18,824 total children were served by the foster care system in FY 2022. [...] 12,514 in care as of 09/30/2022. During 2022, 5,876 children entered care and 6,310 exited. 1,470 children were adopted; 2,451 were waiting to be adopted. [...] 5.15% decrease in the number of children in care between 2021-2022. [...] 855 children were staying in group homes or institutions; 85 children classified as runaways. 4.4% of households had a grandparent living with a grandchild. [...] Published April 2024 Health 83,000 children had no health insurance in 2022 (3.49% decrease from 2021). [...] 503,000 children were enrolled in Medicaid in 2022 (3.29% increase from 2021). [...] 99,958 children in Missouri were in the state Children Health Insurance Program (CHIP) in 2021 (14.79% decrease from 2020). [...] Child Poverty 336,000 children lived with parents who lacked secure employment in 2022 (25% of all children). [...] 22% of children lived in households with a high housing cost burden. [...] 131 children <19yrs were killed by a firearm in Missouri in 2020.