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Medicaid in 1965 allowed for elderly, disabled, and low-income individuals and families to be covered by healthcare insurance. Even with these programs healthcare disparities still existed. So, in 2010 The Patient Protection and Affordable Care Act was passed to access, equity, quality and cost of healthcare and fix these lingering issues. The ACA healthcare reform policy was to make affordable health insurance available to more people by making provisions that affect insurance cost, expanding the Medicaid program, supporting innovative medical care delivery methods designed to lower the costs of healthcaregenerally.Although these health care reform policies have had a positive influence on most people, especially low-income families, healthcare disparities still exist. In 1948, Hubert H. Humphrey declared was that all men are equal, and the equality which he proclaimed was the equality in the right to enjoy the blessings of free government in which they may participate and to which they have given their support (Eidenmuller, 2008). Access to insurance is not the same as access to care. The implication of limited