This document offers a biblical and theological rationale in light of the current situation for church involvement advocating on behalf of uninsured persons. It also provides the framework for a congregational plan to advocate for health care access for all, as well as a copy of legislation currently before Congress and calling for basic access to health care for all. Several trends affecting the uninsured are then explored followed by an examination of the challenges ahead as Presbyterians seek to be responsible in both their public and private lives in the quest of furthering God’s intention of health (shalom) for the earth and its people. The final section presents the recommendations approved by the 214th General Assembly.