On behalf of Children’s HealthWatch, we applaud the National Quality Forum (NQF) Measures Application Partnership’s consideration of MUC 2021-136 (Driver of Health Screening Rate) and MUC 2021-134 (Driver of Health Screen Positive Rate). Children’s HealthWatch seeks to improve the health and development of young children and their families by informing equitable policies that address and alleviate economic hardships and by dismantling systems of institutionalized discrimination and inequity at the root of these hardships. Our work begins with research through interviewing caregivers of young children on the frontlines of pediatric care, in urban emergency departments and primary care clinics in five cities: Boston, Minneapolis, Little Rock, Baltimore, and Philadelphia. Since 1998, we have interviewed over 75,000 caregivers of children under four years of age and analyzed the data to determine the impact of social risk factors (individual-level adverse social determinants of health) and public policies designed to address those social risk factors on the health and development of young children and the well-being of their families. Specifically, our research focuses on the following: nutrition, housing, health care, child care, utilities, income and wealth, employment, Adverse Childhood Experiences and Experiences of Discrimination. Our research – in addition to that of others – shows that lack of access to basic needs is associated with poor child health and development, poor parental physical and mental health, higher child hospitalization rates, and learning and behavioral/emotional impairments. Health consequences are often compounded, as they are frequently experienced simultaneously, often as a result of limited income and resources.