Children must now prove their citizenship in order to apply or remain on Medicaid. Under the new requirements, outlined in the Deficit Reduction Act(DRA) and confirmed by regulations from the Centers for Medicare &Medicaid Services (CMS), many children must produce original documents, such as a passport or birth certificate, to qualify for Medicaid. As a result,newborns, children in foster care and children whose documents have been destroyed, such as the victims of Hurricane Katrina, are in danger of being denied health care.

The Academy has been fighting this burdensome new requirement that could result in the denial of care for an estimated 600,000 to 1.6 million children. In August, AAP members were invited to testify about the impact of policies on immigrant children's health care before committees of the U.S. House of Representatives at several congressional field hearings.

Bronwen Anders, M.D., FAAP, immediate past president of AAP California III Chapter,...

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