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The Struggle for Medical Access: Challenges Faced by Foster Parents of Children with Disabilities

by Rachel Morgan News Editor May 26, 2026
written by Rachel Morgan News Editor

Foster parents are reporting significant administrative hurdles when attempting to access essential government platforms and financial tools for the children under their care. These challenges often arise because existing workflows remain tied to biological parents, even when those parents are not actively involved in the child’s day-to-day life.

Mark, a foster parent since 2021, has faced such obstacles while caring for a seven-year-old boy diagnosed with autism and global developmental delay. Despite the child being under a long-term court order, Mark struggled to establish a Child Development Account (CDA), a vital savings vehicle for educational and healthcare expenses that includes government-matched funds and a First Step Grant.

Administrative Barriers to Essential Services

The difficulty in navigating these systems often stems from the reliance on biological parents as the primary point of contact. In Mark’s case, after finally setting up the CDA earlier this year, he found that account details were sent directly to the biological parents. Due to their lack of proactive involvement, he has been unable to retrieve this information, creating a situation where the child risks missing out on government top-ups.

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Did You Know? The Child Development Account is designed to support a child’s future by providing government-matched savings, but these funds can only be utilized if the account is successfully set up and managed.

Similar issues have emerged regarding school communications. Claire, another foster parent, reported difficulty accessing the Parents Gateway platform, a government mobile app used for digital consent forms and school announcements. Because biological parents are often listed as the primary contact, school correspondence is automatically directed to them, requiring additional intervention from the school to grant foster parents access.

Expert Insight: The tension between maintaining the rights of biological parents and the practical needs of foster caregivers highlights a complex policy gap. As agencies move toward reunification, the lack of administrative flexibility may inadvertently hinder the immediate stability and welfare of the child.

Looking Ahead

The Ministry of Social and Family Development (MSF) provides a monthly fostering allowance ranging from S$1,100 to S$1,800 to assist with childcare and out-of-pocket expenses, noting that foster children are also eligible for various medical and student care subsidies. Regarding the administrative bottlenecks, the ministry has indicated it is open to considering new arrangements between foster and biological parents where appropriate.

THE BIGGEST PROBLEMS WITH THE FOSTER CARE SYSTEM – From a Foster Parent's Perspective

However, any systemic change may take time. The ministry stated it requires further study to address these issues, emphasizing that every child’s circumstances and caregiving arrangements are unique. Future policy adjustments could potentially streamline access for foster parents, though the ministry remains focused on arrangements that facilitate reunification where it is in the child’s best interests.

Frequently Asked Questions

What is the purpose of a Child Development Account?
The CDA is a special savings account used to pay for a child’s educational and healthcare expenses. It features a First Step Grant and government-matched savings up to a specific cap.

Frequently Asked Questions
Challenges Faced Child Development Account

Why do foster parents struggle to access platforms like Parents Gateway?
These platforms often designate biological parents as the primary contact for school matters. Unless they are officially removed as the main contact, school correspondence and access rights are automatically directed to them rather than the foster parent.

What support does the government provide to foster parents?
The MSF provides a monthly fostering allowance ranging from S$1,100 to S$1,800, depending on the age and needs of the child. Foster children are eligible for medical, childcare, and student care subsidies.

How should digital systems be adapted to better balance the roles of biological and foster parents in a child’s life?

May 26, 2026 0 comments
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