In 2019, 61% of all nonelderly adults in the US obtained their health insurance coverage through an employer-sponsored insurance (ESI) plan.1 Women often have higher health care needs than men, as well as specific challenges to accessing and affording health care.2 Health care policy changes2 and recent economic trends may have had differential effects on health care affordability for men and women.3,4 We examined reported differences between men and women with ESI in obtaining affordable health care over the last 2 decades.