The Caregiver Advocacy Circle, a caregiver-driven initiative co-created by Children Now, serves as a platform for caregivers of children and youth with special health care needs to identify their priorities, collaborate, and get resources to influence state policies through advocacy. Caregivers possess invaluable firsthand experience and insights into the daily and systemic challenges and needs of children and youth with special health care needs.  Their lived expertise provides an essential form of thought leadership in the reimagining of more equitable futures for children and families.