The document summarizes a presentation about using the American Community Survey (ACS) to monitor health access and insurance coverage at the state level. It discusses how the ACS, with its large sample size, provides state-level estimates that allow analysis of subpopulations and geographies. It also describes how the ACS data can help states answer policy questions about coverage, eligibility, and allocation of health resources. However, the ACS data has some limitations, which organizations like SHADAC address through additional analysis and tools.