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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…

  • 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).

  • KFF Examines New Rule Giving LGBTQ+ People More Protections Against Discrimination in Health Care

    News Release

    A long-awaited new rule recently finalized by the Biden Administration gives LGBTQ+ people more protections against discrimination when seeking health care and coverage from a range of programs and organizations, including Medicaid, Medicare, Health Insurance Marketplaces, many health insurance plans, and most hospitals and providers. The rule has been subject to a wave of litigation across the Obama, Trump, and Biden Administrations and the Biden Administration's new rule reinstates protections eliminated by the Trump Administration.…

  • 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…

  • Survey: LGBT Adults Are Twice as Likely as Others to Say They’ve Been Treated Unfairly or with Disrespect by a Doctor or Other Health Care Provider

    News Release

    A third (33%) of LGBT adults say that a doctor or other health care provider treated them unfairly or with disrespect in the past three years – a rate twice as high as reported by people who don’t identify as LGBT (15%), a new KFF survey reveals.  The shares who report unfair or disrespectful treatment are similar among LGBT adults across racial and ethnic groups, though Black and Hispanic LGBT adults are more likely than…

  • New KFF Tracker Finds the Number of States with Restrictions on Youth Access to Gender Affirming Care Grew Five-fold Over the Last 18 Months

    News Release

    A new KFF resource tracks dozens of state laws and policies that restrict access to gender-affirming care among young people. Gender-affirming care supports and affirms gender identity through social, psychological, behavioral, or medical interventions.   As state laws and policies restricting youth access to gender-affirming care proliferate, KFF’s new tracker assesses this landscape, describing the content of laws and policy, identifying groups of people (in addition to young people) who are impacted (e.g., providers, parents, and…

  • 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.