Campaign Promises

Cabinet/Departments -> Health & Human Services -> Children

ItemHealth & Human Services
The Promise: "Will provide affordable and high-quality child care that will promote child development and ease the burden on working families."
When/Where: Obama-Biden Plan: "Fighting Poverty and Creating a Bridge to the Middle Class" dated 09/11/08.
Status:The American Recovery and Reinvestment Act of 2009 pumped an additional $2B into the Child Care and Development Block Grant (CCDBG) coffers. With these funds, most states were able to sustain their child care assistance programs.

The Child Care and Development Block Grant Act of 2014 (S. 1086) was signed into law by President Obama on 11/19/2014. This law authorizes the following levels of funding for child care and development:


This promise was fulfilled.
The Promise: "...will work with schools to create more healthful environments for children, including assistance with contract policy development for local vendors, grant support for school-based health screening programs and clinical services, increased financial support for physical education, and educational programs for students."
When/Where: Obama-Biden Plan: "To Lower Health Care Costs and Ensure Affordable, Accessible Health Coverage For All," dated 10/03/08.
Status:Fulfillment of this promise got off to a very slow start, with only $100K enacted to promote a "healthful environment" for children in FY2010. President Obama's FY2011 budget submission does a bit of catching up by proposing $6.3M to create healthier school environments for all children.

In light of Obama Administration objectives to reduce obesity in children, the first/critical step is the reauthorization of the Child Nutrition Act of 1966, which was extended to 09/30/10 under the Agriculture Appropriations Bill of 2009.

Senator Blanche Lincoln (D-AR) introduced the "Healthy, Hunger-Free Kids Act of 2010" (S. 3307) on 05/05/10. This bill passed the Senate on 08/05/10 and the House on 12/02/10. President Obama signed S. 3307 into law on 12/13/10.

S.3307 supported every aspect of this promise including vendor contracting policy, clinical services, child physical activity and education programs. This legislation remained in effect through FY2015.

On 04/20/16, Congressman Todd Rokita (R-IN) introduced the "Improving Child Nutrition and Education Act of 2016" (H.R. 5003). According to, this legislation had a 49% chance of being enacted before the 114th Congress expires at the end of CY2016.

On 07/06/16, Senator Pat Roberts (R-KS) introduced the "Improving Child Nutrition Integrity and Access Act of 2016" (S.3136). This bill had a 21% chance of enactment.

Either of the above bills, if signed into law before end-CY2016, would have satisfied the basic tenets of this promise.

Based on passage of S.3307 in CY2010, this promise was fulfilled.
The Promise: "Part of Obama's early childhood intervention plan will be directed at coordinating fragmented community programs to help provide parents with information about screening for disabilities as infants and again as two-year olds."
When/Where: Obama-Biden Plan: "Empower Americans with Disabilities," dated 09/06/08.
Status:Section 2951 of the Patient Protection and Affordable Health Care Act of 2010 stipulates in part that the purpose of the Maternal, Infant, and Early Childhood Home Visiting Programs amendment to Title V of the Social Security Act (42 U.S.C. 701 et seq.) is to "improve coordination of services for at risk communities."

The Act further specifies that within 6 months of its enactment, each State will conduct a statewide needs assessment. This research will address communitywide strategic planning and assessments conducted under the Head Start Act, as well as the "inventory of unmet needs and community-based and prevention-focused programs.

Under the Patient Protection and Affordable Health Care Act, this effort was authorized funding at the following levels:

This was a significant step toward "coordinating fragmented community programs" that should lead to the dissemination of information to parents about having their children screened for disabilities.

This promise was fulfilled.
The Promise: "...would expand the highly-successful Nurse-Family Partnership to all low-income, first-time mothers. The Nurse-Family Partnership provides home visits by trained registered nurses to low-income expectant mothers and their families."
When/Where: Obama-Biden Plan "Fighting Poverty and Creating a Bridge to the Middle Class" dated 09/11/08.
Status:Section 2951 of the Patient Protection and Affordable Care Act, signed into law by President Obama on 03/23/10, provides "grants to eligible entities to enable the entities to deliver services under early childhood home visitation programs."

$1.5B was authorized by Congress for this purpose.

This promise was fulfilled.