{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,12]],"date-time":"2026-06-12T10:59:20Z","timestamp":1781261960361,"version":"3.54.1"},"reference-count":22,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T00:00:00Z","timestamp":1750982400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["The Cleft Palate Craniofacial Journal"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:p>Nonsyndromic cleft lip with or without cleft palate (CL\/P) is a prevalent congenital anomaly worldwide that poses significant health challenges. Currently, the United States lacks a unified approach to CL\/P coverage. This article explores the U.S. medical-legal framework surrounding CL\/P, identified via the PubMed, Google Scholar, Lexis, and Westlaw databases. It examines the Affordable Care Act, the Health Insurance Portability and Accountability Act, and state-level variations in CL\/P coverage. The findings suggest a need for legal reform to ensure equitable access for patients with CL\/P across the United States.<\/jats:p>","DOI":"10.1177\/10556656251351437","type":"journal-article","created":{"date-parts":[[2025,6,27]],"date-time":"2025-06-27T11:08:46Z","timestamp":1751022526000},"page":"2257-2261","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Disparities in Insurance Coverage of Cleft Lip and Palate: A Comparative Analysis of State Healthcare Policies and Legal Frameworks"],"prefix":"10.1177","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6042-4479","authenticated-orcid":false,"given":"Yasmine","family":"Ibrahim","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California\u2014Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sumun","family":"Khetpal","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California\u2014Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wayne","family":"Ozaki","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California\u2014Los Angeles, Los Angeles, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2025,6,27]]},"reference":[{"key":"e_1_3_3_2_2","unstructured":"Centers for Disease Control and Prevention. 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