LGBTQ Health Policy

ACCESS TO CARE

KFF / WASHINGTON POST TRANS SURVEY

Understanding Trans Identity in the U.S.

The KFF/Washington Post Trans survey is the most in-depth representative survey of the life experiences of transgender adults in the U.S., including how they define themselves, their childhood experiences, their gender transitions, and the hostility and discrimination they face

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  • Health Policy 101 Introduction

    Feature

    Health Policy 101 is a comprehensive guide covering fundamental aspects of U.S. health policy and programs, including Medicare, Medicaid, the Affordable Care Act, employer-sponsored insurance, the uninsured population, health care costs and affordability, women's health issues, and health care politics. It includes overviews of private health insurance regulation, racial and ethnic disparities, public health, international comparison of health systems, U.S. global health policy, and the federal role in health policy. The chapters can be downloaded in a PDF format for faculty and student use, and the information will be updated annually or as data and circumstances change.

  • Utilization of the 988 Suicide & Crisis Lifeline’s LGBTQ Service

    Issue Brief

    This analysis examines performance metrics to assess utilization of 988’s LGBTQ service (which SAMHSA refers to as the LGBTQI+ subnetwork), compared to usage of 988’s main service, from December 2023 to March 2024 (the most current and comprehensive data available). It finds high demand for the specialty services but also certain challenges (e.g. higher call abandonment rates and longer call wait times than for the main 988 service).

  • The Biden Administration’s Final Rule on Section 1557 Non-Discrimination Regulations Under the ACA

    Issue Brief

    This brief overviews the Biden Administration’s 2024 final rule implementing Section 1557 of the ACA, which is home to the law’s major nondiscrimination provisions. It provides a brief background on 1557 rulemaking and identifies key differences between this rule and the 2020 rule from the Trump Administration. It highlights two areas of growing interest impacted by the rule – nondiscrimination protections related to pregnancy and nondiscrimination protections for transgender people. Table 2 summarizes the major provisions of the new final rule with side-by-side comparison to the Obama (2016) and Trump (2020) administration rules.

  • The Proliferation of State Actions Limiting Youth Access to Gender Affirming Care

    Policy Watch

    Over the past 18 months, there has been a rapid increase in the number of states that have enacted laws and other policies that prohibit or restrict minor access to gender affirming care. This policy watch summarizes state policy developments aimed at restricting minor access to gender affirming care as well as the litigation challenging it. as of January 30, 2024.

  • Trans People in the U.S.: Identities, Demographics, and Wellbeing

    Issue Brief

    The recently released KFF/Washington Post Trans Survey is the most in-depth, representative survey of transgender adults living in the U.S. Building on that report, and using the survey data, this analysis provides the most comprehensive representative profile of trans Americans ever complied, while also offering insights on their experiences in the health care system.