CINow was part of a collaborative that developed the Access to Health Care in Bexar County During COVID-19 report for Metro Health in late 2022 and early 2023. Led by The Health Collaborative (THC), other project partners included C3HIE, the Institute for Demographic and Socioeconomic Research (IDSER) at The University of Texas at San Antonio (UTSA), and San Antonio-based researchers at the UT Health Science Center at Houston (UTHealth) School of Public Health (UTHealth SPH). The report weaves together extant quantitative data, results of a community survey, and themes emerging from focus groups and key informant interviews, addressing (1) national and local background and context; (2) access to and utilization of care; and (3) local policy and health care system responses to pandemic and its effects on health and health care.