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The Child Health Now! campaign began in the CDF-NY office in 1998. As part of this work, CDF-NY spearheaded a statewide coalition of more than 250 organizations. Initially, the work of the coalition focused on eliminating the uninsured rate for children in New York. In 2007, New York State’s expansion of the Children’s Health Insurance Program (CHIP) created a means of coverage for all children and youth statewide, allowing New York to offer “universal coverage” for this population. Thereafter, the coalition expanded its mission to focus on reforming the health insurance marketplace, allowing a means for families to acquire affordable coverage. This work involved partnerships with other state and national stakeholders to advocate for a change to the marketplace — making health insurance more affordable for families. In 2010, passage of the Affordable Care Act (ACA) proved this effort successful.