New financing strategies can go only so far if existing constraints are not ad- dressed. System transformation will require a major reorganization of the cat’s- cradle of federal funding streams: Title IV (ChildWelfare); Title V (Maternal and Child Health); Title XIX (Medicaid); Title XXI (the State Children’s Health Insur- anceProgram,orSCHIP);HeadStart;WIC;andevenfundsfromNoChildLeft Behind, the Individuals with Disabilities Education Act (IDEA), and other pro- grams that are allocated from the Department of Education. This will not be an easy task. Like Social Security, many of these categorical funding streams are sac- rosanct among their respective advocacy constituencies, so any attempt to reorga- nize and reform how they function will meet with enormous.
