The Affordable Care Act and Health Insurance Coverage for Lesbian, Gay, and Bisexual Adults: Analysis of the Behavioral Risk Factor Surveillance System

Gilbert Gonzales · Carrie Henning‐Smith

41 citations0/0 files storedLGBT Health

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LGBTQ Health, Identity, and Policy HIV/AIDS Research and Interventions Healthcare Policy and Management

Abstract

PURPOSE: This study compares uninsurance rates for lesbian, gay, and bisexual (LGB) adults by state Medicaid expansion decisions under the Affordable Care Act. METHODS: Data come from nonelderly adults in the 2014 Behavioral Risk Factor Surveillance System. Prevalence estimates and logistic regression models identified LGB adults most likely to be uninsured. RESULTS: Approximately 15.7% of LGB adults lack health insurance, but the uninsurance rate is lower among LGB adults in Medicaid expansion states (12.5%) compared with LGB adults in nonexpansion states (20.0%). CONCLUSIONS: Expanding Medicaid in states that have not yet done so should increase coverage and lead to improved health for vulnerable LGB adults.

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2010A Population-Based Study of Sexual Orientation Identity and Gender Differences in Adult Health 2012The Physical and Mental Health of Lesbian, Gay Male, and Bisexual (LGB) Older Adults: The Role of Key Health Indicators and Risk and Protective Factors 2015Racial and Ethnic Disparities in Health Care Access and Utilization Under the Affordable Care Act 2013The Affordable Care Act Has Led To Significant Gains In Health Insurance And Access To Care For Young Adults 2009Demonstrating the Importance and Feasibility of Including Sexual Orientation in Public Health Surveys: Health Disparities in the Pacific Northwest 2013National and State-Specific Health Insurance Disparities for Adults in Same-Sex Relationships 2015California’s Early ACA Expansion Increased Coverage And Reduced Out-Of-Pocket Spending For The State’s Low-Income Population 2015The Impact Of State Policies On ACA Applications And Enrollment Among Low-Income Adults In Arkansas, Kentucky, And Texas

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