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A little-known provision of the Affordable Care Act evens the healthcare playing field for foster kids

Rain clouds couldn’t spoil Kenisha Anthony’s afternoon as she emerged from the BankUnited Center in Coral Gables on Saturday with an associate degree in social work from Miami Dade College. The 22-year-old from Miami had survived the school of hard knocks that is Florida’s foster care system to reach this moment. Now a provision of the Affordable Care Act promises to help her make an even better start. Xl8a8.St.56

As of Jan. 1, Anthony and others who aged out of foster care became eligible for Medicaid until they turn 26, just as other young adults can stay on their parents’ health plans to that age as part of the ACA. But not all former foster children may know about this little-discussed Obamacare benefit, especially if they’re no longer in the system.

Anthony learned about it through a group called Florida Youth SHINE, a network of former foster children who are working to find and enroll this population.

“I found SHINE on the Internet and contacted them to join. They helped me deal with the technical issues of applying. Now I can go to the doctor,” Anthony said.

Nationally, about 26,000 young adults aged 18 to 22 are released from foster care each year to make it on their own, more than 50 percent with chronic health conditions or mental disorders, according to The Pew Charitable Trusts. Pew researchers estimated that 7,000 to 8,000 former foster youths in Florida could benefit from the Medicaid extension this year if they knew about it. Read more.

Photo by Al Diaz/Miami Herald staff

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Alexia Nechayev

FYS Events & Meeting Chair
(Palm Beach/Miami)

Alexia Nechayev, from Miami, Florida, is a dedicated advocate for youth with lived experience in foster care and with homelessness. After being placed in foster care as a teenager, Alexia experienced firsthand the stigma surrounding the system, as well as the challenges of navigating a system that didn’t provide support for her to advocate for herself. This experience motivated her to create change, ensuring that other youth in care have the tools and resources she lacked.

She graduated with a B.A. in Psychology from Florida International University, and upon graduation worked as a Hope Navigator with the Department of Children and Families which allowed her to assist clients through individualized care plans, further deepening her commitment to improving the lives of marginalized youth. Alexia is now applying to law schools with the goal of advancing her advocacy work through a legal career. As the Events and Meetings Chair for Florida Youth SHINE (FYS), she creates opportunities for foster and homeless youth to collaborate and push for meaningful change. She is also an active member of the Policy and Initiative Team for Florida Youth SHINE, where she helps create and shape policies that directly impact youth in foster care. One of her proudest accomplishments is helping to develop the Foster Care Bill of Rights, a law that she feels would have made a difference during her own time in care.

In addition to her work with FYS, Alexia serves on the Board of Directors for the parent organization of FYS, Florida’s Children First. In this role, she contributes to strategic decision-making while advocating for the rights and welfare of children statewide.

Every year, she travels to the state capitol to advocate for bills she and her peers have helped shape, including key pieces of legislation that benefit foster and homeless youth. However her advocacy extends beyond her state, as she represents Florida Youth SHINE at national conferences such as the National Leaders 4 Change Conference.

Through her internship with the National Foster Youth Institute, Alexia continues to refine her advocacy skills, preparing for a future where she can contribute meaningfully to both policymaking and the legal system. Guided by the belief that “the blue sky is always there,” she remains committed to ensuring that every youth in foster care has the power and support to advocate for themselves.

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