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

Gilbert Gonzales, Carrie Henning‐Smith

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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.

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What this paper is about

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.

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Available 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.

Key concepts: Behavioral Risk Factor Surveillance System, Medicaid, Lesbian, Logistic regression, Health insurance, Medicine, Patient Protection and Affordable Care Act, Young adult

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