Columbia, SC (WLTX) -- A new report confirms the health of the Palmetto State's children is lagging far behind the rest of the nation.

The report released by the Annie E. Casey Foundation, a Baltimore-based private charitable organization, South Carolina ranks 45th overall in well-being.

Broken down into "domains", the Palmetto State ranks 44th in economic well-being, 41st in education, 44th in health, and 43rd in family and community.

"We've made improvements in education and health, but again, we have a long way to go because we're down in the 40's, so we need to look at where we're slipping," said Sue Williams, CEO of The Children's Trust, an offshoot of the Annie E. Casey Foundation.

More startling is the fact that South Carolina slid from 43rd to its new position at 45th in the nation between years the report was issued in 2012, covering the year 2012, and 2013, covering the year 2012.

According to the report, 91,000 kids in the state live without health insurance. Further, 297,000 kids live in poverty. In comparison,270,406 people live in Lexington County alone, according to a 2012 U.S. Census estimate.

"It scares me," said Dr. Guy Castles, Pediatrician at Pediatric Associates. "It's very sad that as attractive as South Carolina is to the outside world, that we have such a problem with children's health and poverty and access to health care."

You can view the full reports -- both the national and the individualized report for our state -- at the links below.

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