AAP focused on health coverage, disaster readiness, obesity in early 2000s by Alyson Sulaski Wyckoff , Associate Editor Copyright © 2020 American Academy of Pediatrics Editor’s note: Th is is the nineth of a series of articles on the AAP’s 90th anniversary published by AAP News, (September, 2020). Th e 2010 signing of the Aff ordable Care Act (ACA) was momen- tous for the Academy aft er decades advocating for universal health insurance coverage. In the years leading to this, the Academy pushed for better access to care and coverage, while focusing on disaster preparedness, childhood obesity preven- tion, pediatric drug and device availability, and promotion of the medical home. Th e backdrop was a series of catastrophic national events, including the 9-11 attacks, Iraq War, Hurricane Katrina and the housing bubble/stock market crash and recession. As the decade began, the AAP marked its 70th anniver- sary with a tagline to its logo: Dedicated to the Health of All Children. Access to health care, medical home In 2000, 12% of children—9 million—were uninsured. While the AAP’s health insurance proposal, MediKids, did not come to pass, advocacy on insurance was a priority throughout the decade. In mental health care, for example, the rate of children’s psychosocial problems identifi ed in primary care more than doubled from the previous 20 years, while many insurance plans reduced coverage for mental health services. In 2004, the Academy launched a major eff ort: “I care for kids and I vote” to push health insurance for every child to the top of the national agenda. In 2007, the AAP worked on reauthorization of the State Children’s Health Insurance Program that had been vetoed the previous year. In 2009, the program was reauthorized and the name changed to the Children’s Health Insurance Program. When the ACA became law, AAP leaders championed certain elements with major benefi ts for many children (https://bit.ly/39X0zUZ). Th e AAP continued to emphasize children’s need for a medical home for family-centered care coordination. Th e AAP was designated the National Center of Medical Home Initiatives for Children With Special Needs. Needs of children in disasters Hurricane Katrina in 2005, the H1N1 pandemic in 2009 and the aft ermath of 9-11 highlighted the need for disaster readiness for children and pediatricians. Over time, the AAP formed task forces and teams, reaching out to national and governmental organizations to share guidance and tools to address the needs of children in disasters. Aft er Katrina, for example, it became clear the unique needs of children were not understood or addressed, with children and parents separated in rescues, and shelters lacking formula and diapers. Fan Tait, M.D., FAAP, AAP chief medical offi cer and senior vice president, recalls helping to lead the response to Katrina, among other disasters. A group from the AAP 2000s The In 2004, the AAP dedicated the sculpture “Together” to outgoing AAP Executive Director/CEO (1993-’04) Joe M. Sanders Jr., M.D., FAAP (left), who was succeeded by Errol R. Alden, M.D., FAAP (right), 2004-’15. uni24F4
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