This paper reviews recent reports that demonstrate disparities in health care for children and current federal efforts to eliminate them. Instead of simply describing disparities, this paper also presents recommendations that can reduce disparities. By reviewing current problems, practices, and recommendations in health care coverage, quality, and provider training, the author maps out a plan for reducing disparities in child health that complements existing efforts. The fragmentation of current and proposed initiatives would benefit from an oversight body based at the U.S. Department of Health and Human Services that would monitor progress and coordinate efforts for eliminating disparities.