This study evaluated health care access and preventive health screenings among eligible US adults in 2021 and 2022 compared with pre-pandemic levels in 2019, with a focus on racial and ethnic disparities. The study used data from the National Health Interview Survey (NHIS) and found that while health care access did not significantly change between 2019 and 2021 or 2022, there were notable declines in preventive health screenings. In 2022, fewer adults had wellness visits compared with 2019, with the most significant decline among Asian adults. Additionally, adults were less likely to delay or avoid medical care due to cost in 2022 compared with 2019. Preventive health screenings, including blood pressure, cholesterol, blood glucose, and cancer screenings, remained below 2019 levels in 2021. Asian adults experienced the largest relative decreases in most preventive screenings, while Black and Hispanic adults had large declines in colorectal and breast cancer screenings. These disparities persisted even after adjusting for socioeconomic factors such as income, employment status, and insurance coverage. The study highlights the need for public health efforts to increase preventive health screenings among eligible US adults. The findings suggest that the pandemic may have exacerbated existing health disparities, particularly among racial and ethnic minority groups. The study also notes that while financial barriers to care decreased in 2021 and 2022 compared with 2019, the overall impact of the pandemic on health care access and preventive screenings remains significant. The study underscores the importance of targeted interventions to address these disparities and improve health outcomes for all US adults.This study evaluated health care access and preventive health screenings among eligible US adults in 2021 and 2022 compared with pre-pandemic levels in 2019, with a focus on racial and ethnic disparities. The study used data from the National Health Interview Survey (NHIS) and found that while health care access did not significantly change between 2019 and 2021 or 2022, there were notable declines in preventive health screenings. In 2022, fewer adults had wellness visits compared with 2019, with the most significant decline among Asian adults. Additionally, adults were less likely to delay or avoid medical care due to cost in 2022 compared with 2019. Preventive health screenings, including blood pressure, cholesterol, blood glucose, and cancer screenings, remained below 2019 levels in 2021. Asian adults experienced the largest relative decreases in most preventive screenings, while Black and Hispanic adults had large declines in colorectal and breast cancer screenings. These disparities persisted even after adjusting for socioeconomic factors such as income, employment status, and insurance coverage. The study highlights the need for public health efforts to increase preventive health screenings among eligible US adults. The findings suggest that the pandemic may have exacerbated existing health disparities, particularly among racial and ethnic minority groups. The study also notes that while financial barriers to care decreased in 2021 and 2022 compared with 2019, the overall impact of the pandemic on health care access and preventive screenings remains significant. The study underscores the importance of targeted interventions to address these disparities and improve health outcomes for all US adults.