Health coverage matters for women. Those with health coverage are more likely to obtain needed preventive, primary, and specialty care services, and have better access to new advances in women’s health. Today, women can get coverage without worrying that they will be charged more for insurance than men, be assured that their insurance provides them with no-cost coverage for a wide range of recommended preventive services, and coverage for critical services for women such as maternity care and mental health. While there has been much progress in expanding coverage and reducing the number of uninsured women since the passage of the ACA, affordability continues to be a challenge for many women and million women still lack coverage. About half of these uninsured women qualify for either Medicaid or subsidies to secure coverage through the health care exchanges but many still do not have a pathway to affordable coverage. Efforts to restructure or scale back Medicaid funding, make it more difficult or costly for individuals to enroll in Marketplace coverage, or destabilize the individual insurance market will likely erode the gains in coverage experienced by millions of women in recent years. Over the coming year, women will continue have much at stake in the outcomes of the health care debates that are being considered in Washington DC and in state capitols across the nation.