In this comment letter APIAHF urges CMS to take actions that would increase the number of consumers enrolled in Affordable Care Act (ACA) compliant plans. We have seen how the ACA has had an important impact on reducing AA and NHPI health disparities. Since the law’s passage, the percent of uninsured AAs has dropped from 15.1 percent in 2010 to 6.5 percent in 2016. For NHPIs, that drop was from 14.5 percent in 2010 to 7.7 percent in 2016.2 However, we are concerned that for the first time since the law’s passage, in 2017, the uninsured rate for AAs was stagnant at 6.4 percent, while the rate for NHPIs worryingly increased to 8.3 percent. We believe that some aspects of this proposed rule will further this trend and undermine access to coverage.