The ACA led to significant coverage gains for women of color, but rolling back the ACA’s financial assistance and coverage expansions will lead to women of color losing health coverage. If women lose coverage, this means cutting off access to one of the ACA’s most important advancements for women’s health: the guarantee of no-cost-sharing coverage of preventive services. Women of color would lose access to the types of services that combat pervasive health disparities, such as contraceptives, screening for breast and cervical cancer and well-woman visits.