I believe that local community health centers provide primary care for many underserved children and adults. The Patient Protection and Affordable Care Act (ACA) aimed to strengthen that network by increasing federal funds and expanding Medicaid eligibility for these communities. The ACA was also built to help boost preventive and mental health services along with reducing health and healthcare disparities. The ACA Medicaid expansion increased access to care and preventive services in the Medicaid expansion states. Rates of physical and mental health conditions did rise substantially from before to after the ACA expansion states, meaning that there was potentially several individuals underdiagnosis pre-ACA.