This Guide provides an introduction to the Patient Protection and Affordable Care Act’s (ACA) nondiscrimination requirements, with a focus on Section 1557, and how the nondiscrimination standards intersect with ACA implementation efforts.  It is designed to assist a range of stakeholders including advocates and state regulators learn more about the scope and application of this provision, and incorporate these standards into state ACA implementation activities.
As states work to implement the ACA, it is critical that they incorporate the law’s nondiscrimination provisions. These new protections will help ensure an end to many of the historic and systemic barriers to health care based on race, color, national origin, sex, age, disability, sex stereotypes, sexual orientation, and gender identity.

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