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Health care reform will provide coverage to countless uninsured and underinsured Asian American, Native Hawaiian, and Pacific Islander (AA and NHPI) children. Approximately eight percent of Asian American children and 11 percent of Native Hawaiian or Pacific Islander children were uninsured in 2009. An expanded medicaid program, the continuation of the Children’s Health insurance Program (CHiP) through 2019, new state Health insurance exchanges, and the extension of coverage for young adults to remain on their parent’s health plan until age 26, provide new options for quality, affordable care for AA and NHPi children.