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. 2017 Feb;4(1):62-67.
doi: 10.1089/lgbt.2016.0023. Epub 2016 Dec 20.

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

Gilbert Gonzales  1 , Carrie Henning-Smith  2
Affiliations

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

Gilbert Gonzales et al. LGBT Health. 2017 Feb.

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.

Keywords: access to care; health insurance; health reform.

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