Children with Special Health Care Needs Blueprint RFI Comment Letter

We submitted comments on HRSA's Blueprint RFI for children and youth with special health care needs.

Earlier this year, the Health Resources and Services Administration's (HRSA) Maternal and Child Health Bureau sought input on their "A Blueprint for Change: Guiding Principles for Advancing the System of Services for Children and Youth with Special Health Care Needs and Families" with the aim of creating an effective system of care for children and youth with special health care needs (CYSHCNs). In our response to HRSA, we highlight the role children's hospitals and Medicaid play in the care of CYSHCNs.

Specifically, we recommend that the blueprint:

  • Have a greater focus on behavioral health and national data, particularly for CYSHCNs enrolled in Medicaid.
  • Acknowledge the regional nature of pediatric care and the importance of improving access to technology supporting provider communication, such as telehealth.

We also stress the need to include children's hospitals and pediatric providers as necessary stakeholders in the implementation of the goals and objectives of the Blueprint.

Related Content

5 Ways Children’s Hospitals Support Dental Health

Pediatric hospitals provide specialized dental care for children who can’t be treated in a traditional setting.

Feb. 17, 2026

Prioritize Children’s Health: 2026 Policy Priorities for Federal Policymakers

As Congress and the administration develop health care policies, we encourage them to consider the unique needs of children and the children's hospitals that serve them.

Feb. 10, 2026

Hopeful Conversations to End the Youth Mental Health Crisis

The Speak Our Minds podcast shares what lies ahead on the road to better mental health care for children.

Feb. 10, 2026