While 87.8% of adults in the United States report having a usual place of healthcare, that number drops to 79.8% among those living in poverty (National Center for Health Statistics [NCHS], 2019). Of U.S. adults, only 65.3% report having a dental cleaning or examination in the last 12 months; in rural areas, 57.1% of the adult population report dental cleaning, compared with 66.6% of adults in large urban areas (NCHS, 2019). In 2019, 8.3% of adults report not receiving needed medical care due to cost; among adults living with a disability, that number increases to 14.8% (NCHS, 2019). Access to healthcare, including dental care, public health services, and mental and behavioral health services, is not equally distributed across the population. Differences in access to healthcare among populations are often related to social determinants of health and structural barriers such as employment, income, education and literacy levels, available services, location and transportation, race, ethnicity, gender, and age (Dickman et al., 2017).