Reform proposals should include specific provisions for benefits that cover all or virtually all the cost of services that are critical to the health and well-being of children and mothers, especially those at high risk.

Proposals to extend health insurance should define where coordination is needed with other public and private programs that target nonfinancial barriers to improved access and health status.

Because reforms, once adopted, cannot just be assumed to be successful in meeting their objectives, policymakers need to monitor changes in access over time.



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