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June 3, 2026JAMA Pediatrics0 citations

Grandfather Clauses and Medical Transition—Proposed CMS Rules Should Consider Exceptions

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KMKathleen McDeavittMGMoti Gorin

Key Points

  • The viewpoint explores the need for grandfather clauses in CMS guidelines to support current patients receiving pediatric medical interventions.
  • Analysis of CMS guidelines regarding medical transitions
  • Discussion of potential implications for current patients
  • Evaluation of grandfather clause applications in healthcare
  • Proposes the adoption of grandfather clauses to allow continuity of care for existing patients.
  • Highlights the potential disruption to care without such provisions.

Abstract

This Viewpoint discusses whether Centers for Medicaid amp; Medicare Services (CMS) guidelines should include a grandfather clause that would allow patients who are currently receiving pediatric medical transition interventions to continue to do so.

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Cite This Study

McDeavitt et al. (2026) studied this question.

synapsesocial.com/papers/6a1fc42cdee9eb8c0dce5bb3https://doi.org/10.1001/jamapediatrics.2026.1873
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Scoping Review on Transitions in the Context of Pediatric Palliative Care2024
  2. 2A quality improvement evaluation of a standardized intervention for children with medical complexity transitioning to adult care2024 · 1 citations
  3. 3Medicaid Retention After Transition to Medicare Among Adults With Expansion Coverage2026
  4. 4Preserving Access to CMS Data for Early-Career Researchers2024 · 3 citations
  5. 5Healthcare provider perspectives on the end of the COVID-19 Medicaid continuous enrollment provision: Implications for childhood cancer survivors.2025