People With HIV, LGBTs, and Black and Latino People Would Disproportionately Lose Health Insurance Under Affordable Health Care Act

The Fenway Institute is an LGBT health research, education and policy advocacy organization headquartered in Boston, MA

Of the 23 million Americans projected to lose their health insurance under the GOP healthcare bill, children, older adults, and other vulnerable populations—including people living with HIV and LGBT people—would be disproportionately affected.

On May 24, the Congressional Budget Office (CBO) projected that the amended American Health Care Act (AHCA), which narrowly passed the U.S. House on May 4, would result in 23 million Americans losing their health insurance by 2026 as compared with what would be expected under continued implementation of the 2010 Patient Protection and Affordable Care Act (ACA).

“It is clear from the CBO analysis that the amended Republican health care plan is no better than the original bill,” said Sean Cahill, Director of Health Policy Research at The Fenway Institute. “Of the 23 million Americans projected to lose their health insurance under the GOP healthcare bill, children, older adults, and other vulnerable populations—including people living with HIV and lesbian, gay, bisexual, and transgender people—would be disproportionately affected.”

The ACA greatly expanded access to health insurance by permitting states to cover more residents through Medicaid, an insurance program funded jointly by the federal government and states that covers low-income people and those in need, including children and people with disabilities. The ACA also allowed for immediate coverage of those living with HIV via Medicaid without first requiring a diagnosis of AIDS.

The Medicaid expansions that have taken place in 32 states and the District of Columbia under the ACA have been crucial…

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