The National Association of Pediatric Nurse Practitioners (NAPNAP), the national association representing more than 8,500 pediatric nurse practitioners and fellow pediatric-focused advanced practice registered nurses (APRNs) committed to providing optimal health care for children, is deeply concerned by the Senate’s procedural vote today to proceed to consideration of the “American Health Care Act of 2017” (H.R. 1628) without having clearly addressed the concerns that pediatric APRNs have raised with the House-passed legislation – specifically ending federal support for expanded state Medicaid coverage, capping critical funding for Medicaid coverage for children, and taking away protections that ensure early screening, diagnosis and treatment for children. These policies have largely been included in the draft “Better Care Reconciliation Act” and remain inconsistent with NAPNAP’s objectives of maintaining and increasing historic gains in children’s health coverage. These flaws cannot be adequately address by amendments considered during limited debate on the Senate floor. We continue to urge the Senate to reject these policies, engage in bipartisan negotiations and public hearings, and work with NAPNAP and other children’s health providers to implement policies that will give our country’s children better access to more affordable, high-quality care, especially the services provided by pediatric APRNs.