LGBTQ+ Health Coverage Improved Since ACA Expansion, Same-Sex Marriage Ruling

The percentage of LGBTQ+ adults with health care coverage increased from 76% in 2013 to 91% in 2019, due to the Affordable Care Act and the 2015 Supreme Court ruling on same-sex marriage equality, according to a new Health Affairs study.

An analysis of Health Reform Monitoring Survey data showed that, historically, LGBTQ+ adults were less likely to access health care coverage. Yet the disparities between LGBTQ+ and non-LGBTQ+ adults began to decline in 2014 when the main coverage provisions of ACA went into effect. By 2019, coverage rates for LGBTQ+ people (91.2%) were comparable to those of non-LGBTQ+ adults (90.6%).

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Jinghong Chen

Jinghong Chen Reporter

Jinghong has been producing infographics and data stories on employer-sponsored insurance, public health insurance programs and prescription drug coverage for AIS Health’s Health Plan Weekly and Radar on Drug Benefits since 2018. She also manages AIS Health’s annual executive compensation database for top insurers and Blue Cross and Blue Shield affiliates. Before joining AIS Health, she interned at WBEZ, Al Jazeera English and The New York Times Chinese. She graduated from Missouri School of Journalism with a focus on data journalism and international reporting.

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