There is a growing childhood epidemic in this country: Tooth decay is now the most common chronic illness among children. The effects of this epidemic are wide-ranging. Children lose 51 million school hours each year due to dental-related illness.  And a study in southern California found that untreated dental disease may also interfere with children’s ability to learn: The study found that children with reported tooth pain were four times more likely than their peers to have lower than average grades. 

States are leading the way in improving how health care is paid for and delivered. Consumer advocates are integral to these reform efforts. Their participation can help ensure that reforms protect and improve consumers' access to high-quality care. While advocates often find it difficult to get involved in these discussions, the State Innovation Model (SIM) grant program gives consumer advocates an opportunity to weigh in on reforms in their states.