The impact of financial access barriers to health care on the quality of life of patients with cognitive impairment is unknown. We aimed to estimate the association between the financial access barriers to health care and the quality of life among patients with cognitive impairment. Methods: We used a retrospective pooled cross-sectional study with the data from the 2010 to 2017 National Health Interview Survey (NHIS). Measurement of financial access barriers was based on respondents' "yes" to any of the following survey prompts: "couldn't afford medical care," couldn't afford dental care," "couldn't afford eyeglasses," "couldn't afford mental health care," "couldn't afford follow-up care," or "couldn't afford specialists.