New Law will Directly Benefit Ill Kids in Central Texas

Congressman Roger Wiliams

Texas Insider Report: WASHINGTON D.C. This weekend I co-authored an op-ed in the Austin American-Statesman with Chris Born president of Dell Childrens Medical Center on the Advancing Care for Exceptional (ACE) Kids Act.

See below for the full text and here for the link to the article.

Congress recently came together in a bipartisan effort to pass the Advancing Care for Exceptional (ACE) Kids Act which directly benefits the kids and families that Dell Childrens Medical Center serves here in Central Texas. The ACE Kids Act creates a new model that improves care for children with complex medical needs who are covered under Medicaid while also reducing the program spending totals.

A small percentage of the millions of children covered under Medicaid have very complex medical issues that account for a disproportionate amount of the spending. These exceptional children also face additional challenges especially when finding the right care requires them to cross state lines. The ACE Kids Act improves coordination across multiple providers and services which increases options and ease of access.

This innovative new model would expand access to patient-centered pediatric-focused coordinated care programs that are designed for children with medical complexity.

The ACE program has a proven success record and has been tested across 10 different childrens hospitals with eight different Medicaid programs. In the first full year of operation with the ACE Kids method the test group coordinated care for 8000 children reduced overall costs by 2.6 percent and improved the overall patient experience. The ACE Kids Act will enable these innovations to be shared with medical providers throughout the country.

One of the premier healthcare providers for children and adolescents is here in Central Texas Dell Childrens Medical Center. For nearly 12 years Dell Childrens Medical Center has served over 77000 kids annually in their inpatient and outpatient departments with over 40 specialized programs.

As the only comprehensive childrens hospital and level 1 trauma center in Central Texas the medical center uniquely cares for children with complex medical needs in a 46-county service area. Passage of this act will provide national consistency and a common model for care already being provided for children with complex medical needs through the Childrens Comprehensive Care Clinic at Dell Childrens Medical Center. The ACE Kids Act will also simplify the process and make it easier for children to cross state lines for medical care if needed.

Children like 4-year-old Rowan have been cared for by the specially trained staff at Dell Childrens since she was born. Rowans complex medical condition requires specialized continuous care at the hospital and its Childrens Comprehensive Care Clinic where the nurses and doctors have a special relationship with her. Her condition also requires out-of-state medical care.

Rowan is an energetic little girl who loves to laugh and play despite the pain she experiences every day. Rowan was diagnosed with recessive dystrophic epidermolysis bullosa as a newborn which means that she is missing the glue" that holds her skin to her body. The surface of her body can blister and shear off leaving wounds like second-degree burns so Rowan must be bandaged from the neck down to cover wounds and prevent infection. Rowans family is thankful for the passage of the ACE Kids Act. This important piece of legislation supports the coordination of her care in Austin and in other states and helps advance innovation in the quality cost and delivery of care at Dell Childrens Medical Center and other childrens hospitals.

Stories like this further prove why we must continue to innovate and improve how we care for our most vulnerable especially for the families who are working through some of the most complex pediatric issues. We are proud to be leading this effort in Central Texas and look forward to sharing our successes with the country.

Williams represents Austin in the U.S. House of Representatives. Born is president of Dell Childrens Medical Center.

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