After the passage of the Patient Protection and Affordable Care Act, thousands of families across the U.S. breathed a sigh of relief at the White House's reassurance: "Reform will eliminate health insurance discrimination against people with disabilities." However, the actual language of the law and the proposed implementation timeline of the provisions have many parents struggling to understand the law's true benefits. This article examines the Patient Protection and Affordable Care Act and highlights the impact of the legislation on children with special needs and their families. Its contents have been extracted from research and data gathered by the Foundation for Health Coverage Education (www.CoverageForAll.org). The non-profit organization launched its unique website four years ago and has served as the first centralized destination for Americans who find themselves uninsured or have questions about their eligibility for available public programs. The author describes seven areas of healthcare reform that will benefit children and adults with disabilities. These are the seven provisions that the Foundation for Health Coverage Education has found to be most impactful for families with special needs.