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Health Care Access and Coverage for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community in the United States: Opportunities and Challenges in a New Era

This Policy Insight looks at the challenges and questions surrounding recent policy changes that are expected to increase health insurance coverage and access to care for lesbian, gay, bisexual and transgender (LGBT) individuals and their families, including the impact of the Affordable Care Act (ACA) and the Supreme Court’s DOMA decision.

The Impact of the Coverage Gap in States not Expanding Medicaid by Race and Ethnicity

The Affordable Care Act (ACA) expansion of Medicaid to adults with incomes at or below 138% of the federal poverty level (FPL) effectively became a state option following the Supreme Court decision, creating a “coverage gap” for many poor uninsured adults in states that do not expand Medicaid. This brief examines this coverage gap by race and ethnicity.

Health Coverage for the Black Population Today and Under the Affordable Care Act

The Affordable Care Act (ACA) could help many uninsured Blacks through the law’s expansion of Medicaid and the creation of new health insurance exchange marketplaces with tax credits to help moderate-income people purchase coverage. This brief provides an overview of the Black population in the U.S., their health coverage today and the potential impact of the ACA coverage expansions.

The Impact of Current State Medicaid Expansion Decisions on Coverage by Race and Ethnicity

This brief finds that people of color will be disproportionately impacted by state decisions to expand Medicaid and that the impact of current state Medicaid expansion decisions varies widely by race and ethnicity, with Blacks at the highest risk of continuing to face coverage gaps and remaining uninsured due to state decisions not to expand at this time. As such, state Medicaid expansion decisions have important implications for efforts to reduce disparities and promote greater equity in health coverage and care.

Impact of the Medicaid Expansion for Low-Income Communities of Color Across States

As states continue to weigh whether to expand Medicaid under the Affordable Care Act, one important consideration is the impact of the expansion for low-income people of color. While the Medicaid expansion will increase coverage options for all low-income Americans, it will disproportionately impact low-income people of color. Overall, people…

Health Coverage for the Hispanic Population Today and Under the Affordable Care Act

The more than 50 million Hispanics living in the United States make up 17 percent of the total population and are the nation’s fastest growing racial or ethnic group. Many Hispanics continue to face disparities in health coverage and care, and they have the highest uninsured rate among racial/ethnic groups, with nearly one in three lacking coverage. This brief provides an overview of the Hispanic population in the U.S., their health coverage today and the potential impact of the ACA coverage expansions.

Health Coverage by Race and Ethnicity: The Potential Impact of the Affordable Care Act

Executive Summary One of the key goals of the Affordable Care Act (ACA) is to reduce the number of uninsured through a Medicaid expansion and the creation of health insurance exchange marketplaces with advance premium tax credits to help moderate-income individuals pay for this coverage. Given that people of color…