Under ACA Section 1557, which basis cannot be used to discriminate against a person?

• A. Gender
• B. Race
• C. Immigration status
• D. Age

Answer: (C)

Under ACA Section 1557, protections apply to discrimination in health programs and activities based on race, color, national origin, sex (including gender identity), age, and disability. Immigration status is not a protected characteristic listed in 1557, so discrimination based on immigration status is not prohibited by this statute alone. That’s why immigration status cannot be used as a basis to discriminate under 1557. If someone faces discrimination because of immigration status, other laws or state regulations might apply, but 1557 does not provide protection for that basis. The other protected bases—gender, race, and age—are included in 1557, so they cannot be used to discriminate.