For the first time since the passage of the Affordable Care Act (ACA), the rates of people not enrolled in health insurance have stagnated or increased. Some communities have been particularly impacted: for example, from 2016 the uninsured rate for Native Hawaiians rose from 4.7% to 5.5%, Micronesians from 11.5% to 13.1%, Burmese from 12% to 13.2%, and Cambodians from 7.4% to 8.2%.