Expansion of newborn screening (NBS) has been driven primarily by a combination of advances in technology and medical treatment, and the sustained advocacy efforts of consumers and voluntary health organizations. The longstanding leadership of the March of Dimes has been credited by many as a critical factor in the expansion and improvement of…

The operation of Medicaid, a joint federal-state program to fund medical services for disabled and indigent persons, over the last 20 years is reviewed with emphasis on evolving policies and practices in Massachusetts. Stressed is the trend toward integration of Medicaid clients into the medical care mainstream. (DB)

This report describes states' use of federal maternal and child health services (MCH) block grant funds to support their children's medical services (CMS) programs. Program officials and appropriate documents in 10 states were reviewed. Although all states allocated MCH funds to CMS programs, they did not typically designate the funds for…

This report assesses hardship among children of immigrants nationwide and in states with large immigrant populations (California, Colorado, Florida, Massachusetts, New Jersey, New York, Texas, and Washington). Data from the 1999 National Survey of America's Families show that hardship is greater for children of immigrants than for the children of…

The report describes services, administration, and future directions of the Children's Special Health Care Services program, part of the Michigan Department of Public Health. Division programs are carried out at local, regional, and state levels and provide: preventive services (through generic and newborn screening services and neonatal intensive…

The report describes Michigan's services to handicapped children provided under the Division of Services to Crippled Children of the Michigan Department of Public Health. The Crippled Children's Program (CCP) focuses on prevention, casefunding, diagnosis, medical care and treatment, and health care management. The program initiated the Locally…

The paper describes the Iowa Plan, a network approach to providing home care services for children with handicaps and chronic diseases who require medical technology services. The Iowa Regional Child Health Center Network is reviewed. The centers are based on shared responsibility between major state agencies and the community and serve as focal…

In response to congressional request, this report provides information on the implementation plans developed by the Center for Disease Control (CDC) for the Vaccines for Children (VFC) Program. Introductory material indicates that the VFC was created to increase vaccine coverage levels nationwide by creating an entitlement to free vaccine for…

This article highlights the complexity of and critical need for service coordination for medically fragile infants and their families through an in-depth case study of a child and his family who "slipped through the cracks" of the system. The retrospective analysis describes problems and suggests alternative strategies for more effective…

This report evaluates the types of data gathered about nursing homes during a survey process by the State of Illinois through its Inspection of Care Review and Quality Incentive Program (QUIP) assessments. The data are compared to other State systems/demonstrations in an effort to choose those indicators which best measure the quality of care in…

A subcommittee report introduces the subject of these joint hearings--the problem of infant mortality in the United States; addresses the need for the legislation; summarizes the proposed legislation; and lists endorsing organizations. The hearings examine both the scope of the problem and S. 1209, legislation to create a national commission to…

This report, first in a series of eight, is based on findings from a survey of the opinions of Californians, parents and nonparents, about everyday concerns of children, youth, and their families. It highlights the opinions of California parents about children's health insurance coverage. This information is particularly relevant as California…

Designed for use by parents and professionals, this guide provides assistance in finding appropriate financial resources and services for children with special needs in Iowa. Divided into six chapters, the guide presents programs related to education, health, human services, insurance, social security, and other support services. After a brief…

The report relates existing State Title V programs based on the Social Security Act to implications of Public Law 99-457 (the Education of the Handicapped Act Amendments of 1986), especially Part H which authorizes comprehensive coordinated statewide early intervention delivery systems for infants and toddlers with handicaps. In section I,…

This report describes the activities of Oregon's 25 high school-based health centers between 1992 and 1994. Information is provided on funding sources, services offered (including general medical services and reproductive health, mental health, health promotion services, and hours of operation), staffing (including levels of staffing and…