Caleb Garcia, age 5, was born with impaired hearing and vision, developmental delays, and physical disabilities, all due to a virus that his mother contracted during her pregnancy. Caleb’s father, Manuel, credits his son’s unexpected progress to the care he has been receiving since birth through Medicaid. Caleb needs specialist care, physical, speech, and occupational therapy, medical equipment, and prescription medications. Particularly important to Manuel, who is a single working parent, is nursing care that Medicaid covers for Caleb at school and at home when Manuel is at his job. When Caleb lost Medicaid for a month because of a bureaucratic mistake, Manuel looked into private insurance, but could not afford the $850 monthly premium and copays on his low income. That month, Caleb received no therapy or nursing services, and Manuel filled his prescriptions a few days at a time and postponed his doctor’s appointments.