And it foresees more comprehensive services for pregnant women and mothers on Medicaid and all women on Medicare. Two main avenues for extending coverage—the expansion of employer-based insurance and of Medicaid—have in the past disadvantaged women, especially unmarried, poor and ethnic minority women, and are likely to do so in the future. This has important gender implications given that women— especially women of colour and immigrant women—are over-represented in low-wage occupations.