New Democracy Maps

Health Care

LGBTQ people face several barriers to health and wellbeing, including difficulties accessing health insurance, stigma and discrimination, and lack of access to competent and welcoming healthcare providers. LGBTQ people have lower rates of insurance; they are more likely to delay medical care; and they report high levels of discrimination by healthcare providers. What's more, LGBTQ people—particularly gay and bisexual men, transgender women and LGBTQ people of color—are disproportionately impacted by HIV.

Transgender people may struggle to find competent care providers and blanket denials of coverage by insurance companies, despite federal laws and laws in many states prohibiting such discrimination. Recent efforts to permit healthcare providers to refuse to provide care to LGBTQ patients threatens their ability to access the care they need. These experiences have a cumulative effect: research finds that LGBTQ people have lower overall health as a result of these barriers.  

Related Resources


Freedom Under Fire: the Far Right's Battle to Control America

March 2024 - This report connects the dots on extremist politicians’ attempts to fundamentally remake this country. The report further outlines the tightening restrictions on voting rights that limit the political power to fight back.

Fact Sheet

Fact Sheet: Increasing LGBTQIA+ Access to Sexual and Reproductive Care with Telehealth

November 2023 - Despite the safety and efficacy of telehealth services, legislative and insurance restrictions can obstruct access to care.


Under Fire #6: Silencing Supporters of LGBTQ People

October 2023 - The sixth report in the Under Fire series from MAP identifies three core tactics opponents are using in their attempts to silence supporters of LGBTQ people.


Under Fire #5: Banning Medical Care and Legal Recognition for Transgender People

September 2023 - The fifth report in the Under Fire series from MAP identifies five core tactics opponents are using in their attempts to erase transgender people from public life.


LGBTQ Policy Spotlight: Bans on Medical Care for Transgender People

April 2023 - In this detailed analysis of more than 250 recent bills, MAP illustrates the extent of how bills targeting medically necessary care for transgender people are expanding and becoming more extreme.

Blog Post

In the Worst Legislative Session Ever, Trans People Will Still Win

March 2023 - In an interview for Transgender Day of Visibility, MAP's Logan Casey shares his insight and great advice for moving through an incredibly difficult political moment.


Healthcare Laws and Policies

Health care laws and policies impact many areas of LGBTQ people's lives, from insurance coverage to protections for LGBTQ youth.


Medical Decision-Making Policies

Medical decision-making policies govern whether an LGBTQ person can make medical decisions for their same-sex partner or spouse, if their partner or spouse is incapacitated or otherwise not able to make their own decisions.


HIV Criminalization Laws: Map

HIV criminalization laws criminalize the transmission of, or perceived exposure to, HIV and other infectious diseases. The laws create a strong disincentive for being tested for HIV, and result in adverse public health outcomes. Some laws also criminalize behaviors, such as spitting, that have no risk of HIV transmission.

Blog Post

Get the facts: Best practice medical care for trans youth

May 2022 - This blog post provides a 2022 overview of legislative efforts across the country that seek to ban health care for transgender youth.


The Need for the Equality Act

February 2022 - This infographics presents the current patchwork of nondiscrimination protections for LGBT people that exists in housing, public accommodations, education, credit, and health care.


The Delta Variant & the Disproportionate Impacts of COVID-19 on LGBTQ Households in the U.S.

December 2021 - This report presents 2021 analysis of a nationally representative survey that finds LGBTQ people continue to be disproportionately impacted by COVID-19 and the Delta variant.


LGBTQ POLICY SPOTLIGHT: Efforts to Ban Health Care for Transgender Youth

April 2021 - This report provides an overview of the legislative efforts across the country that seek to ban health care for transgender youth and the harmful impacts these bills could have.


The Disproportionate Impacts of COVID-19 on LGBTQ Households in the U.S.

December 2020 - This report presents new analysis of a nationally representative survey that finds LGBTQ people are disproportionately impacted by COVID-19.


Week #1: 10 Ways President Biden Can Support LGBTQ People

November 2020 - This brief highlights 10 actions the Biden administration can immediately start to ensure LGBTQ people and their families can be protected from discrimination.


Nursing Home Ad

June 2018 – Nursing Home is the latest in a series of ads illustrating the devastating harms many LGBT Americans face because have they no legal protection from discrimination. The new video 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. No matter their age, and no matter who they love, no one should be turned away from a business or service provider simply because of who they are.


Religious Refusals in Health Care: A Prescription for Disaster

March 2018 - MAP and the National Center for Transgender Equality (NCTE) released a new report, Religious Refusals in Health Care: A Prescription for Disaster, examining the coordinated efforts at the federal and state level to allow medical providers to legally discriminate and deny needed care. These policies could encourage doctors, hospitals, paramedics, and other medical providers to pick and choose which patients they will treat, and who receives medically-necessary treatment.

Policy Brief

Creating a License to Discriminate: First Amendment Defense Act

Updated March 2018 - To explain why the First Amendment Defense Act is so devastating and should not be re-introduced, this brief provides an analysis of the Senate version of FADA introduced in March 2018 and what it could mean for 10 million lesbian, gay, bisexual and transgender (LGBT) people, along with millions of others. The brief underscores how vigilant we must be to ensure that a license to discriminate is not written into our laws.


Tipping the scales for religious exemptions to the law

January 2018 - This infographic, produced as part of the Tipping the Scales: The Coordinated Attack on LGBT People, Women, Parents, Children, and Health Care report, outlines the mounting legislation and litigation across the country orchestrated to undermine nondiscrimination protections, comprehensive health care, and the regulations administering social and public services by inserting exemptions into the laws based on religious or moral beliefs.


Understanding Issues Facing LGBT Older Adults

May 2017 - There are approximately 2.7 million LGBT adults aged 50 and older in the United States, 1.1 million of whom are 65 and older. This report provides an overview of their unique needs and experiences so that service providers, advocates, the aging network, and policymakers can consider these factors when serving this population or passing laws that impact older adults and the LGBT community.


A Closer Look: Bisexual Transgender People

September 2017 - The 2015 U.S. Transgender Survey, conducted by the National Center for Transgender Equality, offers a unique opportunity to examine the lives, experiences, disparities, and resilience of bisexual transgender people. this report analyzes data from the U.S. Transgender Survey, documents disparities for bisexual people and offers recommendations for remedying those disparities.


A Closer Look: Bisexual Older Adults

September 2017 - This report takes a closer look at bisexual older adults: who they are, their unique disparities and resilience, and recommendations for competently serving the community of bisexual older adults. Both the LGBT community and the aging network can and should do more to ensure that bisexual older adults feel welcome both in LGBT spaces and in the aging network’s provision of critical services and supports.


Infografia: La Bisexualidad en Cifras

September 2017 - Nuevo infográfico en español: población bisexual en los Estados Unidos.


LGBT Policy Spotlight
HIV Criminalization Laws

December 2016 - This LGBT Policy Spotlight focuses on HIV criminalization laws, which can carry harsh penalties for behaviors now proven to have no risk of transmitting HIV. These laws endanger public health by perpetuating dangerous stigma and misinformation about HIV, creating a strong disincentive for individuals to find out their HIV status, and disproportionately targeting LGBT people.


Invisible Majority: The Disparities Facing Bisexual People and How to Remedy Them

September 2016 - Bisexual people are frequently swept into the greater LGB community, their specific disparities made invisible within data about the whole community. This report focuses on the “invisible majority” of the LGBT community, the nearly five million U.S. adults who identify as bisexual and the millions more who have sexual or romantic attraction to people of more than one gender.


Unjust: How the Broken Criminal Justice System Fails LGBT People

February 2016 - Pervasive stigma and discrimination, biased enforcement of laws, and discriminatory policing strategies mean that LGBT people are disproportionately likely to interact with law enforcement and to have their lives criminalized. LGBT people are also treated unfairly once they enter the system; this report shows how they are overrepresented in jails and prisons and face abuse while incarcerated.


Video: Unjust: How the Broken Criminal Justice System Fails LGBT People

February 2016 - Created by the Movement Advancement Project and the Center for American Progress, this video gives a short overview of the issues raised in the report Unjust: How the Broken Criminal Justice System Fails LGBT People.


Unjust: Infographics

February 2016 - From the pages of Unjust come a set of infographics, including: 'Disproportionate Criminalization Of LGBT People,' 'Life After Conviction: LGBT People Face Added Challenges To Rebuilding Their Lives,' 'Understanding The Prison Rape Elimination Act (PREA),' and more.

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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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