title: The Affordable Care Act and Health Insurance Coverage for Lesbian, Gay, and Bisexual Adults: Analysis of the Behavioral Risk Factor Surveillance System.
abstract: This study compares uninsurance rates for lesbian, gay, and bisexual (LGB) adults by state Medicaid expansion decisions under the Affordable Care Act.
  
  
  
  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.
  
  
  
  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%).
  
  
  
  Expanding Medicaid in states that have not yet done so should increase coverage and lead to improved health for vulnerable LGB adults.
authors.affiliation: 1 Department of Health Policy, Vanderbilt University School of Medicine , Nashville, Tennessee.
authors.forename: Gilbert
authors.initials: G
authors.lastname: Gonzales
authors.affiliation: 2 Division of Health Policy and Management, University of Minnesota School of Public Health , Minneapolis, Minnesota.
authors.forename: Carrie
authors.initials: C
authors.lastname: Henning-Smith
mesh_terms: D000293:Adolescent; D000328:Adult; D040343:Behavioral Risk Factor Surveillance System; D001727:Bisexuality; D003430:Cross-Sectional Studies; D005260:Female; D054625:Healthcare Disparities / Q000208:ethnology; D018452:Homosexuality, Female; D018451:Homosexuality, Male; D006801:Humans; D016015:Logistic Models; D008297:Male; D008484:Medicaid; D017057:Medically Uninsured; D008875:Middle Aged; D058991:Patient Protection and Affordable Care Act; D000072339:Sexual and Gender Minorities; D012959:Socioeconomic Factors; D014481:United States; D055815:Young Adult
keywords: access to care; health insurance; health reform