The 2009 Children’s Health Insurance Program (CHIP) Reauthorization Act and the 2010 Patient Protection and Affordable Care Act (ACA) created opportunities for incredible gains in child health and support for pediatric practice. However, there still is much to be done to ensure that these victories remain intact as political movements and budget stresses at the state and federal levels challenge their implementation into law (see related coverage in “Washington Report,” page 5).

Rest assured, the AAP Committee on Federal Government Affairs, your Executive Committee and the AAP Washington office will be fully engaged with U.S. House and Senate committees that intend to examine and amend provisions of the ACA. We will vigorously oppose changes that may harm children and support those that benefit them.

The key challenge for pediatrician advocacy on health care reform over the next few years, however, will be at the state level. Chapter leaders and...

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