The CHPHC factsheet regarding access to care for congenital heart defect (CHD) survivors. CHD represents a medical challenge that spans the life of a patient from birth through adulthood. With increased survival, the number of adults with CHD grows annually into the millions. Access to and maintaining lifelong care is becoming an increasing problem for this growing population. The access to care factsheet summarizes issues including the challenges to the system when specialty care is not sustained, reasons why young adults and adults fall out of care, and lastly, public health opportunities for consideration.