Access to care has been a concern since the CHIC was formed in 2010. However, with the expansion of Medicaid in Ohio, the number of individuals without insurance fell dramatically from 2013 to 2017. Unfortunately, the number of individuals that could not use their health care when needed remained stagnant. Access to care was the only priority to be identified as a concern in all four MAPP assessments. It is also linked to the SHIP, National Prevention Strategy and Healthy People 2020.