; Whereas the Patient Protection and Affordable Care Act required reporting to Congress on health disparities based on race, color, national origin, sex, age, or disability; Whereas several Federal programs have been established to address some, but not all, of the health outcomes that are disproportionately experienced by communities of color, including sickle cell disease, tuberculosis, infant mortality, and HIV/AIDS; Whereas the National Center for Chronic Disease Prevention and Health Promotion works to raise awareness of health disparities faced by minority populations in the United States, such as Native Americans, Asian Americans, Black Americans, and Latino Americans, aiming to reduce risk factors for groups affected by such health disparities; Whereas the United States health care system and other economic and social structures remain fraught with racism and racial, ethnic, sex (including sexual orientation and gender identity), and class biases that lead to health inequity and health disparities; Whereas life expectancy rates for Black and Native American people in the United States are significantly lower than those of White people in the United States; Whereas disparities in health outcomes are exacerbated for LGBTQIA+ people of color; Whereas disparities in health outcomes are worsened for people of color with disabilities due to bias and inequitable access to health care; Whereas several States with higher percentages of Black, Latino, and Native American populations have not expanded their Medicaid programs pursuant to subclause (VIII) of section 1902(a)(10)(A)(i) of the Social Security Act ( 42 U.S.C. 1396a(a)(10)(A)(i) )—continuing to disenfranchise minority communities from access to health care