Child Welfare in the 21st Century

  • June 2012
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The ACA is upheld in its entirety. Huge win for children!

Posted by lboyd544 on June 28, 2012

Given that the law is now upheld there are major wins for children!
No change to Pre-existing Coverage Exclusions for Children – Insurance companies can not deny coverage to children with pre-existing conditions, giving their families protection if their children need extensive care.

No Reduction in Coverage Through the Children’s Health Insurance Program –  Children’s Health Insurance Program (CHIP) that was extended through September 30, 2015 to provide states with additional funding ensures children have access to this successful program.

Continuation of Pediatric Benefit Package that Includes Oral and Vision Coverage for All Children – The law requires coverage of not only basic pediatric services under all new health plans, but also oral and vision needs, starting in 2014. Many health plans do not provide coverage for needed child health services, and 12 percent of children have not had a doctor’s visit in the past year.

· Continuation of the Effort to Improve Quality of Care for Children – The law develops children’s quality priorities and promotes children’s quality measurement and reporting to improve care. A recent study found that children receive recommended care less than half of the time.

· Coverage to Families without Employer-Based Care – The law provides health insurance choices through state-based health insurance Exchanges to families without job-based coverage and provides tax credits to those who can’t afford it. Expanding insurance to all children will enable them to access needed care, which is proven to enhance their development and learning, laying the foundation for a healthy life. Children who are uninsured have decreased access to well-child care, immunizations, basic dental services, and prescription medication.

· No Lifetime Caps on Coverage – The law ends all lifetime limits on how much insurance companies cover if beneficiaries get sick, and bans insurance companies from coverage when they get sick. The Act also restricts the use of annual limits in all new plans, and existing employer plans this year, until 2014 when all annual limits for these plans are prohibited. Two-thirds of middle class families with access to employer-based coverage said their child remained uninsured because they could not afford the health plan.

·  Extension of Coverage up to the Age of 26 – The law allows young adults to stay on their parents’ health care plan until age 26. Millions of young adults continue to have coverage as a result of this law.

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