Racial Equity Resource Guide


Breaking Barriers: Improving Health Insurance Enrollment and Access to Health Care

Organization: Alliance for a Just Society

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Signed into law in March 2010, the Patient Protection and Affordable Care Act (ACA) aimed to bring the uninsured more fully into the health care delivery system, improve access to health care providers, spur new approaches to patient well-being and disease prevention, attack racial disparities in health care and outcomes in communities of color, and hold providers accountable with respect to costs.

In this report, the Alliance for a Just Society, a national network of 15 racial and economic justice organizations working to address economic, racial and social inequities, conducted research in 10 states (California, Florida, Idaho, Louisiana, Michigan, Mississippi, Montana, New Mexico, Oregon, and Texas) to explore how those who need health care the most— low-income people, immigrants and people of color— are experiencing ACA implementation.

The report examines the following questions: Who was able to sign up for health insurance? How effective was outreach to underserved communities? How accessible are health care services to newly enrolled patients? And finally, what changes might make the current health care delivery system more effective in serving low-income communities, immigrant communities and communities of color?

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