Navigating Your Way through Health Reform and the ACA

As provisions of the Patient Protection and Affordable Care Act (ACA) are being enacted, there is a pressing need for materials relevant to the MCH workforce. This “Just-In-Time” Spotlight presents trainings and resources to assist the Title V staff and grantees with understanding and implementing the ACA. 

Check back often as new training materials are added as they are developed and identified. We also invite you to submit trainings or resources that you feel are relevant.

Table of Contents


Introduction and Spotlight Overview

Children and adolescents who are uninsured have decreased access to well-child care, immunizations, dental services, and prescription medications. The ACA, signed into law on March 23, 2010, is intended to expand access, reduce cost, and improve the quality of health for all Americans, including the MCH community. Components of the ACA are designed specifically to meet the needs of children and youth, including improved access to covered services, provision of age-appropriate benefits, and increased health insurance coverage. In addition, the ACA provides support to strengthen the pediatric workforce, a structure for state MCH, Medicaid, and Children's Health Insurance Program (CHIP) staff, and a plan to improve pediatrician payment rates.

Included in this Spotlight are short online videos, quick reference summaries, and presentations that illuminate basic ACA concepts and outline step-by-step requirements for ACA implementation. Examples of the ACA in practice, state-specific data, and resource organizations are included for those who wish to explore the topic in more depth. The Spotlight highlights trainings of different modalities (reading, viewable presentations, web tutorials) to provide multiple avenues to learning. 


YouTube Videos


Webinars and Presentations


MCH ACA in Practice: Selected State Trainings and Examples in Title V Programs

Please share trainings or examples related to the ACA in your state. We will review and add them to this section so that your work can serve as a promising practice.


Quick Reference Summaries to Facilitate Training


Tools to Augment Training


Additional ACA Resources


Patient Protection and Affordable Care Act (ACA): Navigating Your Way through Health Reform and the ACA
January 2014; Updated April 2015, August 2015, October 2015
Authors: Beth DeFrancis-Sun, M.L.S., John Richards, M.A., AITP, MCH Navigator
Reviewers: Jolene Bertness, MEd, NCEMCH; Anne Crotty, MPH, Child Health Specialty Clinics, Iowa; Vickie Ives, MA, Bureau of Child, Family, and Community Wellness, Division of Public and Behavioral Health, Nevada Division Department of Health and Human Services; Lise Jankowski, Illinois Department of Public Health; Susan Brune Lorenzo, MLS, NCEMCH; Rochelle Mayer, EdD, MCH Navigator; Kathleen T Paulo, Family Health Services, Alameda County Public Health Department; Olivia Pickett, MLS, MA, NCEMCH

This project is supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UE8MC25742; MCH Navigator for $180,000/year. This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.