as a reform that aimed to make healthcare insurance more accessible to low and middle-class families. Specifically, it subsidized low-income populations’ purchase of individual coverage. It also incentivized employers to provide coverage to low-income employees, and made it mandatory for states to expand Medicaid to include non-disabled and young people with incomes that were below 138% of the federal poverty line. Studies show the ACA has been successful in redressing inequality in the access to healthcare. In 2015, there was a “4.2 percentage point increase in full-year insurance for the poor and 5.3 point increase for the near-poor”. However, the implementation of the ACA proved to be more challenging as some states chose not to enforce it. Additionally, the ACA does not support undocumented immigrants, which means that health care outside of the free clinic to those who are undocumented remain relatively inaccessible. The ACA also does not reach homeless populations. Barriers include this population's low healthcare literacy, the requirements of residency verification, their difficulty accessing/applying for social services, their access to transportation, and the fact that many healthcare facilities do not accept Medicaid. It is not yet clear if and how the Trump administration will influence healthcare reform, specifically the access to healthcare for the most vulnerable. Trump often speaks out against the ACA; some scholars worry that President Trump's 2017 executive order, which eliminated cost-sharing reductions in the ACA, will result in an overall decrease in the number of people who can access affordable healthcare, thus emphasizing the need for free clinics. Patient demographics Of the 41 million uninsured people in the United States, the 355 officially registered free clinics in the country are only able to provide services to about 650,000 of them. On average, free clinics have annual budgets of $458,028 and have 5,989 annual patient visits. In another survey of three free clinics, 82% of patients reported that they began using a free clinics because they have are uninsured, and 59% were referred by friends/family. A similar study found that 65% were unemployed with students making up 17%. There also seems to be little correlation between education or employment status and insurance coverage in free clinic patients. Free clinic patients are mainly low-income, uninsured, female, immigrants, or minorities. About 75% of free clinic patients are between the ages of 18 and 64 years old. According to another study, 70% of all patients 20 years and