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The following comments were submitted by Richard Besser, MD, in response to the Centers for Medicare and Medicaid Services request for comments relating to Section 1332 of the ACA.

There is wide agreement from educators, parents and policymakers that children should receive a broad education that prepares them to be active, engaged citizens who make contributions to support their families and communities.

This report summarizes 17 selected federal programs that are particularly important for early childhood education and care.