Racial and ethnic disparities in stroke incidence and outcomes have been observed for decades, despite overall improvements in stroke care. Minority patients are less likely to receive timely, guideline directed therapy due to variations in practice at the level of the patient, healthcare system, and overall care processes. The reasons underlying these disparities are multifactorial and include differential incidence of vascular risk factors, and underlying social determinants of health such as socioeconomic status, access to care, and trust in the healthcare system. This session will review the current epidemiology of stroke among racial and ethnic groups in the United States, with a particular focus on disparities in access to acute stroke care and outcomes. Solutions found in the literature to improve stroke outcomes and secondary stroke risk factor prevention will be reviewed. In addition, the course will discuss inclusion of minority communities in research to improve stroke care.