Optimizing LGBT Health Under the Affordable Care Act

 

Strategies for Health Centers

By National LGBT Health Education Center and Center for American Progress
Affordable Care Act

The Patient Protection & Affordable Care Act (Affordable Care Act) is expected to expand insurance coverage to millions of Americans starting this year. Among those most in need of access to affordable health insurance and high-quality health services are lesbian, gay, bisexual, and transgender (LGBT) people. Research has shown that many LGBT Americans, particularly same-sex couples, transgender people, and those living with HIV, have difficulty accessing insurance and are disproportionately likely to lack coverage.  This brief explains how the Affordable Care Act will benefit LGBT Americans, particularly through better data collection, stronger nondiscrimination policies, a new essential health benefits standard and other insurance reforms, and coverage expansions. Part 1 provides an overview of the issues, while Part 2 discusses how America’s health centers, which are integral to efforts to enroll uninsured people, can deploy effective strategies for reaching LGBT people.

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See Also: Fact Sheets on the Affordable Care Act and LGBT Communities


Asking Patients Questions about Sexual Orientation and Gender Identity in Clinical Settings

By The Fenway Institute and Center for American Progress

The Institute of Medicine, the U.S. government’s Healthy People 2020 strategy, and the Joint Commission on Accreditation of Healthcare Organizations are among many entities that have recommended asking sexual orientation and gender identity (SOGI) questions in clinical settings and including such data in Electronic Health Records (EHRs). Many health care providers are in the process of considering how to do this. In order to better understand how a diverse group of people would respond when these questions are asked, several hundred patients at four health centers across the United States were surveyed about asking SOGI questions in their health center.  This study found wide patient support for the importance of SOGI data and demonstrated the feasibility of collecting SOGI data using existing question designs.

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Center for American ProgressThis material [the articles above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.