The implementation of the California Health Benefit Exchange Act (CHBE) helped to reduce the rate of uninsured people by about half even though undocumented immigrants and people with low incomes are still uninsured due to high costs and inability to qualify for medical coverage. The historical overview of the development of healthcare in the United States suggests that the CHBE is part of the beginning stages of universal healthcare in the political arena. Nevertheless, analysis of the CHBE revealed discriminatory practices and the negative impact of a business centered model in the healthcare industry. Additionally, sources revealed that undocumented immigrants have experienced an increase in fears concerning deportation and people who are economically disadvantaged continue to struggle in purchasing affordable healthcare. Lastly, this policy analysis also illustrates the link between micro and macro social work and the importance of social workers becoming involved in advocacy work.