Section 1557

Sec. 1557 of the Affordable Care Act provides important protections against discrimination in health care programs and activities based on race, color, national origin (including limited English proficiency and primary language), sex (including pregnancy status and related conditions, sexual orientation, gender identity, sex stereotypes, and sex characteristics, including intersex traits), age, and disability.

The National Health Law Program helped craft Sec. 1557 as part of our work on the Affordable Care Act and we have continued to work to effectively implement and enforce it since it was enacted. It is a crucial provision that prohibits discrimination in health programs and activities receiving federal financial assistance, health programs and activities administered by federal agencies, and ACA health insurance marketplaces and issuers that participate. 

The Biden Administration has proposed changes that would strengthen Sec. 1557 protections and is accepting public comments through October 3, 2022. The National Health Law Program and our intersectional coalition of partners will continue to publish analysis and provide opportunities for public comment through the beginning of October. 

1557 Resources and Analysis

Meet the Legal and Policy Experts working on Section 1557

Abigail Coursolle
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Abigail Coursolle

Senior Attorney

Abigail (Abbi) Coursolle is a Senior Attorney in the National Health Law Program’s Los Angeles offices. Abbi provides technical…

Dania Douglas
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Dania Douglas

Senior Attorney

Dania Douglas is a Senior Attorney in the National Health Law Program’s D.C. Office where she works on issues…

Elizabeth Edwards
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Elizabeth Edwards

Senior Attorney

Elizabeth Edwards is a Senior Attorney in the National Health Law Program’s North Carolina offices. In addition to working…

Madeline Morcelle
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Madeline Morcelle

Staff Attorney - Pronouns: she/her/hers

Madeline Morcelle, JD, MPH, is a staff attorney at the National Health Law Program, where she works to promote…

Wayne Turner
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Wayne Turner

Senior Attorney

Area(s) of Expertise: Prescription drugs, Medicaid managed care, eligibility using Modified Adjusted Gross Income, nondiscrimination protections and enforcement.Wayne Turner…

Mara Youdelman
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Mara Youdelman

Managing Attorney - Washington, DC

Mara Youdelman is Managing Attorney of the National Health Law Program’s Washington D.C. offices. Mara has worked at the…

Georgesula Ziama
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Georgesula Ziama

Communications Fellow

Georgesula Ziama is the Communications Fellow in National Health Law Program’s DC office, where she engages NHeLP's community of…