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BACKGROUND AND PURPOSE: The coming years could be a watershed period for children and health care as the nation implements the most significant federal health care legislation in 50 years: the Accountable Care Act (ACA). A year earlier, the American Recovery and Reinvestment Act (ARRA) set up a framework and road map for the eventual universal adoption of health information technology in its Health Information Technology for Economic and Clinical Health (HITECH) provisions, and the Children'sdoi:10.1016/j.acap.2010.10.003 pmid:21570020 fatcat:qqty4x3b65hkdhyv3s4dz5nubi