Idaho
Idaho’s infant, mother death rate is rising, new report finds – Idaho Capital Sun
A new report released Tuesday found children and mothers are dying in Idaho at an increasing rate.
And reforming Medicaid coverage in the state could make a difference, it suggested.
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All key health indicators have worsened since last year, when Idaho Kids Covered released its first report on the health of Idaho children and mothers.
The mortality rate for mothers rose 121.5%, while the rate for children rose 18%, the report found. Idaho’s maternal mortality rate in 2021 was 40.1 deaths per 100,000 births, compared to 18.1 deaths per 100,000 births in 2019. Seventeen Idaho women died while pregnant or within one year of pregnancy in 2021. Idaho’s maternal mortality rate is below the national average, which has grown in recent years.
One hundred seventeen infants died in Idaho in 2021, compared to 97 in 2019, according to state records.
“Moms and children in Idaho are dying at an alarming rate,” said Ivy Smith, health policy associate at Idaho Kids Covered.
The report recommended overhauling Medicaid coverage for children and pregnant women by updating income cutoffs that haven’t been adjusted in decades and extending postpartum coverage to match what other states are doing.
The report painted a grim picture for Idaho mothers:
- One in 5 Idaho moms didn’t receive prenatal care in the first trimester of their pregnancy. Women of color got prenatal care even less.
- Three in 10 Idaho moms lacked health insurance before becoming pregnant.
- One in four Idaho moms had moderate to severe postpartum depression soon after birth — above the national average of 13%.
- One in five Idaho moms weren’t screened for depression during prenatal visits. More than half of pregnant women with depression never sought treatment.
And for Idaho children:
- More than one in 10 Idaho infants and toddlers did not see a doctor for a well-child exam in 2021.
- Eighty-five percent of Idaho kids aged 9-35 months didn’t get a recommended developmental screening.
Idaho Legislature disbanded maternal death review committee this year
The report comes months after Idaho lawmakers this June disbanded a committee to review maternal deaths, making Idaho the only state without such a committee. The committee previously found that most maternal deaths were preventable. The report called for the committee to be reinstated.
More than half of all pregnancy-related deaths in Idaho in 2021 happened between 43 days and a year after birth, the report said. In Idaho, pregnant women only receive Medicaid coverage up to 60 days after they give birth. That’s not the norm. Forty-six states offer postpartum coverage one year after birth. In all states except Idaho, pregnant women also have higher income eligibility cutoffs for Medicaid.
As US maternal mortality rates surge, Idaho abandons panel investigating pregnancy-related deaths
Early work to implement at least one of the report’s findings is already underway. The Department of Health and Welfare, Idaho’s largest government agency that runs Medicaid, requested funds in its budget request to implement 12 months postpartum Medicaid coverage, agency spokesperson AJ McWhorter told the Idaho Capital Sun.
Budget requests are only one step of the process. Idaho Gov. Brad Little still needs to draft his proposed budget. And the Idaho Legislature needs to appropriate the funds
The state health department also agreed that bringing back the maternal mortality committee would help.
“We agree that the reinstatement of the Maternal Mortality Review Committee would help in the identification of the causes (of) Idaho-specific maternal deaths and Idaho-specific recommendations that could be made to prevent future deaths and potential maternal morbidity due to pregnancy-related issues,” McWhorter said.
Idaho’s House Majority Leader Megan Blanksma told ProPublica earlier this year that she was working on bills to improve prenatal and postpartum care.
Why is Medicaid important for Idaho children and mothers?
Medicaid offers insurance to people with low incomes and disabilities. The program has wide-reaching impacts for mothers and children.
Nearly one-third of Idaho mothers were on Medicaid when they gave birth last year. Medicaid coverage is even higher for births in rural Idaho. For instance, 48% of births in Lemhi County involved mothers covered by Medicaid. And half of all people enrolled in Idaho Medicaid are children.
Children have higher income eligibility cutoffs, but the report says they don’t go far enough. Medicaid coverage should be revamped for children and pregnant women in a number of ways, the report recommended — including extending postpartum coverage and raising income eligibility cutoffs to get more in line with policies in other states.
About half of all Idahoans on Medicaid are children, the report said. And for patients who become pregnant, Medicaid is a crucial option because anyone can enroll any time, Smith said. That’s unlike private insurance, where people have a window of a few weeks each year to enroll.
“In Idaho right now, it is really hard to find quality and timely access to maternal health care and reproductive health care,” Smith said. “And with the statewide provider shortages, we must do all we can to ensure that Idaho moms have access to health care when they need it.”
Idaho, like other states, is re-evaluating the eligibility of all people on Medicaid for the first time since the pandemic, after federal protections barring eligibility reviews ended. Idaho officials have reportedly removed at least 121,000 people from Medicaid. But recently, thousands of Idahoans removed from Medicaid have gotten back on the program.
Seventy-thousand Idahoans removed from Medicaid this year were children, the report said. At least 51,000 kids were removed for not replying to the state’s requests for information, Smith said. That means state officials weren’t able to verify that they were ineligible for Medicaid. And that’s likely growing the number of Idaho children who are uninsured, Smith said, which was last recorded at 28,100.
Idaho children are eligible for Medicaid if their household income is at 190% of the federal poverty limit. But in more than one-third of states, families could earn 300% of the federal poverty limit — or a little more than one-third more — and children would still be eligible for Medicaid.
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Idaho
Obituary for Jon Edward Simmons at Eckersell Funeral Home
Idaho
In Idaho, special education departments face parent complaints, staff shortages and budget gaps – East Idaho News
(Idaho Ed News) — School districts statewide are facing a bevy of challenges as they strive to provide a free and appropriate public education to students with disabilities.
Special education staffing shortages and turnover are perennial issues. An $80 million special education budget deficit means schools have unmet needs. And complaints from parents about districts’ special education programs are on the rise.
RELATED | Special education parents, who say the system is failing their kids, take matters into their own hands
Still, schools must provide an equitable education — and that’s according to federal law. When they fall short of their duties — or when parents allege they have — it can lead to state and federal inquiries and lawsuits, which further drain school resources.
State education leaders have a few solutions in mind to ease staffing and financial hurdles — like an apprenticeship program for special education teachers-to-be, and a proposal to rethink school funding with special education students in mind. They’re also building up resources to help school leaders and parents become better partners.
It’s too early to say how helpful those initiatives will be. For now, schools are left to grapple with the status quo — and recruiting and retaining special education staff is among the most pressing problems.
Special education staffing woes persist at district and state levels
Idaho has faced special education staffing shortages every year since 2002, according to federal data.
Look on any given school district’s job openings page, or on the state’s edjobsidaho, and there will most likely be one or more special education vacancies.
That’s the trend nationally, too. Special education teachers make up 12% of the teaching workforce but amount to 24% of all teacher job postings, according to Georgetown University’s Edunomics Lab research center.
In Idaho, districts are hiring special education teachers with alternative authorizations in order to fill vacancies; they comprise 11% of special education teachers statewide.
To help with staff shortages, the state department has developed a special education teacher apprenticeship program that aims to ease the path to teacher certification for those who already work with students, like paraprofessionals. But so far, only one district has hired a special education apprentice, according to Mike Keckler, the spokesperson for the State Board of Education.
Marguerite Roza, director of the Edunomics Lab, said another way to boost recruitment and retention is with salary increases. In Hawaii, for example, special education teachers are paid an additional $10,000 on top of their base salaries.
But in Idaho, where districts are already strapped for cash, that may not be a feasible solution.
In the meantime, Idaho’s special education staffers tend to have higher student caseloads than their peers in other states. Only Idaho and Ohio have fewer than 20 special education staffers per 200 students — as compared to more than 60 in some states, according to Edunomics Lab research.
Idaho is also facing a high rate of shortages and turnover at the state level. There are 10 special education staff members at the Idaho Department of Education, and nine of them are new within the last five years, according to Scott Graf, the IDE communications director. Four are new in the past two years.
And the IDE’s special education department’s turnover rates have more than doubled in the last two fiscal years.
At the local level, Julian Duffey, the special education director at Jefferson County School district, said positions like his are known for “high burnout” and turnover as well.
On top of staffing shortages and turnover, districts are also navigating budgetary gaps that might increase as more students qualify for special education services.
Special education enrollment and costs are linked. In Idaho, that could soon lead to greater budget shortfalls
Nationally, special education enrollment is trending up, even as overall student enrollment trends down. That means on average, schools are identifying more kids as qualifying for special education, according to Edunomics Lab research.
In some states, more than 20% of students qualify for special education. Idaho and Hawaii are outliers for having the lowest special education enrollment rates in the nation, with just 12% of students qualifying for services.
The varying rates call into question whether disability diagnoses are objective or subjective, which could mean schools are over or under-diagnosing students in need, Roza said in a webinar presentation.
And Idaho falls into the latter category, according to the results of a federal inquiry. For years, Idaho was setting too high of a bar for which students could qualify as having a “specific learning disability,” a category of disorders including dyslexia.
That tracks with national research from the Edunomics Lab, which singled Idaho out for having one of the lowest qualifying rates for specific learning disability in the nation.
The state has now changed its special education manual to address the issue — making a minor but significant tweak that could lead to thousands more Idaho students receiving special education services.
That means special education enrollment will tick up — and so will costs.
Idaho Education News data analyst Randy Schrader contributed to this report.
Originally posted on IdahoEdNews.org on November 19, 2024
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Idaho
Idaho Wine: The Holiday Party Trick You Never Knew You Needed
A few years ago, during a visit to Idaho and the wine region that was newly taking shape there, three key takeaways took hold in my mind:
- Idaho has abundant sources of natural water to hydrate its vineyards. This means that, generally speaking, vineyards there do not struggle for water nor do they need to be irrigated.
- Idaho’s wine regions are burdened unfortunately by the political designation of “Idaho,” even though its climate and geography share similarities with its border neighbors of Oregon (and the Snake River Valley AVA, or American Viticultural Area) and Washington state (and the Lewis-Clark Valley AVA).
- I should buy real estate in Idaho.
Famous last words, indeed.
Some eight years later, a reassessment of the scene, pre- and post-COVID: Idaho is still blessed with abundant water, though the supply is reasonably stressed by the spike in population during and after COVID. Idaho wine is still burdened by the non-traditional (for wine) designation of “Idaho,” though plenty of positive developmental strides have been taken to position the local industry favorably in consumers’ and the media’s minds.
And I still should have bought real estate in Idaho. (See “population spike” and “abundant water” as rationale, but that’s another story.)
When the opportunity arose recently to taste through a series of wines from Idaho, I agreed enthusiastically. Then, when the shipment of wines arrived, my enthusiasm grew even more. The shipment included a sparkling wine (under a crown cap! from 2019, no less) that highlighted Idaho’s 3100 river miles in the state; a Chardonnay with a label telling exactly the kind of story your imagination wants to hear about Idaho (think Basque immigrant, sheep herders, and a fateful gulch); and a Petit Verdot “Trout Series” (because Idaho) that carried me through the food prep for the dinner I’d serve for friends who’d come to taste through the wines with us.
The scene was set, and bolstered in Idaho’s favor even further by the guest who’d grown up in Idaho as a boy and was ready and more than willing to give Idaho wine the benefit of the doubt. (See “unfortunate political designation,” above.) Let me cut to the chase, though, with three new takeaways that took hold in my mind that night:
- The wines we tried did Idaho proud.
- These wines would stand on their own, whether they’re labeled “Idaho” or not, and whether or not that prejudices consumers. I’d encourage consumers to take (and taste) them at face value, so to speak. This Chardonnay right here in my glass. That Tempranillo in its own right. This other Petit Verdot that is simply delicious, not to mention versatile. They measure up. Period.
- I would still buy real estate in Idaho. More to the point, I would buy real estate in Idaho that would turn into vineyards.
The truth is that I have no idea how easy it will be for readers of this column to find or buy or taste wines from Idaho. Believe me, I wish it were EASIER than whatever your answer is to that likelihood. Which means that readers are now officially assigned the task of ASKING for wines from Idaho from their favorite local bottle shop. You will most likely be looked at strangely — get ready for it — but I strongly encourage you to hold your ground. These wines are good. They are reasonably priced. They are unusual. They will start a conversation. You can put them in brown paper bags for a holiday party and pour them blind in comparison to a more common expression of any of these grapes, and the Idaho wines will win. And then you get to be victorious, and you’ll be known as the person who brought the most interesting wine to the table.
Who wouldn’t want to come to THAT holiday party this season?
Count me in. Especially if you’re pouring any of these favorites, all from the Snake River Valley AVA of Idaho.
2019 3100 Cellars “Whitewater” Sparkling Wine
2023 Dude DeWalt Cellars Chardonnay
2021 Hat Ranch Winery Tempranillo
2020 Trout Series Petit Verdot by Sawtooth Winery
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