Chattanooga Times Free Press

Panel sees cost estimates of migrant children

- BY WYATT MASSEY STAFF WRITER

Tennessee’s special legislativ­e committee investigat­ing immigratio­n got its first look at the financial costs of unaccompan­ied minors in the state during a hearing Tuesday.

Krista Lee Carsner, executive director of the Fiscal Review Committee, told the lawmakers she could only provide estimates with “a lot of assumption­s” to some of the special committee’s financial questions about the costs of educating and insuring migrant children.

Migrant children, either housed in a shelter or in the custody of a sponsor, are not eligible for TennCare until they meet citizenshi­p requiremen­ts, which are decided through immigratio­n court proceeding­s that can take around two years.

If children become legal U.S. citizens, they could then qualify for TennCare, a government health insurance program for mostly low-income children, pregnant women, parents or caretakers of minor children and those who are elderly or have a disability.

TennCare and the schools are not keeping track of how many children were previously undocument­ed but now legally qualify, Carsner told the Times Free Press on Friday.

“There’s no way for us to actually know this many of these children are actually in Tennessee schools. It’s similar with TennCare,” she said. “If they go through the immigratio­n process and are somehow legalized within the country, then they would qualify for TennCare at that point. Well, TennCare is not going to ask them what their background is.”

To get some kind of estimate for the state, the Fiscal Review Committee used national estimates on the migrant population.

Around 70% of unauthoriz­ed children are deported or voluntaril­y elect to deport, Carsner said. The committee used this figure to estimate the number of children who could access TennCare in Tennessee given the number of children placed with sponsors in Tennessee since the 2015 fiscal year.

Between October 2020 and May 2021, 1,775 unaccompan­ied minors were released to sponsors in Tennessee. The fiscal year ends in September and the current single-year high in the past six fiscal years was 2,191 children in 2018-19, according to data from the Office of Refugee Resettleme­nt.

Nearly half, 47%, of all children under age 18 in the state are enrolled in TennCare, Carsner said. This figure was used to further narrow the estimate for the number of children accessing TennCare who were previously unauthoriz­ed and unaccompan­ied.

This estimated population was then multiplied by the average TennCare cost per child, which the state pays about a third of. Over a 13-year period — the length of time it would take all current unaccompan­ied children to age out of the program — the insurance program would cost the state an average of $85,100 a year, with the highest single-year cost being $223,900.

According to Tennessee’s Division of TennCare, the state’s Medicaid program serves around 1.5 million residents and the state appropriat­es $4.1 million for the program.

Dr. Michele Pickett, executive director of LifeSpring Community Health, said there is a general misconcept­ion that unauthoriz­ed children and families can access federal insurance programs. LifeSpring is a faith-based clinic that serves uninsured, underinsur­ed and other vulnerable population­s.

When families do not have health insurance, they often delay or avoid care or they pay the entire cost themselves, Pickett said.

“What I think people don’t realize is that there are children in our community who have no access to health care unless it comes out of their pocket,” she said.

Similar to health insurance coverage, specific data on school enrollment is not tracked for this population of children, Carsner said.

But, using similar estimates, the fiscal review committee estimated the cost to the state of educating unaccompan­ied minors over a 15-year period averaged out to $3.9 million a year with a single-year high of $13.9 million.

Tennessee spends $5.6 billion on K-12 education, according to the state’s 2021-22 budget.

The state formed a special committee to investigat­e immigratio­n in May after news broke that unaccompan­ied children were being housed in a shelter in Chattanoog­a before being placed with sponsors. The state had approved a license for the facility in May 2020 and children began arriving in November 2020, but a video of children getting off a plane in Chattanoog­a in May sparked outrage and calls for an investigat­ion.

The state shut down the Chattanoog­a shelter this month over concerns about possible child abuse at the facility.

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