Affordable Care Act Implementation

Before the implementation of the Affordable Care Act (ACA), 15.6 M Latinos were uninsured, representing the highest number of any subgroup in the United States. As of May 2014, Latinos continued to represent a greater proportion of the uninsured, 33.1 percent vs. 13.4 percent of the general population. Some of this is due to undocumented status, mixed status families concerned about outing an undocumented member and other. Only 46 percent of Latinos report having a usual source of care in Washington State (Kaiser).


  • There is current collaboration with the Mexican Consulate to get people registered and around other health issues
  • El Centro de la Raza connected people to others that could sign them up
  • There are mobile clinics developed from partnerships, but funding has been cut
  • Molina also collaborates with the Mexican Consulate, offers mobile services, and is involved in hosting health fairs
  • Has there been outreach to adolescents?
  • Apple Health is able to pick up some of the services
  • There is confusion in community about what continuous enrollment means


  • There has been difficulty with outreach; the numbers show that Yakima County is at the bottom of enrollment
  • Farmworkers need to be outreached to but there are few navigators that are working with them
  • In Yakima, people were sent to the clinics to enroll rather than off-site enrollment, but people were not as comfortable doing that; there are some trust issues
  • Fear especially in mixed status families; they do not want the undocumented to be “outed”


  • Research could compare enrollment to tangible outreach events
  • We don’t have a great understanding as to why Latinos aren’t enrolling
  • There could be research on lessons learned
  • Study how those immigrating from Latin America view the U.S. health care system


Infographic Courtesy of The Commonweath Fund


Location Marketplace Type Total Number of Individuals Determined Eligible to Enroll in a Marketplace Plan Number of Individuals Eligible to Enroll in a Marketplace Plan with Financial Assistance Determined or Assessed Eligible for Medicaid/CHIP by the Marketplace Number of Individuals Who Have Selected a Marketplace Plan Data as of
Alaska Federally-facilitated 21,915 14,898 4,172 12,890 4/19/2014
Idaho State-based1 107,849 83,662 10,709 76,061 4/19/2014
Montana Federally-facilitated 55,675 39,572 4,638 36,584 4/19/2014
Washington State-based 240,880 151,441 909,7522 163,2072 4/19/2014
Wyoming Federally-facilitated 20,806 14,629 2,216 11,970 4/19/2014

(Kaiser, 2014)

Contact Information | Latino Center for Health | | | 206-616-9365