As the United States becomes a more racially and ethnically diverse nation, our caregivers and healthcare systems will need to be prepared to accommodate the varied perceptions and expectations for health and well-being. The consequences of these diverse perspectives have been heightened with the initiation of the Affordable Health Care Act. Underlying the Affordable Care Act’s determination to expand meaningful health coverage to uninsured Americans, while also assuring meaningful employer-sponsored health coverage, are a set of themes intended to reform U.S. healthcare. Taken together these themes seek to fulfill the goal of better health outcomes at lower cost with improved patient and population experience. Decades of research have confirmed that maintaining good oral health is an important component of one’s overall health and well-being. However, it is not clear how oral health policy fits into the emerging health care environment. In question is how dentistry, as a profession and a delivery system, will engage, or be engaged, in this evolution: Will dentistry remain on the sidelines, be sidelined by others, or integrate its services within the envisioned new healthcare environment? The session will take on these questions and lead a discussion on insurance issues, health disparities, and new workforce models.