TY - JOUR T1 - Prevalence of Pre-existing Conditions Among Community Health Center Patients With COVID-19: Implications for the Patient Protection and Affordable Care Act JF - The Journal of the American Board of Family Medicine JO - J Am Board Fam Med SP - S247 LP - S249 DO - 10.3122/jabfm.2021.S1.200571 VL - 34 IS - Supplement AU - Nathalie Huguet AU - Teresa Schmidt AU - Annie Larson AU - Jean O’Malley AU - Megan Hoopes AU - Heather Angier AU - Miguel Marino AU - Jennifer DeVoe Y1 - 2021/02/01 UR - http://www.jabfm.org/content/34/Supplement/S247.abstract N2 - Background: Short- and long-term effects of COVID-19 will likely be designated pre-existing conditions. We describe the prevalence of pre-existing conditions among community health center patients overall and those with COVID-19 by race/ethnicity.Materials and Methods: This cross-sectional study used electronic health record data from OCHIN, a network of 396 community health centers across 14 states.Results: Among all patients with COVID-19, 33% did not have a pre-existing condition before the pandemic. Up to half of COVID-19-positive non-Hispanic Asians (51%), Hispanic (36%), and non-Hispanic black (28%) patients did not have a pre-existing condition before the pandemic.Conclusions: The future of the Patient Protection and Affordable Care Act is uncertain, and the long-term health effects of COVID-19 are largely unknown; therefore, ensuring people with pre-existing conditions can acquire health insurance is essential to achieving health equity. ER -