Healthcare Reform and Specific Populations

People Living with HIV
Migrant and Seasonal Farmworkers and their Families (MSFW)
Native Americans


For more resources for health centers serving people living with HIV, visit the CHAMPS HIV/AIDS Treatment Resources webpage.
Short video on how aspects of the ACA make a difference for people living with HIV (December 2013)
The Affordable Care Act and HIV


For more resources for health centers serving the homeless population, visit the CHAMPS Homeless and Public Housing Resources webpage

Center on Budget and Policy Priorities (CBPP)
Report on the effects of work requirements for Medicaid on people experiencing homelessness (March 2019)
Taking Away Medicaid for Not Meeting Work Requirements Harms People Experiencing Homelessness

U.S. Interagency Council on Homelessness 
Fact sheet that provides an overview of the Affordable Care Act and how it benefits people experiencing homelessness (November 2014)
The Affordable Care Act’s Role in Preventing and Ending Homelessness

Journal of Emerging Medicine 
Article regarding remaining barriers to enrolling in health insurance for patients experiencing homelessness (November 2015)
Homeless Persons’ Barriers to Acquiring Health Insurance through the Affordable Care Act

Kaiser Family Foundation
An assessment of the effect of Medicaid expansion on people experiencing homelessness (November 2014)
Early Impacts of the Medicaid Expansion for the Homeless Population

Policy insight on the potential impact of the ACA of people experiencing homelessness (September 2012)
Pulling it Together: How the ACA Can Help the Homeless

Report which discusses what it will take to connect homeless people to an expanded Medicaid program under the ACA and get them the broad range of health care services they need (September 2012)
Medicaid Coverage and Care for the Homeless Population; Key Lessons to Consider for the 2014 Medicaid Expansion

National Health Care of the Homeless Council (NHCHC)
Webinar slides on Medicaid enrollment for people experiencing homelessness (December 2013)
Medicaid Enrollment: A Frontline Guide for Engaging People Experiencing Homelessness

Overview of the required changes to enrollment in all states, the additional options states can implement, resources that are available to states for enrollment assistance, examples of enrollment practices in an HCH setting, and recommendations for the HCH community to consider as enrollment activities are planned (May 2013) 
Medicaid Enrollment & the ACA: Changes Coming to the HCH Community Policy Brief


U.S. Immigration and Customs Enforcement (ICE)
Memo stating that ICE will not use the information provided on health insurance applications for immigration enforcement (October 2013)
Clarification of Existing Practices Related to Certain Health Care Information


Community Oriented Correctional Health Services
Frequently asked questions on how the ACA affects detainees or inmates of jails or prisons (October 2013)
The Affordable Care Act and Justice-Involved Populations

Illinois Office of the Governor
A resource guide for implementing the ACA for criminal justice personnel (January 2014)
A Culture of Coverage for Justice-Involved Adults


Healthy Americas Institute
Report on Hispanics are affected by the ACA and their experiences with open enrollment (March 2014)
2014 Healthy Americas Survey: Hispanics and the Affordable Care Act


For more resources for health centers serving the LGBT population, visit the CHAMPS LGBT Resources webpage

Centers for Medicare and Medicaid Services (CMS)
FAQ on coverage for same-sex couples (March 2014)
Frequently Asked Questions on Coverage of Same-Sex Spouses

National LGBT Health Education Center
Brief on how the ACA will benefit LGBT Americans (November 2013)
Optimizing LGBT Health Under the Affordable Care Act: Strategies for Health Centers
Companion Infographic

Obama Whitehouse Archive
Blog post on how the ACA will affect the LGBT community (December 2013)
How Obamacare Helps the LGBT Community

Trust for America’s Health
Issue report on resources and opportunities for gay men under the ACA (March 2014)
Building on the Affordable Care Act to Make the Health System Work for Young Gay Men: An Action Plan


For more resources for health centers serving MSFWs, visit the CHAMPS Migrant and Seasonal Farmworkers and their Families (MSFW) Resources webpage.

Farmworker Justice
Website with information and resources on the ACA for farmworkers and their families, in English, Spanish, and Creole
Affordable Care Act

FAQ guide on how the ACA will affect taxes for farmworkers (January 2017)
The Affordable Care Act and You: A Guide for H-2A Workers

Printable guide on ACA Enrollment for farmworkers
The Affordable Care Act and You: A Guide on Enrollment
Spanish version
Haitian Creole version

FAQs on how the ACA affects farmworkers with temporary H-2A visas
The Affordable Care Act and H-2A Agricultural Workers: Frequently Asked Questions

Printable fact sheet to distribute to consumers with temporary H-2A visas
The Affordable Care Act and You: A Guide for H-2A Workers
Spanish version


Centers for Medicare & Medicaid Services (CMS)
Brochure explaining how health insurance can benefit men and their families even if they already have access to an Indian Health Service clinic (February 2015)
Communities Need Healthy Men

Flyer with information on how Native men can qualify for Medicaid and that enrollment for tribal citizens is open year-round (June 2016)
Enroll in Medicaid Flyer

List of preventive health services that are free with Medicare, Medicaid, and insurance plans purchased through the health insurance marketplace (March 2018)
Men’s Health Checklist

U.S. Department of Health & Human Services (HHS)
Information on how the ACA affects American Indians and Alaska Natives (August 2013)
Fact Sheet: The Affordable Care Act and American Indian and Alaska Native People

Indian Health Service
Website on how the ACA affects American Indians and Alaska Natives
Affordable Care Act

National Indian Health Board
Table that provides the Indian specific provisions of the ACA (May 2010)
Summary of Indian Health Provisions


U.S. Department of Health & Human Services (HHS)
Information on health insurance options for refugees
Health Insurance for Refugees


Enroll America
Enroll America brief on the increase in coverage options for rural populations (June 2016)
Access to Coverage Has Improved for Rural Populations

Health Resources and Services Administration (HRSA)
Policy brief on challenges and opportunities for outreach to rural and frontier communities (January 2014)
Rural Implications of the Affordable Care Act Outreach, Education, and Enrollment

Kaiser Family Foundation
Issue brief on how the ACA affects rural communities (May 2014)
The Affordable Care Act and Insurance Coverage in Rural Areas

RUPRI Center for Rural Health Policy Analysis
Policy brief on the impact of Patient Protection and the Affordable Care Act (ACA) in urban and rural areas (August 2019)
Effects of the Patient Protection and Affordable Care Act on Coverage and Access to Care in Metropolitan vs. Non-Metropolitan Areas through 2016

Policy brief on why premiums are higher in rural areas (May 2014)
A Guide to Understanding the Variation in Premiums in Rural Health Insurance Marketplaces

Analysis describing trends in rural and urban places as well as assessing the differential impact of Medicaid expansion. Finds that insurance carriers reduced Health Insurance Marketplace (HIM) participation across both rural and urban areas in expansion and non-expansion states (August 2018)
Health Insurance Marketplaces: Issuer Participation and Premium Trends in Rural Places, 2018


Visit the CHAMPS Veterans webpage for many more resources on veterans


Office of the Assistant Secretary for Planning and Evaluation (ASPE)
Report discussing the effect of the ACA on women’s health access (July 2016)
The Affordable Care Act: Promoting Better Health for Women

Kaiser Family Foundation
Findings from a women’s health survey (May 2014)
Women and Health Care in the Early Years of the Affordable Care Act

National Health Law Program
Information on how Medicaid Expansion will benefit women (August 2012)
10 Reasons the Medicaid Expansion is Good for Women

The Urban Institute
A brief examining the coverage experiences under the Affordable Care Act (ACA) of mothers living with dependent children (May 2016)
How Are Moms Faring under the Affordable Care Act?


Catalyst Center
Website with many resources on how the ACA affects children and youth with special health care needs
Health Care Reform: The ACA and Children with Special Health Care Needs

Health Affairs
Brief on how young adults are affected by the Affordable Care Act (December 2013)
Young Adults and the Affordable Care Act

U.S. Department of Health and Human Services (HHS)
Information on what the ACA means for people under age 26 (August 2014)
Young Adult Coverage