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The number of children in the U.S. suffering chronic health conditions more than tripled in the past three decades. However, public policies and programs have lagged behind the growth of new knowledge, limiting access to needed services. Focusing on SSI, Medicaid, Maternal and Child Health, and special education, Drs. Perrin and Gortmaker examine the prevalence and program participation of children with chronic health conditions, paying close attention to children living in poverty.