{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,10]],"date-time":"2026-09-10T11:04:32Z","timestamp":1789038272428,"version":"build-2803163510"},"reference-count":46,"publisher":"Elsevier BV","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jpeds.com","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Pediatrics"],"published-print":{"date-parts":[[2026,1]]},"DOI":"10.1016\/j.jpeds.2025.114823","type":"journal-article","created":{"date-parts":[[2025,9,19]],"date-time":"2025-09-19T14:19:33Z","timestamp":1758291573000},"page":"114823","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"special_numbering":"C","title":["Increase in Health Care Utilization of Texas Infants with Congenital Anomalies Following Senate Bill 8"],"prefix":"10.1016","volume":"288","author":[{"given":"Sarah E.","family":"Peiffer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6451-8867","authenticated-orcid":false,"given":"Mary Elizabeth","family":"Guerra","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kathleen E.","family":"Hosek","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shannon M.","family":"Larabee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lily S.","family":"Cheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sundeep G.","family":"Keswani","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Timothy C.","family":"Lee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8661-5011","authenticated-orcid":false,"given":"Alice","family":"King","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jpeds.2025.114823_bib1","doi-asserted-by":"crossref","first-page":"895","DOI":"10.1002\/bdra.23329","article-title":"Birth defects data from population-based birth defects surveillance programs in the United States, 2007 to 2011: highlighting orofacial clefts","volume":"100","author":"Mai","year":"2014","journal-title":"Birth Defects Res A Clin Mol Teratol"},{"key":"10.1016\/j.jpeds.2025.114823_bib2","first-page":"1","article-title":"Update on overall prevalence of major birth defects--Atlanta, Georgia, 1978-2005","volume":"57","year":"2008","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jpeds.2025.114823_bib3","doi-asserted-by":"crossref","DOI":"10.1002\/bdr2.2301","article-title":"National population-based estimates for major birth defects, 2016-2020","volume":"116","author":"Stallings","year":"2024","journal-title":"Birth Defects Res"},{"key":"10.1016\/j.jpeds.2025.114823_bib4","doi-asserted-by":"crossref","first-page":"866","DOI":"10.1097\/EDE.0000000000000163","article-title":"Estimating the proportion of all observed birth defects occurring in pregnancies terminated by a second-trimester abortion","volume":"25","author":"Svensson","year":"2014","journal-title":"Epidemiology"},{"key":"10.1016\/j.jpeds.2025.114823_bib5","doi-asserted-by":"crossref","first-page":"880","DOI":"10.1542\/peds.96.5.880","article-title":"Impact of prenatal diagnosis on the birth prevalence of neural tube defects, Atlanta, 1990-1991","volume":"96","author":"Roberts","year":"1995","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2025.114823_bib6","doi-asserted-by":"crossref","first-page":"e356","DOI":"10.1542\/peds.2004-2845","article-title":"Outcomes of congenital diaphragmatic hernia: a population-based study in Western Australia","volume":"116","author":"Colvin","year":"2005","journal-title":"Pediatrics"},{"key":"10.1016\/j.jpeds.2025.114823_bib7","doi-asserted-by":"crossref","first-page":"695","DOI":"10.1097\/00001648-200011000-00014","article-title":"Effect of prenatal diagnosis on epidemiologic studies of birth defects","volume":"11","author":"Cragan","year":"2000","journal-title":"Epidemiology"},{"key":"10.1016\/j.jpeds.2025.114823_bib8","doi-asserted-by":"crossref","first-page":"S32","DOI":"10.1002\/tera.90008","article-title":"Impact of including elective pregnancy terminations before 20 weeks gestation on birth defect rates","volume":"66","author":"Ethen","year":"2002","journal-title":"Teratology"},{"key":"10.1016\/j.jpeds.2025.114823_bib9","doi-asserted-by":"crossref","first-page":"857","DOI":"10.1002\/bdra.23086","article-title":"Pregnancy termination following prenatal diagnosis of anencephaly or spina bifida: a systematic review of the literature","volume":"94","author":"Johnson","year":"2012","journal-title":"Birth Defects Res A Clin Mol Teratol"},{"key":"10.1016\/j.jpeds.2025.114823_bib10","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.1122","article-title":"Association of Texas Senate Bill 8 with requests for self-managed medication abortion","volume":"5","author":"Aiken","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jpeds.2025.114823_bib11","doi-asserted-by":"crossref","first-page":"2048","DOI":"10.1001\/jama.2022.20423","article-title":"Association of Texas' 2021 ban on abortion in early pregnancy with the number of facility-based abortions in Texas and surrounding states","volume":"328","author":"White","year":"2022","journal-title":"JAMA"},{"key":"10.1016\/j.jpeds.2025.114823_bib12","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1001\/jamapediatrics.2024.0885","article-title":"Infant deaths after Texas' 2021 ban on abortion in early pregnancy","volume":"178","author":"Gemmill","year":"2024","journal-title":"JAMA Pediatr"},{"key":"10.1016\/j.jpeds.2025.114823_bib13","series-title":"Texas hospital inpatient discharge public Use data file","year":"2022"},{"key":"10.1016\/j.jpeds.2025.114823_bib14","series-title":"Texas hospital inpatient discharge public Use data file","year":"2021"},{"key":"10.1016\/j.jpeds.2025.114823_bib15","series-title":"Texas hospital inpatient discharge public Use data file","year":"2023"},{"key":"10.1016\/j.jpeds.2025.114823_bib16","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.0040297","article-title":"Strengthening the reporting of Observational studies in Epidemiology (STROBE): explanation and elaboration","volume":"4","author":"Vandenbroucke","year":"2007","journal-title":"Plos Med"},{"key":"10.1016\/j.jpeds.2025.114823_bib17","doi-asserted-by":"crossref","first-page":"281","DOI":"10.1001\/jama.2023.12034","article-title":"Texas' 2021 ban on abortion in early pregnancy and changes in live births","volume":"330","author":"Bell","year":"2023","journal-title":"JAMA"},{"key":"10.1016\/j.jpeds.2025.114823_bib18","doi-asserted-by":"crossref","first-page":"20","DOI":"10.1002\/bdra.20508","article-title":"Including prenatal diagnoses in birth defects monitoring: experience of the Metropolitan Atlanta congenital defects program","volume":"85","author":"Cragan","year":"2009","journal-title":"Birth Defects Res A Clin Mol Teratol"},{"key":"10.1016\/j.jpeds.2025.114823_bib19","first-page":"1","article-title":"Surveillance for anencephaly and spina bifida and the impact of prenatal diagnosis--United States, 1985-1994","volume":"44","author":"Cragan","year":"1995","journal-title":"MMWR CDC Surveill Summ"},{"key":"10.1016\/j.jpeds.2025.114823_bib20","doi-asserted-by":"crossref","first-page":"F22","DOI":"10.1136\/archdischild-2016-311845","article-title":"Estimating Global Burden of Disease due to congenital anomaly: an analysis of European data","volume":"103","author":"Boyle","year":"2018","journal-title":"Arch Dis Child Fetal Neonatal Ed"},{"key":"10.1016\/j.jpeds.2025.114823_bib22","doi-asserted-by":"crossref","DOI":"10.1001\/jamanetworkopen.2022.6739","article-title":"Association of birth defects with child mortality before age 14 years","volume":"5","author":"Sattolo","year":"2022","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jpeds.2025.114823_bib23","doi-asserted-by":"crossref","DOI":"10.1136\/bmjopen-2022-067033","article-title":"Systematic estimates of the global, regional and national under-5 mortality burden attributable to birth defects in 2000-2019: a summary of findings from the 2020 WHO estimates","volume":"13","author":"Perin","year":"2023","journal-title":"BMJ Open"},{"key":"10.1016\/j.jpeds.2025.114823_bib24","doi-asserted-by":"crossref","DOI":"10.1371\/journal.pmed.1003356","article-title":"Long-term survival of children born with congenital anomalies: a systematic review and meta-analysis of population-based studies","volume":"17","author":"Glinianaia","year":"2020","journal-title":"Plos Med"},{"key":"10.1016\/j.jpeds.2025.114823_bib25","doi-asserted-by":"crossref","first-page":"203","DOI":"10.1016\/j.dhjo.2018.08.009","article-title":"30-day all-cause readmission rates among a cohort of individuals with rare conditions","volume":"12","author":"Bennett","year":"2019","journal-title":"Disabil Health J"},{"key":"10.1016\/j.jpeds.2025.114823_bib26","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1542\/hpeds.2013-0094","article-title":"Hospital readmission in children with complex chronic conditions discharged from subacute care","volume":"4","author":"Jurgens","year":"2014","journal-title":"Hosp Pediatr"},{"key":"10.1016\/j.jpeds.2025.114823_bib27","doi-asserted-by":"crossref","first-page":"e87","DOI":"10.1055\/s-0040-1705173","article-title":"Abortion for fetal genetic abnormalities: type of abnormality and gestational age at diagnosis","volume":"10","author":"Grossman","year":"2020","journal-title":"AJP Rep"},{"key":"10.1016\/j.jpeds.2025.114823_bib28","doi-asserted-by":"crossref","first-page":"293","DOI":"10.1016\/j.contraception.2020.02.002","article-title":"Abortion for fetal indications: timing of prenatal diagnosis and abortion for structural and genetic abnormalities","volume":"101","author":"Friedman","year":"2020","journal-title":"Contraception"},{"key":"10.1016\/j.jpeds.2025.114823_bib29","doi-asserted-by":"crossref","first-page":"667","DOI":"10.1002\/pd.1462","article-title":"Variation in the decision to terminate pregnancy in the setting of fetal aneuploidy","volume":"26","author":"Shaffer","year":"2006","journal-title":"Prenat Diagn"},{"key":"10.1016\/j.jpeds.2025.114823_bib30","doi-asserted-by":"crossref","DOI":"10.1111\/1475-6773.14226","article-title":"Abortion patients' decision making about where to obtain out-of-state care following Texas' 2021 abortion ban","volume":"59","author":"White","year":"2024","journal-title":"Health Serv Res"},{"key":"10.1016\/j.jpeds.2025.114823_bib31","doi-asserted-by":"crossref","DOI":"10.1016\/j.socscimed.2021.114667","article-title":"Reducing the burdens of forced abortion travel: referrals, financial and emotional support, and opportunities for positive experiences in traveling for third-trimester abortion care","volume":"293","author":"Kimport","year":"2022","journal-title":"Soc Sci Med"},{"key":"10.1016\/j.jpeds.2025.114823_bib32","doi-asserted-by":"crossref","first-page":"1173","DOI":"10.1002\/pd.4218","article-title":"Perinatal grief following a termination of pregnancy for foetal abnormality: the impact of coping strategies","volume":"33","author":"Lafarge","year":"2013","journal-title":"Prenat Diagn"},{"key":"10.1016\/j.jpeds.2025.114823_bib33","doi-asserted-by":"crossref","first-page":"529","DOI":"10.1016\/j.ajog.2021.12.033","article-title":"Undue burdens created by the Texas Abortion Law for vulnerable pregnant women","volume":"226","author":"Gordon","year":"2022","journal-title":"Am J Obstet Gynecol"},{"key":"10.1016\/j.jpeds.2025.114823_bib34","doi-asserted-by":"crossref","first-page":"762","DOI":"10.15585\/mmwr.mm6835a3","article-title":"Racial\/ethnic disparities in pregnancy-related deaths - United States, 2007-2016","volume":"68","author":"Petersen","year":"2019","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jpeds.2025.114823_bib35","doi-asserted-by":"crossref","DOI":"10.3390\/ijerph20043679","article-title":"Out-of-State travel for abortion among Texas residents following an executive order suspending in-state services during the coronavirus pandemic","volume":"20","author":"Sierra","year":"2023","journal-title":"Int J Environ Res Public Health"},{"key":"10.1016\/j.jpeds.2025.114823_bib36","doi-asserted-by":"crossref","DOI":"10.1002\/bdr2.2398","article-title":"Temporal trends of infant mortality secondary to congenital heart disease: national CDC cohort analysis (1999-2020)","volume":"116","author":"Chobufo","year":"2024","journal-title":"Birth Defects Res"},{"key":"10.1016\/j.jpeds.2025.114823_bib37","series-title":"Oklahoma governor signs the nation\u2019s strictest abortion ban","author":"Press","year":"2022"},{"key":"10.1016\/j.jpeds.2025.114823_bib39","doi-asserted-by":"crossref","first-page":"494","DOI":"10.1186\/s12884-025-07617-w","article-title":"Trends in burden and mortality of congenital birth defects in G20 countries (1990-2021) and predictions for 2022-2040","volume":"25","author":"Li","year":"2025","journal-title":"BMC Pregnancy Childbirth"},{"key":"10.1016\/j.jpeds.2025.114823_bib40","doi-asserted-by":"crossref","first-page":"181","DOI":"10.1093\/jpepsy\/jsac085","article-title":"Long-term impact of diagnosed fetal anomaly on parental traumatic stress, resilience, and relationship satisfaction","volume":"48","author":"Oftedal","year":"2023","journal-title":"J Pediatr Psychol"},{"key":"10.1016\/j.jpeds.2025.114823_bib41","doi-asserted-by":"crossref","first-page":"2193","DOI":"10.1002\/ajmg.a.33605","article-title":"Long-term parental psychological distress among parents of children with a malformation--a prospective longitudinal study","volume":"152a","author":"Skreden","year":"2010","journal-title":"Am J Med Genet A"},{"key":"10.1016\/j.jpeds.2025.114823_bib42","doi-asserted-by":"crossref","first-page":"2515","DOI":"10.1001\/jama.2016.18425","article-title":"Association between the birth of an infant with major congenital anomalies and Subsequent Risk of mortality in their mothers","volume":"316","author":"Cohen","year":"2016","journal-title":"JAMA"},{"key":"10.1016\/j.jpeds.2025.114823_bib43","doi-asserted-by":"crossref","first-page":"313","DOI":"10.1186\/s13023-021-01943-w","article-title":"Navigating the U.S. health insurance landscape for children with rare diseases: a qualitative study of parents' experiences","volume":"16","author":"Pasquini","year":"2021","journal-title":"Orphanet J Rare Dis"},{"key":"10.1016\/j.jpeds.2025.114823_bib44","doi-asserted-by":"crossref","first-page":"739","DOI":"10.15585\/mmwr.mm7227a1","article-title":"Inpatient hospitalization costs associated with birth defects among persons aged <65 years - United States, 2019","volume":"72","author":"Swanson","year":"2023","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"10.1016\/j.jpeds.2025.114823_bib45","doi-asserted-by":"crossref","first-page":"371","DOI":"10.1016\/j.jpeds.2018.07.060","article-title":"Early childhood inpatient costs of critical congenital heart disease","volume":"203","author":"Pinto","year":"2018","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2025.114823_bib46","doi-asserted-by":"crossref","first-page":"552","DOI":"10.1002\/bdra.20360","article-title":"Health care expenditures of children and adults with spina bifida in a privately insured U.S. population","volume":"79","author":"Ouyang","year":"2007","journal-title":"Birth Defects Res A Clin Mol Teratol"},{"key":"10.1016\/j.jpeds.2025.114823_bib47","doi-asserted-by":"crossref","DOI":"10.1016\/j.jpeds.2023.113779","article-title":"Three-year post-neonatal intensive care unit health care utilization among infants with congenital anomalies","volume":"265","author":"Welke","year":"2024","journal-title":"J Pediatr"},{"key":"10.1016\/j.jpeds.2025.114823_bib48","doi-asserted-by":"crossref","first-page":"1249","DOI":"10.15585\/mmwr.mm7036e1","article-title":"Trends in COVID-19 cases, emergency department visits, and hospital admissions among children and adolescents aged 0-17 years - United States, August 2020-August 2021","volume":"70","author":"Siegel","year":"2021","journal-title":"MMWR Morb Mortal Wkly Rep"}],"container-title":["The Journal of Pediatrics"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347625003646?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022347625003646?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,12,8]],"date-time":"2025-12-08T09:27:49Z","timestamp":1765186069000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022347625003646"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":46,"alternative-id":["S0022347625003646"],"URL":"https:\/\/doi.org\/10.1016\/j.jpeds.2025.114823","relation":{},"ISSN":["0022-3476"],"issn-type":[{"value":"0022-3476","type":"print"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Increase in Health Care Utilization of Texas Infants with Congenital Anomalies Following Senate Bill 8","name":"articletitle","label":"Article Title"},{"value":"The Journal of Pediatrics","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jpeds.2025.114823","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}],"article-number":"114823"}}