This story was published in partnership with The 19th, a nonprofit, nonpartisan newsroom reporting on gender, politics and policy.

With the inauguration just a few months away, President-elect Joe Biden is emphasizing the work his administration could do to expand health care access, building on and dramatically expanding the regulations and coverage made available through the Affordable Care Act, including its gender-based protections.

“Beginning on January 20, Vice President-elect Harris and I, we will do everything in our power to ease the burden of health care on you and your families,” Biden said Tuesday. In particular, he said they would pursue “a dramatic expansion of health care coverage and bold steps to lower health care costs.”

But when Biden is sworn in come January, he could face an uphill battle to enact his agenda. 

Biden’s plan could have significant gender implications. He has proposed expanding coverage through a public