Background: This policy discussion addresses the provisions of the Affordable Care Act (ACA) that impact children with asthma.
Purpose: The purpose of this policy paper is to inform health care professionals and lawmakers about ACA provisions affecting pediatric asthma care and provide recommendations for policy changes that can improve equitable care for children with asthma.
Methods: The issues addressed involve discrimination, Medicaid policy oversight, quality improvement stategy, data collection, school-based health care funding, accountable care organization reimbursement, and the extension of dependent coverage.
Discussion: Health care policy development that focuses on human rights, and not market valuation, could reduce health inequity among children with asthma.
Conclusion: Policy recommendations are presented to improve asthma care for a population that is largely vulnerable due to age, socioeconomic status, and discrimination.
Keywords: Asthma; Children; Health policy.
Copyright © 2023 Elsevier Inc. All rights reserved.
Declaration of Competing Interest The authors declare that there is no conflict of interest.
Suri R, Macinko J, Inkelas M, Needleman J. Suri R, et al. Chest. 2022 Jun;161(6):1465-1474. doi: 10.1016/j.chest.2022.01.011. Epub 2022 Jan 15. Chest. 2022. PMID: 35041832 Free PMC article.
Parsons HM, Schmidt S, Tenner LL, Bang H, Keegan TH. Parsons HM, et al. Cancer. 2016 Jun 1;122(11):1766-73. doi: 10.1002/cncr.29982. Epub 2016 Mar 21. Cancer. 2016. PMID: 26998967 Free PMC article.
Malcarney MB, Horton K, Seiler N. Malcarney MB, et al. J Sch Health. 2016 May;86(5):386-90. doi: 10.1111/josh.12383. J Sch Health. 2016. PMID: 27040476
Shi Q, Nellans FP, Shi L. Shi Q, et al. Curr Diab Rep. 2015 Dec;15(12):106. doi: 10.1007/s11892-015-0679-1. Curr Diab Rep. 2015. PMID: 26458377 Review.
Manchikanti L, Helm Ii S, Benyamin RM, Hirsch JA. Manchikanti L, et al. Pain Physician. 2017 Mar;20(3):111-138. Pain Physician. 2017. PMID: 28339427 Review.