Bridges to Health and Union Extension describe rising service needs as families settle on Vermont farms

Agriculture, Food Resiliency, & Forestry Committee · November 14, 2025

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Summary

Bridges to Health and Union Extension told the committee they have expanded outreach to farmworkers and their children, coordinating services (nearly 3,000 appointments) across many farms and urging stable funding for healthcare navigation and migrant education programs.

Program leaders described expanded services and rising needs among farmworker families across Vermont, including more children living on farms and increased demand for wraparound supports.

Naomi, a program lead with Bridges to Health, said the outreach program uses bilingual community health workers to coordinate health promotion, education and access for immigrant and migrant workers statewide. "Over the past three years we've worked with 1,128 farm workers on 167 farms and we coordinate almost 3,000 appointments," she said, adding that 35% of coordinated appointments for farmworkers and family members lacked reliable transportation.

Bridges staff reported two main worker groups: year‑round workers (often dairy workers and increasingly families) and seasonal H‑2A workers (about 660 positions in recent years). Naomi warned that the removal of repayment caps for premium tax credits and rising concerns about enforcement are deterring some seasonal workers from signing up for coverage and may reduce enrollment.

S. Bay Hamilton, program lead for farmworker education at University Extension, summarized the migrant education program (federal Title I‑C) and the farmworker education hub funded through USDA grants. Hamilton said the program served about 120 school‑age children last year and described substantial work to help families with enrollment, tutoring and transportation for preschool and after‑school supports.

Both program leads asked the committee for continued attention to funding stability and for more time to brief the committee in January so lawmakers can better understand system needs and program timelines. Committee members requested clearer eligibility charts and said they would schedule follow‑up briefings.