“…In the United States, there has been a long history of advocacy on the behalf of children (Denne and Hay, 2013). The year 1921 marked the first federal legislative effort (the Sheppard-Towner Act) to designate federal funds for prenatal programs targeting poor women and children (Denne and Hay, 2013). Since then, federal programs focused on child health have increased in scope and quantity, including numerous federal programs that expanded with the 2010 passage of the Patient Protection and Affordable Care Act (ACA) (Farrell et al, 2011;Keim-Malpass et al, 2013.…”