A decade after the passage of the Affordable Care Act, the COVID-19 pandemic is testing the US health insurance system amid a public health and economic crisis. Christen Linke Young and Matthew Fielder, fellows with the USC-Brookings Schaeffer Initiative for Health Policy, join to discuss stresses, gaps, and successes in maintaining Americans’ consistent access to affordable, high-quality healthcare coverage, and how COVID-19 may inform the outlook for policy changes in the months ahead.