Filling the need for trusted information on national health issues…

The Affordable Care Act and Insurance Coverage Changes by Sexual Orientation

Data Note
  1. See Karpman M, Skopec L, and Long S. Urban Institute Health Policy Center.  QuickTake: Uninsurance Rate Nearly Halved for Lesbian, Gay, and Bisexual Adults Since Mid-2013. 2015. Available at http://hrms.urban.org/quicktakes/Uninsurance-Rate-Nearly-Halved-for-Lesbian-Gay-and-Bisexual-Adults-since-Mid-2013.html  and also Skopec L, and Long S. Data Watch: Lesbian, Gay, and Bisexual Adults Making Gains in Health Insurance and Access to Care. Health Affairs. 34(10):1769-1773, 2015. (survey driven analysis), Gonzales, G. and Henning-Smith, C. LGBT Health. The Affordable Care Act and Health Insurance Coverage for Lesbian, Gay, and Bisexual Adults: Analysis of the Behavioral Risk Factor Surveillance System. February 2017, 4(1): 62-67 (a point of time snapshot), Baker, K., Durso, L., and Cray. The Center for American Progress. A: Moving the Needle: The Impact of the Affordable Care Act on LGBT Communities. 2014. Available at https://cdn.americanprogress.org/wp-content/uploads/2014/11/LGBTandACA-report.pdf. (Limited to those below 400% FPL.), and Gates J. Gallup. In U.S., LGBT more likely than non-LGBT to be uninsured. 2014 Available from: http:// www.gallup.com/poll/175445/lgbtlikely-non-lgbt-uninsured.aspx

    ← Return to text

  2. All estimates presented in this brief have a relative standard error (RSE) of less than 30%.  For more detail regarding the NHIS questionnaire in 2013, see the relevant CDC publications at https://www.cdc.gov/nchs/data/series/sr_02/sr02_169.pdf and https://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf.

    ← Return to text

  3. Kates, J., et al. Kaiser Family Foundation. Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S. 2016. Available at: https://www.kff.org/disparities-policy/issue-brief/health-and-access-to-care-and-coverage-for-lesbian-gay-bisexual-and-transgender-individuals-in-the-u-s/ 

    ← Return to text

  4. Kates, J., et al. Kaiser Family Foundation.  Health and Access to Care and Coverage for Lesbian, Gay, Bisexual, and Transgender Individuals in the U.S. 2016. Available at: https://www.kff.org/disparities-policy/issue-brief/health-and-access-to-care-and-coverage-for-lesbian-gay-bisexual-and-transgender-individuals-in-the-u-s/

    ← Return to text

  5. At time of publication, HHS was reconsidering the final implementing rule that clarified these protections and had sent a draft proposed rule to the Department of Justice (a step forward in the rulemaking process). See: http://premiumtaxcredits.wikispaces.com/file/view/
    Franciscan%20Alliance%20status%20report%208%204.pdf/616209859/Franciscan%20Alliance%20status%20report%208%204.pdf 

    ← Return to text

  6. Kaiser Family Foundation. State Health Facts. Status of State Action on the Medicaid Expansion Decision. Available at:   https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

    ← Return to text

  7. See for example: G. Gates.  Gallup News. In U.S., More Adults Identifying as LGBT. January 2017. Available at: http://news.gallup.com/poll/201731/lgbt-identification-rises.aspx; Ward, B., et al. CDC. National Health Statistics Reports. Sexual Orientation and Health Among U.S. Adults: National Health Interview Survey, 2013. No. 77. July 15, 2014. https://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf

    ← Return to text

  8.   Kaiser Family Foundation Analysis of Centers for Disease Control and Prevention’s (CDC) National Health Interview Survey (NHIS), 2013 and 2016 cycles. (Data on heterosexual coverage not shown.)

    ← Return to text

  9. Kaiser Family Foundation. State Health Facts. Status of State Action on the Medicaid Expansion Decision. (As of Jan. 16, 2018.) https://www.kff.org/health-reform/state-indicator/state-activity-around-expanding-medicaid-under-the-affordable-care-act/?currentTimeframe=0&sortModel=%7B%22colId%22:%22Location%22,%22sort%22:%22asc%22%7D

    ← Return to text

  10. Kaiser Family Foundation Analysis of Centers for Disease Control and Prevention’s (CDC) National Health Interview Survey (NHIS), 2013 and 2016 cycles. (Data on heterosexual coverage not shown.)

    ← Return to text

The Henry J. Kaiser Family Foundation Headquarters: 2400 Sand Hill Road, Menlo Park, CA 94025 | Phone 650-854-9400
Washington Offices and Barbara Jordan Conference Center: 1330 G Street, NW, Washington, DC 20005 | Phone 202-347-5270

www.kff.org | Email Alerts: kff.org/email | facebook.com/KaiserFamilyFoundation | twitter.com/KaiserFamFound

Filling the need for trusted information on national health issues, the Kaiser Family Foundation is a nonprofit organization based in Menlo Park, California.