Optimizing LGBT Health Under the Affordable Care Act

 

Strategies for Health Centers

By National LGBT Health Education Center and Center for American Progress
Affordable Care Act

The Patient Protection & Affordable Care Act (Affordable Care Act) is expected to expand insurance coverage to millions of Americans starting this year. Among those most in need of access to affordable health insurance and high-quality health services are lesbian, gay, bisexual, and transgender (LGBT) people. Research has shown that many LGBT Americans, particularly same-sex couples, transgender people, and those living with HIV, have difficulty accessing insurance and are disproportionately likely to lack coverage.  This brief explains how the Affordable Care Act will benefit LGBT Americans, particularly through better data collection, stronger nondiscrimination policies, a new essential health benefits standard and other insurance reforms, and coverage expansions. Part 1 provides an overview of the issues, while Part 2 discusses how America’s health centers, which are integral to efforts to enroll uninsured people, can deploy effective strategies for reaching LGBT people.

Read more here …

See Also: Fact Sheets on the Affordable Care Act and LGBT Communities


Asking Patients Questions about Sexual Orientation and Gender Identity in Clinical Settings

By The Fenway Institute and Center for American Progress
The Institute of Medicine, the U.S. government’s Healthy People 2020 strategy, and the Joint Commission on Accreditation of Healthcare Organizations are among many entities that have recommended asking sexual orientation and gender identity (SOGI) questions in clinical settings and including such data in Electronic Health Records (EHRs). Many health care providers are in the process of considering how to do this. In order to better understand how a diverse group of people would respond when these questions are asked, several hundred patients at four health centers across the United States were surveyed about asking SOGI questions in their health center.  This study found wide patient support for the importance of SOGI data and demonstrated the feasibility of collecting SOGI data using existing question designs.

Read more …

Center for American ProgressThis material [the articles above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.

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NV Assembly brings Nevada one step closer to marriage

equality.fwToday, the Nevada State Assembly approved SJR13, continuing the multi-year process of placing on the 2016 ballot a question to repeal Nevada’s current ban on same-sex marriage and replace it with a law granting marriage equality to all Nevadans. The same bill passed the state senate last month and now must be passed in the next legislative session in 2015 to continue the process.

Through phone calls, letters, and lobbying, you made sure your state assemblyperson knew that Nevadans stand on the side of fairness and equality.

This incredible victory is a testament to the leadership of Assemblyman James Healey and Assemblyman Elliot Anderson.

  

Now it’s time to say thanks.

These leaders have shown what equality really means – they shared their stories, opened up their lives, and lived the values of true leadership – all to ensure that SJR13 passed.

HRC is proud to work with our legislative allies and progressive organizations on the ground in Nevada. The journey is not over. We’ll need your help to reelect those legislators who stood up for fairness and equality and to win again in the next legislative session.
Sincerely,


Marty Rouse
Human Rights Campaign, National Field Director

P.S. There was more good news out of Carson City today when Governor Sandoval signed a law that adds gender identity and expression to Nevada’s hate crimes law.

Texas Judge Forbids Lesbian Woman From Living With Her Partner

In a post at Think Progress last Friday, we once again learn that the REPUBLIBAN’s culture war against the LGBT community is still raging —

By Ian Millhiser on May 17, 2013 at 1:30 pm

Carolyn Compton is in a three year-old relationship with a woman. According to Compton’s partner Page Price, Compton’s ex-husband rarely sees their two children and was also once charged with stalking Compton, a felony, although he eventually plead to a misdemeanor charge of criminal trespassing.

And yet, thanks to a Texas judge, Compton could lose custody of her children because she has the audacity to live with the woman she loves.

According to Price, Judge John Roach, a Republican who presides over a state trial court in McKinney, Texas, placed a so-called “morality clause” in Compton’s divorce papers. This clause forbids Compton having a person that she is not related to “by blood or marriage” at her home past 9pm when her children are present. Since Texas will not allow Compton to marry her partner, this means that she effectively cannot live with her partner so long as she retains custody over her children. Invoking the “morality clause,” Judge Roach gave Price 30 days to move out of Compton’s home.

Compton can appeal Roach’s decision, but her appeal will be heard by the notoriouslyconservative Texas court system. Ultimately, the question of whether Compton’s relationship with Price is entitled to the same dignity accorded to any other loving couple could rest with the United States Supreme Court.


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.  Image credit to http://timetowrite.blogs.com

Seven Terrible State Bills

— by ThinkProgress War Room | Mar 27, 2013

Recently, we discussed some of the terrible bills floating around out there in state legislatures. Here’s another look at some of the worst proposals, including a couple that were signed into law this week:

  • NORTH DAKOTA: The state’s Republican governor signed a trifecta of terrible anti-abortion bills, which are likely to have the effect of banning abortion in the state. One bill unconstitutionally bans abortion after just six weeks, which is before many women even know they’re pregnant. An even more insidious bill takes up the anti-abortion movement’s favorite new tactic: drastic overregulation of abortion clinics to all but guarantee that they will have to close. These so-called TRAP (Targeted Regulation of Abortion Providers) laws are also moving in North CarolinaMississippiTexasAlabama, and Virginia.
  • KANSAS: A new bill will allow the state to quarantine HIV positive individuals, something Kansas actually banned back in 1988.
  • INDIANA: An anti-abortion bill was going to mandate forced ultrasounds before a woman is provided with the abortion pill. Lawmakers explain that they are dropping the controversial provision in order to focus on their real goal: regulating abortion clinics out of existence.
  • VIRGINIA: Gov. Bob McDonnell (R-VA) signed a bill that will mandate that Virginians present photo identification when they vote, which will disproportionately impact young people, minorities, and the elderly.
  • KENTUCKY: The legislature passed a so-called “religious freedom” bill that allows individuals to ignore laws based on the vague notion of “sincerely held religious beliefs,” opening the door to discrimination against LGBT people, among other problems. Gov. Steve Beshear (D) vetoed the bill, but unfortunately his veto was overridden yesterday.
  • PENNSYLVANIA: Top Republicans in the state have yet to abandon a GOP plan to rig steal the White House by rigging the distribution of the state’s Electoral College votes. Republicans in Virginia, Florida, Wisconsin, and other states dropped the idea, but Pennsylvania Republicans are keeping it on the table.
  • ARKANSAS: In addition to its race to the bottom on abortion, Arkansas is considering some highly regressive tax changes. As part of an effort meant to stimulate growth, an Arkansas legislative committee passed two tax cuts that will largely benefit the rich and then rejected one that would benefit the working poor. A recent study found that state-level tax cuts don’t promote job growth.

Another week, another set of terrible proposals moving out in state legislatures.

Evening Brief: Important Stories That You Might’ve Missed


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.

Republicans Admit Intention To Sugarcoat Their Opposition To LGBT Equality

— By Zack Ford on Mar 26, 2013 at 11:47 am

The Republican Party continues to struggle with its intentions moving forward in regards to LGBT equality. In its autopsy report of the 2012 elections — its “Growth & Opportunity Project” — the gay community was the one group that the Party was not actually interested in reaching out to. Instead, the plan was to convince young people to support conservative principles even if they support LGBT rights. Since then, GOP chairman Reince Priebus has attempted to model this by citing his own marriage as an example for building bridges and suggesting Mike Huckabee, a very vocal opponent of equality, be an ambassador on gay issues.

This week, both Priebus and potential presidential prospect Jeb Bush have both been a bit more candid about their intentions to simply sugarcoat their opposition to equality so it doesn’t sound so anti-gay. Bush told Newsmax that a different tone that expresses opposition to same-sex marriage “in a civil way” that is “not judgmental” would help keep conservatives united:

BUSH: I know for a fact that as it relates to gay marriage and other social issues there is growing divergence of opinion on this. When we talk about it, we ought to talk about it with a different tone — and we ought to talk about it recognizing that there is more than one point of view, and we should talk about it in a way that is not judgmental. If we can get to that point where people who have diverging points of view and express them in a civil way, the conservative coalition can stay intact.

Priebus, in turn, told USA Today that opposition to equality can be presented with “grace and respect”:

We do have a platform, and we adhere to that platform (emphasis added),” Priebus said in an interview Monday on USA TODAY’s Capital Download video series. “But it doesn’t mean that we divide and subtract people from our party” who support the right of gay men and lesbians to marry.

“I don’t believe we need to act like Old Testament heretics,” he said, saying Republicans “have to strike a balance between principle and grace and respect.”

What the Republican Party cannot seem to accept is that no polishing of this message amounts to respect, grace, or civil discourse. Inequality is inequality, and no changes in tone can change that the GOP platform specifically calls for one group of people to be treated as second-class citizens.


This material [the article above] was created by the Center for American Progress Action Fund. It was created for the Progress Report, the daily e-mail publication of the Center for American Progress Action Fund. Click here to subscribe.