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%).
© 2025 MMIT