Thousands of schools and universities transitioned to fully online learning in 2020, during which many students with special education needs lost appropriate accommodations and some with chronic health needs lost access to schooling altogether. This recent trial by fire has allowed us to see firsthand that children with chronic medical conditions and special education needs have additional significant challenges to learning online and deserve more attention from pediatric clinicians. This is particularly important since education is an essential component of social development and impactful social determinant of health.