Research :: A Shifting Health Landscape for Adolescents and Young Adults: Planning for the Implementation of Federal Health Care Reform in New York

This case study, written by The University of California — Philip R. Lee Institute for Health Policy Studies and Department of Pediatrics, Division of Adolescent and Young Adult Medicine in collaboration with ICF International, is the second in a series of publications associated with a multi-year evaluation of the Mount Sinai Adolescent Health Center (MSAHC), which provides comprehensive health services to adolescents and young adults ages 10-24 in the New York City metro area.

The purpose of this Health Policy Case Study is to better understand the extent to which planning efforts in New York State are considering and responding to the critical health needs of adolescents and young adults as the State actively pursues implementation of the Patient Protection and Affordable Care Act (ACA). This brief is based on interviews with experts from the fields of health care administrators, health policy researchers, adolescent health providers, and advocates. The report presents findings reflecting the major ACA-related themes, including: Health Benefit Exchanges; Medicaid expansion; Basic Health Plan; the Catastrophic Coverage option; enrollment and health care access; and special issues for adolescents and young adults. It concludes with an overarching summary and implications with a specific focus on the health needs of adolescents and young adults in light of the historic environment in which these efforts are unfolding. Given the changing landscape and the fluid nature of these historical events, we strove to produce a brief that captures this moment in time, takes the pulse of the environment, and also relays important considerations for adolescents and young adults.

Download the brief here:
A Shifting Health Landscape for Adolescents and Young Adults (PDF)

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Affordable Care Act, Clinical Guidelines, Confidential Care, Policy, Reports, State Policy, Young Adults, Youth-Centered Care


December 21, 2012


Kathleen Tebb, PHD; Claire Brindis, DrPH; Amanda Giordano, RN, PHN, MS; Sara Combelick, MPH; Sara Bausch, MS; and Angela Diaz, MD, MPH


A Shifting Health Landscape for Adolescents and Young Adults


How High School Policies Shape Substance Use

In partnership with NAHIC, researchers at Child Trends used national longitudinal data to examine how high school policies shape substance use in young adulthood. The brief examines several policies, as well as individual, family and peer factors relevant to substance use. Research findings suggest that policies to promote a positive school environment are more likely […]

Policy | Reports | Social Determinants of Health | State Policy | Substance Use | Transitions & Trajectories | Young Adults

Adolescent and Young Adult Health in San Francisco: Opportunities for Change

The Adolescent Health Working Group, based in San Francisco, held its 11th Annual Teen/Young Adult Provider Gathering. This year’s training focused on Increasing Patient-Centered Care for Young Women. Dr. Brindis was featured as the keynote speaker, and gave a presentation entitled “Adolescent and Young Adult Health in San Francisco: Opportunities for Change.” She discussed the health of […]

Clinical Preventive Services | Data and Monitoring | Overviews/Fact Sheets | Socio-demographic disparities | Young Adults

Health Insurance Access and Counseling Receipt and Their Association With Later Depressive and Suicidal Symptoms

This 2012 brief analyzes panel data from the National Longitudinal Study of Adolescent Health for 9,996 adolescents to assess whether the receipt of supportive (psychological or emotional) counseling and access to health insurance is related to the persistence of adolescent depression and/or suicidality into young adulthood.

Access & Utilization | Depression | Mental/Behavioral Health | Reports | Suicide

The Mental Health of Adolescents: A National Profile

This brief aims to inform health professionals, policymakers, educators, administrators, and school-based health centers concerned with the health and well-being of adolescents.

Data and Monitoring | Depression | Mental/Behavioral Health | Overviews/Fact Sheets | Reports | Suicide | Trends

A Federal Monitoring System for Early Adult Health

This 2008 article reviews existing federal data collection efforts and reporting systems to identify what pieces currently exist to support an effective health monitoring system for young adults.

Data and Monitoring | Guidelines/Recommendations | Journal Articles | Transitions & Trajectories | Young Adults