Top Five Threats to Child Welfare from ACA Repeal

Proposals by the Congress and President-elect to repeal the Affordable Care Act (ACA)—including the Medicaid expansion—to turn Medicaid into a block grant, and to cut resources, all can sound very abstract to social workers and policymakers coping with the day-to-day tragedies and crises of child welfare. But should Congress make good on any of these threats—which could happen as early as January 2017—the dangers are very real to abused and neglected children, their birth, adoptive, and foster parents, as well as state agencies and providers.

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