AdvertisementThe Affordable Care Act Can Help Au Pairs Avoid Medical DebtSeptember 20, 2021Bryce CovertfacebookEmailAccording to the State Department, 14 au pair agencies operate in the U.S. These private companies are required to offer the child care workers who contract with them basic health coverage. But the plans often amount to emergency or travel insurance — not the kind of full coverage ACA health plans offer. (Getty Images)