The African American Community and the Affordable Care Act

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The Affordable Care Act will help make health insurance coverage more affordable and accessible for millions of Americans. For African Americans, like other racial and ethnic minorities, the law will address inequities and increase access to quality, affordable health coverage. That might be the first time that African Americans go to the doctor for preventative and wellness health care rather than emergency services, therefore giving individuals and families more control over their health.1

Historically, African Americans have faced significant barriers to accessing affordable health insurance and these barriers have contributed to significant health

  • 21 percent of African Americans were uninsured in 2009
  • 20 percent of African Americans did not have a regular doctor, compared with less than 16 percent of white Americans.
  • African Americans were more likely to develop and die from cancer than any other racial or ethnic group.
  • African Americans were diagnosed with AIDS at nine times the rate of Whites.
  • African Americans are more likely to use the emergency department as their regular place of care than their white counterparts.
  • African Americans are more likely than both their white and Latino counterparts to report delaying or forgoing dental care and prescription drugs.

Under the new health care law, Americans will have the security of knowing that they don’t have to worry about losing coverage if they’re laid off or change jobs. And insurance companies now have to cover your preventive care like mammograms and other cancer screenings. The new law also makes a significant investment in state and community-based efforts that promote public health, prevent disease and protect against public health emergencies.

Health reform is already making a difference by:

  • Creating New Coverage Options for African Americans with Pre-existing Conditions. Under the new law, insurance companies are already banned from denying coverage to children because of a pre-existing condition. In 2014, they are banned from discriminating against anyone with a pre-existing condition, such as cancer and having been pregnant. Today, the new Pre-Existing Condition Insurance Plan in every State offers an option to people who have been locked out of the insurance market because of a pre-existing condition like cancer or heart disease. Already, 50,000 Americans who were uninsured due to a pre-existing condition have accessed affordable coverage through the Pre-Existing Condition Insurance Plan.
  • Covering Preventive Services with No Deductible or Co-pay: Under the new health care law, all Americans joining a new health care plan must be able to receive recommended preventive services, such as cancer, diabetes and blood pressure screenings, with no out-of-pocket costs such as co-pays or deductibles. Already, 5.5 million African Americans now have coverage for preventive services without additional cost sharing.
  • Removing Limits on Health Benefits: The law bans insurance companies from imposing lifetime dollar limits on health benefits –freeing cancer patients and individuals suffering from other chronic diseases from having to worry about going without treatment because of their lifetime limits. Already, 10.4 million African-Americans are free from worrying about lifetime limits on coverage thanks to the new health care law. The new law also restricts the use of annual limits and bans them completely in 2014.
  • Scrutinizing Unreasonable Premium Increases: In every State and for the first time ever, insurance companies are required to publicly justify their actions if they want to raise rates by 10 percent or more.
  • Providing New Coverage for Young Adults: Insurance companies are now required to allow parents to keep their children up to age 26 on their insurance plans. This means that over 2.5 million young adults have gained coverage because of the new health care law, including 410,000 African Americans.
  • Decreasing Costs and Increasing Coverage to Millions of African Americans: Affordable Insurance Exchanges are onestop marketplaces where consumers can choose a private health insurance plan that fits their health needs. Starting in 2014, they will offer to the public the same kinds of insurance choices members of Congress will have. The new law also provides middle class tax credits to families to help pay for private health insurance. And it expands the Medicaid program to families of four with incomes of up to $29,000. In addition, new Exchanges, tax credits and Medicaid expansion will result in as many as 6.8 million African Americans becoming eligible to get health coverage.
  • Increasing Access to Community Health Centers: Nearly 26 percent of patients served by community health centers in 2010 were African American, and the Affordable Care Act increases the funding available to the more than 1,100 community health centers in all fifty states to enable them to double the number of patients they served from 19 million to nearly 40 million by 2015. Health centers have received funding to create new health center sites in medically underserved areas, to enable health centers to increase the number of patients served, to expand preventive and primary health care services, and to support major construction and renovation projects.
  • Reducing Health Disparities: The new health care law invests in increase data collection and research about health disparities, as well as initiatives to increase the racial and ethnic diversity of health care professionals and strengthen cultural competency training among health care providers. In fact, in 2011, HHS released our first-ever, department-wide Action Plan to Reduce Health Disparities, and has begun the process of upgrading data collection standards to better understand and ultimately eliminate health disparities. It also elevates the National Center on Minority Health and Health Disparities at the National Institutes of Health from a Center to a full Institute, reflecting an enhanced focus on minority health. Without the new law, these critical steps towards reducing health disparities will go away, and disparities will worsen, as the population of racial and ethnic minorities in America continues to grow at a rapid pace.


1U.S. Dept. of Health and Human Services, Affordable Care Act and African Americans.

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