Children’s Hospital Association Statement on Supreme Court Ruling on the Affordable Care Act

June 28, 2012
Gillian Ray

(Alexandria, VA) -- The Supreme Court ruled today in the case of the Department of Health and Human Services, et. al v. Florida, et. al and upheld the Affordable Care Act (ACA). The Children’s Hospital Association supports the Court’s ruling which ensures children’s health care will continue to benefit from specific ACA provisions.

The Association points to the following provisions as the most beneficial to children’s health care coverage and access under the ACA. However, it is unclear at this time how the Court’s ruling will impact the key provisions affecting Medicaid.

  • Private insurance reforms for children – provisions that require coverage of children with preexisting conditions; require coverage for  dependents until age 26; requires coverage with no cost sharing for prevention services, including immunizations; and prohibit annual and lifetime limits on coverage
  • Maintenance of effort – requirement for states to maintain current Medicaid and Children’s Health Insurance Program coverage for children through Sept. 30, 2019
  • Two-year Medicaid payment increase to Medicare levels – provision includes pediatric subspecialists as eligible providers for payment increase

The following ACA provisions are designed to strengthen the pediatric infrastructure and help improve the nation’s health care system:

  • Center for Medicare and Medicaid Innovations and its funding of projects innovating care solutions for children
  •  Pediatric Accountable Care Organizations – authorized (although unfunded) demonstration projects

While Congress and the White House continue to debate how to improve the nation’s health care system and efforts to reduce costs, the Association urges leaders to first consider the health care needs of children. While the ACA is a positive step forward, much work remains to strengthen children’s coverage, access, and system improvements that will result in improved quality and reduced costs.  By innovating care delivery models within Medicaid, such as the implementation of pediatric ACOs, children’s hospitals can advance solutions to the health care challenges facing our nation.


The Children’s Hospital Association advances child health through innovation in the quality, cost and delivery of care. Representing more than 220 children’s hospitals, the Association is the voice of children’s hospitals nationally. The Association advances public policy enabling hospitals to better serve children, and is the premier resource for pediatric data and analytics driving improved clinical and operational performance of member hospitals. Formed in 2011, Children’s Hospital Association brings together the strengths and talents of three organizations: Child Health Corporation of America (CHCA), National Association of Children’s Hospitals and Related Institutions (NACHRI) and National Association of Children’s Hospitals (N.A.C.H.).