More than one year after marriage equality became the law of the land nationwide, President Obama, Secretary Sylvia Mathews Burwell, and my colleagues and I at the U.S. Department of Health and Human Services continue to seize opportunities to improve the health and well-being of Lesbian, Gay, Bisexual, Transgender and Questionable (LBGTQ) Americans.

We do so because the sad reality is that LGBTQ people still face discrimination in many areas of life, including health care. This discrimination exacerbate very real health disparities and societal challenges LGBTQ people face, including higher rates of depression, smoking, HIV, stigma, violence, rejection by family and community as well as inequity in the workplace and insurance sectors.

The Obama Administration has made historic advancements for the LGBTQ community, and as we celebrate that progress, we know there is still more to do. We’ve proudly required all hospitals receiving Medicare or Medicaid funds (nearly every hospital in America) to allow visitation rights for LGBT patients, funded the first national resource center for older LGBT individuals, and released the nation’s first comprehensive National HIV/AIDS Strategy, among many other initiatives.

When I’m asked about the most important thing we’ve done for LGBTQ health in Tennessee, the answer is always the same: the Affordable Care Act.

You may know some of the law’s benefits—like financial help to help eligible consumers afford health insurance, certain recommended preventive care like cancer and HIV/STI screenings without cost sharing, and coverage for pre-existing medical conditions.

Still, many do not realize just how much the law offers for LGBTQ Tennessee. That’s because LGBTQ people are more likely than their straight, cisgender peers to be uninsured. In fact, because of the Affordable Care Act, nationwide the uninsured rate for low- and middle-income LGBT people dropped from 34 percent in 2013 to 26 percent in 2014. For LGB people, the uninsured rate was nearly cut in half from 2013 to 2015.

Thanks to the Affordable Care Act, more LGBTQ people have health insurance than ever before. And even more have the opportunity to get covered by visiting beginning on November 1.

As a result of new enhancements to the law, the Affordable Care Act providers increased protections for LGBTQ communities. In May, HHS Office for Civil Rights spelled out significant new nondiscrimination protections for LGBTQ.

The new rules mean that all LGBTQ people—whether lesbian, gay, bisexual, transgender, non-binary, gender non-conforming, or intersex—are protected from discrimination just for being who they are. These protections apply in every state and mean that:


• Health insurance plans sold through can no longer have categorical exclusions for services related to gender transition.

• A hospital or clinic that receives federal funds cannot turn you away because you are transgender or in a same-sex relationship.

• You have the right to be placed in a hospital room or ward based on your gender identity.

• You should not face harassment from a health care provider, such as a doctor or nurse intentionally refusing to use your correct name and pronoun.


This means that even more LGBTQ people have the opportunity for more meaningful health insurance coverage starting January 1.

If you face this or any other type of discrimination, we urge you to file a complaint with the regional Office for Civil Rights at

We know more can be done to improve LGBTQ health and we will continue to build upon the strides we have already made together. But now we need your help to make these protections a reality for millions of LGBTQ people across the country.

Beginning on November 1, visit to enroll and talk to your loved ones about doing the same. If you pick a plan by December 15, 2016, your coverage may begin as early as January 1, 2017. Financial help is available for those eligible to make insurance more affordable: in 2016, nearly 7 in 10 people could have selected a plan for less than $75 per month. And you can sit down or call to make a free appointment with an LGBTQ-friendly expert who can help you understand your options.

With financial help, new nondiscrimination protections, and better quality coverage, there’s never been a better time to be out, be healthy, and get covered.

Dr. Pamela Roshell is Region IV Director of the Department of Health and Human Services.





This article has been republished from Out & About Nashville, and was part of a series of first-person pieces written by the late Bobbi Williams.

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