Blog Announcement Viewer

Let's Stay Focused on How the ACA Benefits Children

By Shirley Schantz, RN, ARNP, EdD posted 01-24-2014 12:04 PM

  

The internet issue is resolved, but the concern about providing health care to children and families continues.  As school nurses we know that for some children their only access to health care is with us at school.  This will change with some families who are now able to obtain health care that was not previously available to them.  The health of children is our fundamental concern.  More preventive services offered to children allow them to arrive at school healthier.  Children make up 20 percent of our population, but 100 percent of our future.  We also know that time in seats leads to academic success.  We can hope that increased access to health care means healthier children, in their seats, ready to learn.  There will be bumps and twists and turns along the way.  Let’s stay focused on how the Affordable Care Act (ACA) benefits children.

". . . time in seats leads to academic success."

How does this law impact children?  Some of the components of the ACA that impact children (and school nursing practice) include, but not limited to, coverage for children’s preventive health services:

  • Depression screening for adolescents

  • Behavioral assessments for children up to 17-years-old

  • Blood pressure screening

  • Vision screening for all children

  • Fluoride Chemoprevention supplements for children without fluoride in their water source

  • Immunization vaccines for children from birth to age 18

  • Height, Weight and Body Mass Index measurements for children up to age 17

  • Obesity screening

  • Lead screening for children at risk

  • Sexually Transmitted Infection (STI) prevention counseling and screening for adolescents at risk

  • Tuberculin testing for children at higher risk of tuberculosis up to 17- years- old

Through the ACA, there are many more preventive services available for children.  Insurance companies are required to cover all people with pre-existing conditions when coverage begins, patients can access emergency care without prior authorization, parents insurance can cover young adults up to the age of 26 (I could have used that), and it puts an end to lifetime and yearly dollar limits, or caps, on coverage of essential health benefits.

Children make up 20 percent of our population, but 100 percent of our future.

The Affordable Care Act also includes benefits to nurses and nursing education, including expansion of nurse education and advance practice training and education.  The American Nurses Association provides information and resources on the ACA's implications for nurses and nursing.

The National Association of School Nurses (NASN) supports quality affordable health care for all children and recognizes the importance of school nurses who work with the health care community to assist families in accessing appropriate health insurance and provide vital health services to all children. 

The ACA is extraordinarily comprehensive.  I encourage you to learn more!

Together in School Nursing

2 comments
165 views

Permalink

Comments

01-29-2014 10:10 PM

The prospect of health care coverage for all children in our care is enticing, but the reality remains that much of children's health care occurs in the school house. In listening to Secretary Sebelius and Dr. Wakefield last week, it was clear that school nursing services was not on their radar. The spoke only of school based health centers. We have much work to do in order to secure 100% of our future.

01-29-2014 01:36 PM

Shirley you make wonderful points but as school nurses we must also realize how the ACA is impacting the economy and the subsequent effects on our students and families.
1. Some experts still have security concerns surrounding the web site and identity theft. The developers are still concerned according to the hearings I on C-SPAN.
2. Many employers are not hiring full time any more in order to avoid providing coverage leading to more families on food stamps and Medicaid (if they qualify).
3. Some of these families do not qualify for subsidy and cannot afford premiums that have doubled or tripled on the exchanges.(Depending on the state).
3. Some hospitals and health care systems have not been accepted in to the exchanges leaving many adults and children without providers they know and trust.
4. Some of the major cancer centers that treat children and adults are not accepted.
Although NASN supports quality health care for all children as scanners of the environment it's hard to ignore all these other factors impacting children and families that we see every day.
Pat Endsley RN, Maine Director