Cervical cancer screenings increased following passaging of the Affordable Care Act (ACA) of 2010. The ACA's goals were to expand comprehensive women's health screenings, expand coverage for young adults up to age 26 through the Dependent Coverage Mandate, and provide coverage for low socio-economic citizens by expanding Medicaid. This paper is a qualitative analysis of archival data from peer-reviewed journal articles about the enactment of the Affordable Care Act and how it has affected cervical cancer screenings for young adults' pre-ACA and post-ACA. In this paper, a comparative analysis was assessed for states that enacted the Medicaid Expansion versus those that did not, and the effect on racial/ethnic, low socioeconomic, and educated female populations. Peer-reviewed journals were reviewed and analyzed from the California State University, Northridge Library database. The keywords used when searching the database and 2,434 articles were initially retrieved, and 1,783 were excluded. These were limited done to those published between 2010 and 2020, with cervical cancer screening in the United States being the keywords most identified. Articles were assessed that addressed the changes to cervical cancer screenings pre-ACA and post-ACA for young adults, Medicaid, and social disparities. These studies were compared using a difference-in-difference methodology. The Affordable Care Act was a legislative process for the newly elected President Barrack Obama and his Democratic Congress in 2008. Both Republicans and Democrats have proposed healthcare reform going all the way back to World War II when unions advocated for their workers. It remained a debated topic in to the 2000s as to whom would mandate and provide healthcare coverage, the federal government, or the states. This analysis examines, through Kingdon's Model, the need and process of reform that enabled the Affordable Care Act to pass. Following the enactment of the ACA, one in five young adult women were uninsured, whereas prior to the ACA one in three were uninsured. There was an increase in screening for young adults following the ACA from 2009 to 2011 (67.9% vs 84.3%), however there has been a recent decline in screening, while there has been an increase in HPV vaccines, the only known vaccine that prevents Cervical cancer. For states that enacted the Medicaid expansion, Medicaid visits increased from 33.8% in 203 to 52.7% in 2015. Analysis was conducted for socioeconomic and racial disparities, and it showed the same positive statistic for an increase in screening. For non-Hispanic Blacks in expansion states their screening rates went from 43.5% pre-ACA to 51.2% post-ACA. Though cervical cancer screenings increased following the enactment of the ACA, there remains barriers to compliance for women to be screened for this preventable cancer. Not all 50 states have expanded Medicaid, leaving low socio-economic and ethnic groups at a disadvantage to seeking low-cost screenings that Medicaid would cover. Health literacy remains a large barrier to inform adults about the need for routine cervical cancer screenings, as they write most medical information at a higher reading level. With more young adults receiving the HPV vaccine, the American Cancer Society is investigating if it is a more worthwhile endeavor to test for HPV and replace the cervical Pap Smear test with HPV testing only. The ACA's goal of screening more women was achieved, however there still is the Healthy People goal of screening 84.3% of the US female population by 2030. More research would need to be conducted to examine hesitancy for screening rates 10 years following the ACA and how to reach subgroups of young adults and underserved populations.