Of Tennessee\u2019s 2.8 million households, 30% earn above the poverty level but not enough to afford the basic cost of living in their counties, according to a recent report<\/li>\n<\/ul>\n<\/h5>\n
\n<\/div>\n<\/div>\n\u201cI was going to have my child no matter what, but for other women, that\u2019s kind of a crappy situation that they put you in,\u201d said Cagnacci, a 29-year-old Kingsport mom who relies on Medicaid and a federally funded nutrition program. \u201cYou have to have your child. But where\u2019s the assistance afterward?\u201d<\/p>\n
Tennessee has a porous safety net for mothers and young children, recent research and an analysis by The Associated Press found. It\u2019s unknown how many women in the state have given birth because they didn\u2019t have access to abortion, but it is clear that from the time a Tennessee woman gets pregnant, she faces greater obstacles to a healthy pregnancy, a healthy child and a financially stable family than the average American mom.<\/p>\n
Like other states with strict abortion bans, Tennesseans of childbearing age are more likely to live in maternal care deserts and face overall doctor shortages. Women, infants and children are less likely to be enrolled in a government nutrition program known as WIC. And Tennessee is one of only 10 states that hasn\u2019t expanded Medicaid to a greater share of low-income families.<\/p>\n
\u201cIt\u2019s survival, every day,\u201d said Janie Busbee, founder of Mother to Mother, a Nashville-based nonprofit providing baby supplies for low-income moms. \u201cIf we took some of that stress off of them, then maybe they\u2019d have time to dream.\u201d<\/p>\n
GOP state leaders in Tennessee and other states that banned abortion after the U.S. Supreme Court overturned Roe v. Wade in 2022 argue that they are bolstering services for families.<\/p>\n
Tennessee boosted its Medicaid coverage for mothers in 2022 from 60 days postpartum to a year, which allowed an additional 3,000 moms to use the program each year.<\/p>\n
The state also raised the Medicaid income limit for parents to the poverty level \u2014 nearly $26,000 for a family of three \u2014 and offers recipients 100 free diapers a month for babies under 2. According to the governor\u2019s office, these changes have resulted in thousands of new parents accessing government services.<\/p>\n
\u201cPro-life is much more than defending the lives of the unborn,\u201d Republican Gov. Bill Lee said in his 2023 annual address to lawmakers and echoed more recently on social media. \u201cThis is not a matter of politics. This is about human dignity.\u201d<\/p>\n
Yet, nonprofit leaders and mothers told the AP there are still significant gaps in the safety net.<\/p>\n
Anika Chillis, a 39-year-old single mom in Memphis, has Medicaid, WIC and the Supplemental Nutrition Assistance Program (formerly known as food stamps). While she\u2019s deeply grateful for the help, she said it also can disappear \u2014 like when she temporarily lost WIC.<\/p>\n
\u201cIt\u2019s hard,\u201d she said, sitting on a park bench as her 2-year-old son and 9-year-old daughter played nearby. \u201cGroceries are constantly going up.\u201d And being a single mom \u201cmakes it doubly hard on you.\u201d<\/p>\n
Medicaid and health care challenges<\/h2>\n
Tennessee fared poorly at WIC enrollment, Medicaid, having enough maternal care and requirements for paid family and medical leave, an October study found.<\/p>\n
Other states with similarly restrictive abortion laws \u2014 such as Idaho, Alabama, Missouri, Georgia and Mississippi \u2014 ranked poorly on numerous measures, too. Researchers said restrictive states had a slightly higher average birth rate and a much lower average abortion rate than the least restrictive states.<\/p>\n
\u201cIn general, these states that restrict abortion are the more fiscally conservative, the more socially conservative states,\u201d said Dr. Nigel Madden, lead author of the study published in the American Journal of Public Health.<\/p>\n
The Republican supermajority in the Tennessee Legislature has long rebuffed efforts to expand Medicaid to people earning up to 138% of the federal poverty level \u2014 about $35,600 for a family of three. And TennCare faces criticism already, with a federal judge ruling earlier this year that the state unlawfully terminated coverage for thousands of families and had a \u201clethargic\u201d response to nearly 250,000 children losing coverage because of paperwork problems caused by the state.<\/p>\n
DiJuana Davis, 44, was among the plaintiffs. In 2019, the Nashville resident was supposed to have surgery to prevent pregnancy and ease her chronic anemia. Days before the procedure, she was informed her Medicaid coverage had been cut off, and the hospital was canceling her appointment.<\/p>\n
She later found out her renewal paperwork went to the wrong address, an error that left her uninsured for two months \u2014 during which she became pregnant and developed preeclampsia. Doctors induced labor to save her life, and her son was born prematurely.<\/p>\n
\u201cThe system is broken,\u201d she said, \u201cand it needs to be fixed.\u201d<\/p>\n
More than 3% of the 83,000 babies born in Tennessee in 2023 had mothers who didn\u2019t receive prenatal care. Only seven states had a higher share, according to an AP analysis of data from the Centers for Disease Control and Prevention.<\/p>\n
After birth, doctor shortages impede ongoing care. Around a third of Tennesseans live in a primary care shortage area \u2014 a greater share than in all but 10 other states \u2014 according to an AP analysis of data from the Census Bureau and the Health Resources and Services Administration.<\/p>\n
Food and diaper programs<\/h2>\n
Moms described several aid programs as frustrating to navigate. Chillis was on WIC for several months after her son was born, but then went without because of a mistake during the renewal process \u2014 eventually getting it restored with help from the nonprofit Tennessee Justice Center.<\/p>\n
Chillis credits a nonprofit preschool provider with linking her to aid programs in the first place: \u201cI don\u2019t see a lot of advertisements about, you know, how you can join this program or go get this\u201d service, she said. \u201cPeople just don\u2019t have the knowledge.\u201d<\/p>\n
Cagnacci, who is pregnant and has a 1-year-old, said she was on SNAP for a while but missed an appointment and was unclear about the steps after that. The process to get recertified was \u201csuch a headache\u201d that she\u2019s going without it.<\/p>\n
\u201cI just felt like it was purposely being made difficult so that I would just give up,\u201d she said.<\/p>\n
Women with young children in states where abortion is banned or limited to early weeks of pregnancy said it can be tough to get social services there, according to a survey by the health policy research organization KFF. Nearly half said it\u2019s difficult for women in their state to get food stamps, for example, compared with 3 in 10 in states where abortion is generally available.<\/p>\n
\u201cPeople who claim to be pro-life, who advocated for these abortion bans, often suggest that these policies are designed to protect children, women and families,\u201d said Madden, the researcher. But the weakness of the safety net shows \u201cthe hypocrisy of that argument.\u201d<\/p>\n
Tennessee\u2019s new diaper program shows the deep political divisions surrounding aid programs. The Republican governor described it as an effort to strengthen families while Democratic state Sen. London Lamar said GOP leaders are \u201ctrying to put a little bow on an abortion ban.\u201d And GOP state Sen. Mark Pody recently told the right-leaning news website Tennessee Conservative that \u201cit is not the state\u2019s responsibility to have a diaper for every single baby\u201d and floated the possibility of cutting the program.<\/p>\n
Charities struggle to fill gaps<\/h2>\n
Of Tennessee\u2019s 2.8 million households, 30% earn above the poverty level but not enough to afford the basic cost of living in their counties, according to a recent report. Often, they don\u2019t qualify for government help.<\/p>\n
\u201cSome are working three jobs and still can\u2019t survive,\u201d said Busbee, of Mother to Mother.<\/p>\n
A fragmented patchwork of charities can help, but they don\u2019t cover the entire state. The Nashville Diaper Connection, for example, serves 30 counties, working with partners to provide 50 diapers a month, mostly to working families who make a bit too much for Medicaid. Other nonprofits are hindered in helping by government agencies\u2019 income rules. And most charities are constrained by the ebb and flow of donations.<\/p>\n
Nonprofit leaders fear their job may get harder with a new administration in Washington and a GOP-controlled Congress. Republicans could seek significant changes to federal assistance programs they\u2019ve long criticized, like Medicaid and food stamps.<\/p>\n
\u201cWe\u2019ve been through four years of a Trump administration, and the goal under the Trump administration was to cut social services,\u201d said Signe Anderson, the justice center\u2019s senior director of nutrition advocacy. \u201cI\u2019m concerned \u2026 for families in Tennessee and across the country.\u201d<\/p>\n<\/div>\n\n","protected":false},"excerpt":{"rendered":"
MEMPHIS, Tenn. (AP) \u2014 Taylor Cagnacci moved from California to Tennessee with hopes of starting a new chapter in a state that touts a low cost of living and natural…<\/p>\n","protected":false},"author":7,"featured_media":2700,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","enabled":false},"version":2}},"categories":[4],"tags":[],"jetpack_publicize_connections":[],"yoast_head":"\n
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