ACA Repeal: What’s at Stake for Women’s Health Coverage

Health care is key to women’s well-being and economic stability. Thanks to the Affordable Care Act (ACA, also known as “Obamacare”) millions of women, including millions of women of color, who did not have health insurance before are now able to get quality, affordable coverage, but the law is under constant threat.

Recent Census data show that if the ACA is repealed or changes made to Medicaid, women overall – and especially women of color – have a lot to lose in every state across the country:

  • Affordable Care Act repeal and changes to the Medicaid program threaten the health and economic security of 7.8 million women, including 5.1 million women of color, who recently gained insurance coverage.
  • Before the ACA, only one state (Massachusetts) had nearly universal coverage (95% or greater) of women ages 18–64. Now, five states and D.C. have achieved nearly universal health coverage of women ages 18–64, and in the majority of states, more than 90 percent now have health coverage.
  • Women of color make up about a third of women with health insurance, but make up a much larger proportion—nearly two thirds—who could lose health coverage if the ACA is repealed.
Find information below for your state on how many women overall and women of color, ages 18–64, stand to lose coverage.


See our other resources on Medicaid Coverage for Women and Working Women, 18–64: What’s at Stake for Women’s Medicaid Coverage