Health care reform will provide coverage to countless uninsured and underinsured Asian Americans, Native Hawaiians, and Pacific Islanders (AAs and NHPIs). Nearly one in seven Asian Americans and Native Hawaiians and Pacific Islanders are uninsured. An expanded Medicaid program, new Health Insurance Exchanges, the Pre-existing Condition Insurance Plan (also known as the High Risk Pools), the Small Business Health Options Program Exchange, and the extension of coverage for young adults to remain on their parent’s health plan until age 26, offers our communities new options for affordable, quality care.