New Democracy Maps

When LGBT Elders Have No Place to Call Home

New ad depicts man turned away from nursing home because he is gay

(New York, NY, June 14, 2018)——In more than half the country, lesbian, gay, bisexual and transgender (LGBT) Americans still live in fear of being fired from a job, turned away from a business, or being denied a place to live – all because of who they are.

Sixty percent of states do not explicitly prohibit discrimination against LGBT people. In addition, there is no federal law protecting LGBT Americans from discrimination.

Today, SAGE and the Movement Advancement Project (MAP) released “Nursing Home,” the latest in a series of ads illustrating the devastating harms Americans face as a result of not having nondiscrimination protections. The new ad features an older gay man and his family on the first day he moves into an assisted living facility. When the director of the facility learns the man is gay, he refuses to allow him to move in.

“We at SAGE have always known that the fight to end discrimination against LGBT people would be fought for years to come,” said SAGE CEO Michael Adams. “LGBT people remain vulnerable to being fired from their job, denied a place to live, or turned away from a business, simply because of who they are. That’s why we are calling on Congress to pass the Equality Act, and we will continue to do everything in our power to ensure that LGBT elders, and all Americans, are treated fairly.”

Many facilities do provide quality care for LGBT older adults. However, there exists a coordinated nationwide effort to pass religious exemption laws and policies, and file lawsuits that would allow individuals, businesses, and even government contractors and grantees to use these religious exemptions to discriminate against a range of communities, including LGBT elders. Earlier this year, the Trump administration established the Conscience and Religious Freedom Division at the Department of Health & Human Services to shield medical providers who deny care based on religious or moral beliefs.

LGBT older adults are particularly vulnerable to discrimination, because religiously affiliated organizations provide a majority of the services they rely on for their most basic needs. Approximately 85 percent of nonprofit continuing-care retirement communities are affiliated with a religion. Religiously affiliated facilities provide the greatest number of affordable housing units that serve low-income seniors, and 14 percent of hospitals in the United States are religiously affiliated, accounting for 17 percent of all the country’s hospital beds.

According to AARP, more than two-thirds of LGBT adults have concerns that they will face neglect in long-term care.

“LGBT elders have had a tough life — and may be fearful that if they are out they will not be treated with the care and respect they deserve,” said Patty Kuzia, Regional Director of Health Services and Resident Programming at Watermark Retirement Communities. “We have an opportunity to educate our staff on LGBT issues, so that LGBT elders can get the care they deserve. We should be purposeful in how we educate our associates, and rethink how we can make a clear statement that discrimination of LGBT older adults will not be tolerated.”

In December 2017, a broad coalition of 165+ lesbian, gay, bisexual and transgender (LGBT), civil rights, racial justice and allied organizations launched Open to All, a national campaign to build support for nondiscrimination laws and focus attention on the far-reaching, dangerous risks of the Masterpiece Cakeshop case.

Last week, the U.S. Supreme Court issued its ruling in Masterpiece Cakeshop v. Colorado Civil Rights Commission—making it clear that states can protect LGBT people from discrimination, even while ruling that the bakery in this particular case was not treated impartially in the original consideration of the case.

As part of the larger Open to All effort, SAGE also launched “Care Can’t Wait,” a campaign that asks care providers, people of faith, and all who believe in caring for our community members, to take a pledge to stand with LGBT elders in the face of discrimination. The campaign is backed by partners such as the American Civil Liberties Union (ACLU), Justice in Aging, GLMA: Health Professionals Advancing LGBT Equality, Movement Advancement Project, National Association of Social Workers, and Union of Affirming Christians. The pledge is online at

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MAP's mission is to provide independent and rigorous research, insight and communications that help speed equality and opportunity for all. MAP works to ensure that all people have a fair chance to pursue health and happiness, earn a living, take care of the ones they love, be safe in their communities, and participate in civic life.

SAGE is the country’s largest and oldest organization dedicated to improving the lives of lesbian, gay, bisexual, and transgender (LGBT) older people. Founded in 1978 and headquartered in New York City, SAGE is a national organization that offers supportive services and consumer resources to LGBT older people and their caregivers. SAGE also advocates for public policy changes that address the needs of LGBT elders, provides education and technical assistance for aging providers and LGBT community organizations through its National Resource Center on LGBT Aging, and cultural competency training through SAGECare. With staff located across the country, SAGE also coordinates SAGENet, a growing network of affiliates in the United States. Learn more at

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Sexual Orientation Policy Tally

The term “sexual orientation” is loosely defined as a person’s pattern of romantic or sexual attraction to people of the opposite sex or gender, the same sex or gender, or more than one sex or gender. Laws that explicitly mention sexual orientation primarily protect or harm lesbian, gay, and bisexual people. That said, transgender people who are lesbian, gay or bisexual can be affected by laws that explicitly mention sexual orientation.

Gender Identity Policy Tally

“Gender identity” is a person’s deeply-felt inner sense of being male, female, or something else or in-between. “Gender expression” refers to a person’s characteristics and behaviors such as appearance, dress, mannerisms and speech patterns that can be described as masculine, feminine, or something else. Gender identity and expression are independent of sexual orientation, and transgender people may identify as heterosexual, lesbian, gay or bisexual. Laws that explicitly mention “gender identity” or “gender identity and expression” primarily protect or harm transgender people. These laws also can apply to people who are not transgender, but whose sense of gender or manner of dress does not adhere to gender stereotypes.

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