This report highlights findings from the Youth19 Rangatahi Smart Survey (Youth19) about students’ access to health care services. It is designed to be read with the Youth19 Rangatahi Smart Survey, Initial Findings: Introduction and Methods report (Fleming, Peiris-John et al., 2020), which explains how the survey was conducted, who was included, and how to interpret the results. The Introduction and Methods report and other Youth19 outputs are available at www.youth19.ac.nz. The prevalence estimates for 2001, 2007, 2012, and 2019 are national estimates (i.e., the data reported has been calibrated to adjust for differences between the national population of students and those who took part in surveys, as outlined in the Introduction and Methods report). As part of Youth19, secondary school students answered questions about their access to and experience of health care services. We present an overview of findings and changes over time in areas of health care access, first for the total population (all students combined) and then for Māori, Pacific, Asian, and Pākehā and other European groups.