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Opinion Children’s Health Care and the Patient Protection VIEWPOINT and Affordable Care Act What’s at Stake? Although the Patient Protection and Affordable Care tions with specific risks and needs. Our current child Eileen K. Fry-Bowers, PhD, JD, RN, CPNP Act (hereafter referred to as the ACA) of 2010 does not health system is ill-matched to the special require- Institute for Health explicitly target the health care needs of children, its sig- ments of children, and its fragility makes it particularly Policy and Leadership, nificant reforms and cascading effects throughout our vulnerable to the disruptive changes of the ACA. Loma Linda University, complex health system are likely to directly and indi- Loma Linda, California, and UCLA (University rectly affect children’s health care. The ACA increases in- Medicaid Expansion and Children’s Access to Care of California, surance coverage for children and their families by cov- Before the ACA, fully half of all persons enrolled in Med- Los Angeles) ering comprehensive preventive services with no cost icaid were children. Now, many states are expanding School of Nursing. sharing, eliminating exclusions for preexisting condi- Medicaidcoveragetoincludepreviouslyineligibleadults. tions, prohibiting lifetime dollar limits, extending de- Previous expansions of public insurance to cover par- William Nicholas, PhD,
JAMA Pediatrics – American Medical Association
Published: Jun 1, 2014
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