The Affordable Care Act (ACA) is the greatest advance for women’s health in a generation. Attempts to repeal the ACA not only put women’s access to health care in dire jeopardy, but threaten their economic security as well. Repealing the ACA risks going back to a time when women struggled to find affordable health coverage in the individual market, were routinely charged more than men for health insurance and often found that health coverage did not cover their essential health care needs.