

“Healthcare referrals must be based on the best decision for patients, not the influence of kickbacks,” said Assistant Attorney General Brett A. Shumate of the Justice Department’s Civil Division. “This settlement demonstrates the Department’s commitment to hold accountable both corporations and individuals who profit from improper kickback arrangements and who burden federal healthcare programs with claims for medically unnecessary services.”

The settlement resolves allegations laid out in a federal complaint filed April 8 in the U.S. District Court for the Eastern District of Arkansas. The United States alleged that from 2015 through July 2022, APS and its owners violated the False Claims Act by providing unlawful kickbacks to gastroenterology practices to induce referrals of pathology testing to APS, resulting in false claims to federal health care programs.

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According to the complaint, APS and its owners developed a business model that involved setting up and managing limited-purpose laboratories — known as “lean labs” — inside gastroenterology practices nationwide. Those practices could bill for preparing and staining biopsy specimen slides, while the slides were then shipped to APS’s lab in North Little Rock for pathologist interpretation and review. Federal officials alleged that in exchange for various benefits furnished by APS, the gastroenterology practices agreed to exclusively refer their patients to APS, creating improper financial relationships that amounted to kickbacks.

“Fraud against the taxpayer is rampant and insidious and when discovered must be held accountable. Engineering kickbacks to result in unnecessary medical testing which is then paid for by the United States taxpayer is unacceptable and once discovered as with APS, will result in lengthy investigation and review, and ultimately a significant settlement amount as demonstrated by this settlement,” said U.S. Attorney Jonathan D. Ross for the Eastern District of Arkansas. “Our office will continue to work with Main Justice to detect and deter any similar schemes and then hold the wrongdoers accountable under the law.”

The United States also alleged APS and its owners submitted — and caused the submission of — claims to federal health care programs for unnecessary testing. Specifically, the government said APS directed lean lab personnel to automatically order certain special tests, called “special stains,” before a pathologist reviewed a routine test, a hematoxylin and eosin stain, to determine whether additional testing was needed. The complaint alleged the protocol led to special stains that were not medically reasonable and necessary and were ineligible for Medicare coverage or reimbursement. In many cases, the government said APS also ordered additional “confirmatory” immunohistochemical testing that was not medically necessary.

“Kickbacks and medically unnecessary testing don’t just violate the law — they endanger patients and drain critical federal health care funds,” said Acting Deputy Inspector General for Investigations Scott J. Lampert of the U.S. Department of Health and Human Services Office of Inspector General. “Schemes like this erode trust in the health care system and divert resources away from those who truly need care. HHSOIG will move swiftly and aggressively with our law enforcement partners to uncover these abuses and hold every responsible party accountable.”

In addition to the allegations in the April 8 complaint, the settlement also resolves claims that from Nov. 1, 2018, to Nov. 30, 2020, APS and CEO Kevin Hannah knowingly and willfully provided unlawful kickbacks to Richard Sorgnard through volume-based commission payments to induce referrals for epidermal nerve fiber density testing. The United States contends APS paid Sorgnard 4% of all payments APS collected for ENFD testing he referred, and that the arrangement violated the Anti-Kickback Statute and resulted in false claims under the False Claims Act. Sorgnard previously entered into a settlement with the government to resolve related claims.

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“Any entity that participates in health care and reaps illicit profits by taking advantage of and violating the trust given by Medicare and Medicaid programs must be held accountable,” said U.S. Attorney Troy Rivetti for the Western District of Pennsylvania. “This settlement is notice that such illegal conduct simply will not be tolerated.”

As part of the resolution, APS entered into a five-year Corporate Integrity Agreement with the U.S. Department of Health and Human Services Office of Inspector General. The agreement requires APS to implement auditing and accountability provisions, including a compliance program, training and education requirements, and a review of physician referral relationships.

The complaint followed three lawsuits originally filed under the whistleblower provisions of the False Claims Act, which allows private parties to sue on behalf of the United States and potentially receive a portion of the recovery. The consolidated cases are United States ex rel. Watkins v. Advanced Pathology Solutions, No. 4:20-cv-1110 (E.D. Ark.); United States ex rel. Aucoin v. Advanced Pathology Solutions, No. 4:21-cv-277 (E.D. Ark.); and United States ex rel. Paulsen v. Advanced Pathology Solutions, LLC, No. 3:22-cv-00652-JPG (E.D. Ark.).

The settlement comes after a $4.75 million settlement reached earlier this year with Atlanta Gastroenterology Associates, a former APS client.

The Justice Department’s Civil Division, Commercial Litigation Branch, Fraud Section and the U.S. Attorney’s Office for the Eastern District of Arkansas are handling the matter, along with the U.S. Attorney’s Office for the Western District of Pennsylvania. The matter was handled by Fraud Section attorneys Evan Ballan, Jeff McSorley and Kelley Hauser, Assistant U.S. Attorney Jamie Goss Dempsey for the Eastern District of Arkansas, and Assistant U.S. Attorney Paul Skirtich for the Western District of Pennsylvania.

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Officials also pointed to broader federal efforts to combat health care fraud, noting that tips about potential fraud, waste, abuse and mismanagement can be reported to HHS at 800-HHS-TIPS (800-447-8477).



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New reporting system available for suspected New World Screwworm cases in Arkansas

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New reporting system available for suspected New World Screwworm cases in Arkansas


LITTLE ROCK, Ark. – New updates from the Arkansas Department of Agriculture are now giving Arkansas residents an option to take preventative action against New World Screwworm.

Though no detections have been reported in Arkansas, livestock and animal owners can now submit suspected reports of New World Screwworm using the department’s online reporting form.

Users will be able to upload photos and location information. After submission, staff will follow up with instructions for next steps. Suspect cases may also be reported through a veterinarian or by calling the Arkansas Department of Agriculture.

Department officials recommend isolating affected animals and avoid moving any animals off the premises if New World Screwworm is suspected.

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The department also updated animal entry requirements in Arkansas, requiring all warm-blooded animals entering the state from an infested state to be accompanied by an Interstate Certificate of Veterinary Inspection dated within seven days of entry.

Officials said the certificate must include the statement: “All animals in shipment were inspected and found free of evidence of NWS infestation.”

The department encourages animal owners to watch for wounds that fail to heal, foul-smelling discharge, tissue damage or visible maggots in or around a wound.

Livestock animals are also encouraged to get a valid Premises Identification Number (PIN). It is required for interstate and intrastate animal movement from a New World Screwworm Infested Zone.

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