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January 2016

Addressing the Needs of Children in a Time of Health Reform via Medicaid, CHIP, or Subsidized Markets

Author Affiliations
  • 1Department of Pediatrics, University of Colorado School of Medicine, Aurora
JAMA Pediatr. 2016;170(1):12-13. doi:10.1001/jamapediatrics.2015.3266

Health care systems designed to meet the needs of adults often fail to meet the needs of children. To compensate, the federal government has created systems specifically designed to meet the needs of children, such as the Maternal and Child Health Bureau, Medicaid, and the Children’s Health Insurance Program (CHIP).1-3 All these endeavors have been relatively successful. At the time of the passage of the Patient Protection and Affordable Care Act (hereafter called the Affordable Care Act) in 2010, children had achieved relatively high levels of insurance coverage and access to health care services compared with the nonelderly adult population.4,5 Most child insurance coverage included specific components, such as the Early and Periodic Screening, Diagnostic, and Treatment program within Medicaid, to ensure that the specific needs of children were met, especially those of children and youth with special health care needs.6