The Michigan Council for Maternal and Child Health office is located at 221 N. Walnut Street, Lansing, MI 48933 near the Capitol in downtown Lansing - click here for a map.


 
House Moves to Address Current Year Deficit
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If agreed to by the Senate, schools would see the $154 per-pupil cut from this year restored as the House passed a supplemental Wednesday approving the spending of $312 million in federal education funds.  The move immediately preceded action by the chamber  to remove $208 million for the School Aid Fund to shore up the shortfall in the general fund.

While there was broad support for using the new federal dollars to replace current year cuts to schools, the more controversial measure to transfer money out of the school aid fund to pay for community colleges -- essentially wiping out the general fund's contribution for that funding this year and freeing those dollars to fill teh general fund hole -- passed on a 57-47 vote.

Governor Jennifer Granholm proposed the transfer last week as a way to deal with a current year deficit of about $300 million. State Budget Director Bob Emerson said options for plugging the hole were limited.   Even if all of state government was shut down for the remaining five weeks of the fiscal year, including prisons, the state wouldn't save $200 million, he said.

House Speaker Andy Dillon (D-Redford Twp.) said it was either transfer the money or withhold remaining revenue sharing payments for counties, cities, villages and townships. And he said there is still a remaining balance in the SAF of about $100 million, so schools are coming out ahead.   Mr. Dillon said while it's unfortunate the Senate won't be able to act on the transfer until after it returns September 7, he does expect it to garner enough support in that chamber to pass. He said lawmakers would take the next two weeks to negotiate the 2010-11 budget in the hopes of having targets ready by Labor Day.
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MCMCH Quarterly Meeting on Childhood Obesity
September 13, 2010 -  12 to 2:00 PM
University of Michigan, Ann Arbor

MCMCH will hold a quarterly general membership meeting on Monday, September 13 to hear a distinguished panel present on the status of childhood obesity research and trends in practice as well as current and future policy alternatives to address the issue in Michigan.  MCMCH members are encouraged to invite fellow staff members and guests to this event as we look forward to an interactive session and a stimulating discussion on policy options.

Panelists are:
- Matthew Davis, MD, MAPP, Associate Professor of Pediatrics and Communicable Diseases & Internal Medicine, University of Michigan Medical School; Associate Professor of Public Policy, Gerald R. Ford School of Public Policy; Director, Fellowship Program in Pediatric Health Services Research; Director, University of Michigan C.S. Mott Children's Hospital National Poll on Children's Health; Co-Director, Robert Wood Johnson Clinical Scholars Program
- Susan Woolford, MD, MPH, Assistant Professor, University of Michigan Department of Pediatrics and Communicable Diseases; Medical Director of the UM C.S. Mott Children's Hospital Pediatric Comprehensive Weight Management Center
- Joyce Lee, MD, MPH, Assistant Professor, University of Michigan Department of Pediatrics and Communicable Diseases; pediatric endocrinologist; expert in child obesity and diabetes

The event will begin at 12 noon and lunch will be provided by our host, C.S. Mott Children's Hospital and Von Voigtlander Women's Hospital.   More information about how to register for this exciting opportunity will be listed in future Friday Notes as well as sent to members directly by e-mail. For a press release click here.
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Education Seeks Groups To Host After-school Snacks, Dinners
The Department of Education announced that it is need of community partners to host after school meals and dinner for at-risk children.
 
Many children don't get enough to eat at home and since research has demonstrated a link between quality nutrition and higher academic achievement, the Department of Education's Child and Adult Care Food Program offers an after school snack and supper Program in at-risk areas that can improve the quality of nutrition for eligible students. 
 
The program provides a cash reimbursement for snacks and suppers served to children while in an afterschool program. Reimbursement is for school-age children who are 18 years of age or under at the beginning of the school year.
 
Interested groups and organizations can contact the CACFP staff at 517-373-7391 for further information. To preview a sample CACFP application, go to the program's website.

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MDCH and Physician Organizations Remind Parents about New Immunization Rules
The Michigan Department of Community Health (MDCH), the Michigan State Medical Society (MSMS) and the Michigan Osteopathic Association (MOA) are recognizing August as Immunization Awareness Month. For this upcoming school year, new immunization rules are in effect for all children entering kindergarten, 6th grade and students changing school districts. As part of the new rules, these students are required to receive two doses of varicella vaccine. Also, all children 11 to 18 years of age who are changing school districts or who are enrolled in the 6th grade are required to receive one dose of meningococcal vaccine and one dose of tetanus/diphtheria/acellular pertussis (Tdap) vaccine.
 
MSMS, MOA and MDCH encourage parents to make sure their children are up-to-date on their immunizations. As you take your children in for their checkups or sports physicals, it's a good opportunity to ask their health care provider to check on their immunization status, including when to return for the flu vaccine. For more information about immunizations, visit www.michigan.gov/immunize.
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Affordable Health Care Web Site
HealthCare.gov puts the power of information at your fingertips. Not only can you learn about how the Affordable Care Act affects you, but you can also search for both public and private health coverage options through a new, easy to use health insurance finder tool.
 
Based on your answers to a series of questions, the insurance finder produces a menu of potential coverage choices - personalized just for you.
 
We've made it even easier for you to search for coverage options (or help others search for them) by developing a widget that you can embed on your website.
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Almost One-Quarter of U.S. Children Underinsured
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More than 14 million U.S. children (22.7%) were underinsured in 2007, according to the study, Underinsurance among Children in the United States, conducted by researchers at the Health Resources and Services Administration (HRSA) and published in the New England Journal of Medicine.  This is more than the number of children without insurance at all during the year (3.4 million) and the number of children who had insurance during only part of the year (7.6 million). 

The study drew data from the 2007 National Survey of Children's Health,a nationally-representative study which looked at more than 91,000 children and examined underinsurance, or insurance that does not sufficiently meet a child's needs.  Researchers looked at children who were never insured in the previous year, children who were insured only part of the year and children who had health insurance throughout the year. 

The study asked parents three key questions: whether parents thought that their child's health insurance offered benefits or covered services that met his or her needs; whether the child's health insurance allowed them to see needed providers; and whether out-of-pocket costs were reasonable (not including health insurance premiums or costs covered by insurance).  The child was considered underinsured if the parent did not answer "usually" or "always" to all three of these questions, even if they were insured throughout the year.

The interactive data for this survey is available online and is packed with very valuable statistical information including over 100 indicators of child health and well-being.
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New Health and Academic Achievement Resources
CDC's Division of Adolescent and School Health (DASH) has just released new student health and academic achievement resources that are based on an analysis of the newly released 2009 National Youth Risk Behavior Survey (YRBS) data. 
The fact sheets and PowerPoint slides highlight strong associations between the academic success of America's youth and their health.  For example, students with higher grades are significantly less likely than their classmates with lower grades to have engaged in health-risk behaviors, and students with lower grades are significantly more likely than their classmates with higher grades to have engaged in health-risk behaviors such as-
·       Carrying a weapon
·       Current cigarette use
·       Current alcohol use
·       Being currently sexually active
·       Watching television 3 or more hours per day
You can learn more about the relationship between student health and academic achievement and download the fact sheets and slides. The slides can be copied into presentations and the fact sheets can be used as handouts. More information on the 2009 Youth Risk Behavior Survey data at the national, state, and local level is available at http://www.cdc.gov/yrbs.
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  Federal Health Reform Legislation - Michigan Analysis

The Michigan Senate Fiscal Agency has published a preliminary fiscal analysis of the federal health reform legislation.  The analysis reviews key provisions of the legislation and the implementation timeline for those provisions.  Importantly, it also includes an initial analysis of the legislation's fiscal impact on state and local government in Michigan.  A link to this analysis is included below for your information.

The analysis suggests that Michigan will likely realize financial savings in the early years of implementation, primarily through enhanced federal support of the Medicaid program.  However, those savings would decline over time as that federal support tapers off.  
The authors caution that this analysis is preliminary and that, given the scope and complexity of the law, its actual fiscal impact remains unclear.

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Child Nutrition Reauthorization ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The upcoming Child Nutrition Reauthorization in Congress will provide $1.2 billion for afterschool meals, free meals to students in high-poverty schools, and increased summer meal programs. This is in addition to $3.2 billion over 10 years "for establishing nutrition standards [and] strengthening wellness policies." Reimbursement rates will also increase. The nutrition standards will be revised by USDA to conform more with the Institute of Medicine report "School Meals: Building Blocks for Healthy Children," which recommends food-based instead of nutrition-based standards, increases in the amount and variety of fruits, vegetables, and whole grains, and limits on calories, saturated fat, and sodium.
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Medicaid and Children's Health Insurance Program ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~

The Kaiser Family Foundation's Commission on Medicaid and the Uninsured has updated a brief, comparing the Medicaid and Children's Health Insurance Program provisions in the new health reform law with the pre-reform law governing those programs. The analysis focuses on Medicaid coverage and financing changes, how Medicaid and CHIP will interface with a new health insurance exchange, and other Medicaid benefits and access changes. The Foundation also has archived briefs that examine the
Medicaid provisions in previous versions of the health reform legislation that did not become law. Overall, the new law includes an individual requirement to obtain health insurance, a significant Medicaid expansion, and subsidies to help low-income individuals buy coverage through newly established Health Benefit Exchanges. All of the Foundation's key resources on health reform can be found at our health reform gateway page.

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MCMCH is generously supported by our members some of which include: