CHCS June 30, 2024
People who are lesbian, gay, bisexual, transgender, queer, and other sexual and gender minorities (LGBTQ+) have well-documented health disparities and inequities.1 This is due in part to persistent interpersonal discrimination related to homophobia and transphobia, systemic discrimination, and structural barriers. Compared to cisgender and heterosexual peers, LGBTQ+ communities have greater rates of certain cancers, HIV/AIDS, and behavioral health needs, along with other conditions.2,3,4,5 Additionally, health disparities and discrimination are magnified across intersecting identities, including race, ethnicity, socioeconomic standing, age, disability, and citizenship status.6
LGBTQ+ communities are more likely to live below the poverty line and be enrolled in Medicaid.7 As the primary health insurer for LGBTQ+ communities, Medicaid policies and programs are well positioned to help address the health disparities...