Healthcare in America is about to change yet again. With the implementation of the Affordable Care Act, which requires all American’s to have health insurance, and improved access as a result of the federal mental health parity law, many more people are seeking mental healthcare services. This Town Meeting examines the emerging trends in healthcare delivery and requirements for the new healthcare delivery systems. Presenters discuss specific policy changes and anecdotes as a result of these new trends. We would also like to hear from you about your questions, concerns, and fears regarding healthcare systems reform and the role of child and adolescent psychiatrists within this new paradigm.