Windy City Media Group Frontpage News
Celebrating 30 Years of Gay Lesbian Bisexual and Trans News
home search facebook twitter join
Gay News Sponsor Windy City Times 2017-07-19
DOWNLOAD ISSUE
About WCMG Publications News Index  Entertainment Features Bars & Clubs Calendar Videos Advertisers OUT! Guide    Marriage

Sponsor
Sponsor
Sponsor

  WINDY CITY TIMES

AHCA would harm LGBTs, people with HIV per Fenway Institute analysis
From a press release
2017-03-17

facebook twitter google +1 reddit email


The Fenway Institute of Fenway Health released a policy brief titled What the American Health Care Act means for LGBT people and people living with HIV, outlining how the American Health Care Act ( AHCA ), the Trump Administration's proposed replacement for the Affordable Care Act ( ACA ), could impact LGBT people, people living with HIV ( PLWH ), and Black and Latino Americans.

"This bill holds potentially devastating consequences for low-income LGBT people, people living with HIV, and Black and Latino people," said Sean Cahill, PhD, Director of Health Policy Research for The Fenway Institute at Fenway Health. "The rates of uninsurance among LGBT people and people living with HIV have dropped dramatically since 2013, when the Affordable Care Act's Medicaid expansion was implemented. While people of all races benefitted from the expansion of insurance access, on a per capita basis Black and Latino people benefitted disproportionately. Those gains could be completely erased if this bill becomes law."

Between 2013 and 2015, the rate of uninsurance among lesbian, gay, and bisexual people decreased from 22% to 11%. The percentage of people living with HIV who lacked any kind of health insurance coverage was 22% in 2012 and dropped to 15% in 2014.

The Fenway Institute analysis also notes that while the ACA has benefitted Americans of all racial/ethnic backgrounds, reducing uninsurance rates among Whites by 42% from 2012 to 2014 ( from 12% uninsured to 7% uninsured ), the repeal of the ACA would disproportionately hurt Black and Latino Americans. On a per capita basis, Black and Latino people are overrepresented in the 20 million who have newly accessed insurance. Uninsurance among Blacks was nearly cut in half, from 19% to 11%, from 2012 to 2014. Over time, this expansion of insurance to Black Americans could play a key role in reducing health disparities affecting Black people.

Four provisions in the AHCA would impact low-income LGBT people and PLWH, in particular:

By 2020, the AHCA would revise eligibility criteria for enrollment in Medicaid so that in addition to being low-income, an enrollee would also need to be disabled or a parent of dependent children. PLWH must let their disease progress to AIDS in order to meet the definition of disabled, and many low-income LGBT people are not parents.

The AHCA would not impact anyone already enrolled in Medicaid as of 2020. But anyone who drops their coverage would need to meet the new eligibility criteria in order to re-enroll. That provision creates an incentive for low-income adults living with HIV who are not parents to decline a higher paying job with private insurance. Because their health is dependent upon affordable access to life-saving HIV medicines, the risk of not being able to re-enroll in Medicaid if they were to lose their job might not be one that is worth taking.

The AHCA would replace the individual mandate with a continuous coverage requirement that would levy a one-year 30 percent insurance surcharge on anyone who takes more than 63 days to leave one health insurance plan for another. Healthy people who lose insurance and are unable to replace it within 63 days may opt to stay out of the insurance market until they really need it in order to avoid paying the 30% surcharge. But PLWH require access to affordable health care and medicine to remain alive. PLWH who lose their health insurance through job loss, and are unable to replace it within the 63-day window, would be forced to pay the 30% surcharge once they do obtain insurance again.

The AHCA would prevent states from using Medicaid funding to reimburse "prohibited entities" from providing health care. Planned Parenthood is one of the few providers of health care that meets the definition of the AHCA's "prohibited entities." The LGBT population experiences disproportionate burden related to sexual health outcomes. Gay and bisexual men, as well as transgender women, are disproportionately burdened by HIV and other STIs. Lesbian and bisexual adolescent women are at greater risk of unwanted pregnancies than heterosexual adolescent women. The sexual health and family planning services that Planned Parenthood offers play a role in reducing these disparities.

All of these changes would affect LGBT people of color and PLWH who are Black and Latino, in particular. Black and Latino men who have sex with men experience the highest HIV burden among all sub-populations, and transgender women of color have disproportionately high rates of HIV and other sexually-transmitted infections.

The AHCA would make no changes to the many insurance industry reforms enacted under the ACA, such as the ban on insurance companies denying coverage to people with preexisting health conditions that has been life-saving for PLWH. In order to pass the AHCA with a simple majority vote in the Senate, the bill can only make changes that would impact the federal budget. Sixty votes are required to make more substantive changes, such as rescinding reforms to the insurance industry enacted under the ACA.

Earlier related coverage at the link: www.windycitymediagroup.com/lgbt/Groups-comment-on-Congress-first-steps-to-repeal-Obamacare/58388.html and at www.windycitymediagroup.com/lgbt/LGBTs-and-people-living-with-HIV-have-much-at-stake-in-ACA-reform-debate-/58386.html .


facebook twitter google +1 reddit email




Windy City Media Group does not approve or necessarily agree with the views posted below.
Please do not post letters to the editor here. Please also be civil in your dialogue.
If you need to be mean, just know that the longer you stay on this page, the more you help us.


  ARTICLES YOU MIGHT LIKE

Gay News

German president OKs marriage law 2017-07-21 - German President Frank-Walter Steinmeier has signed legislation legalizing same-sex marriage, allowing the bill to take effect this fall. Lawmakers approved the bill ...


Gay News

Attorney General Madigan defends Deferred Action for Childhood Arrivals (DACA) 2017-07-21 - Chicago — Attorney General Lisa Madigan, along with 19 other attorneys general, today issued a letter to President Trump urging him to maintain ...


Gay News

National LGBTQ Task Force Launches Transgender Mental Health Survey 2017-07-21 - WASHINGTON-DC: The National LGBTQ Task Force has partnered with Trans Lifeline to launch the nation's first transgender mental health survey. The first-of-its-kind research ...


Gay News

Lambda Legal, ACLU challenge fake repeal of North Carolina's discriminatory HB 2 2017-07-21 - RALEIGH — Today, Lambda Legal, the American Civil Liberties Union, and ACLU of North Carolina announced they have taken steps to expand the ...


Gay News

Anti-LGBTQs in Anchorage try to gut protections for transgender residents, visitors 2017-07-20 - WASHINGTON, D.C. — Today, the Human Rights Campaign ( HRC ) responded to claims from anti-equality activists that they have submitted 8,500 signatures ...


Gay News

Groups join to call on IL Chief Justice to halt immigration enforcement in courts 2017-07-19 - Chicago — Calling on adherence to the tradition and mission of Illinois' courts to be open to all persons in our state, a ...


Gay News

Senate Republicans Confirm Trump's Anti-LGBTQ Judicial Nominee 2017-07-19 - WASHINGTON, D.C.— Today, the Human Rights Campaign ( HRC ) denounced the Senate's confirmation of John K. Bush to the U.S. Court of ...


Gay News

Quigley leads 32 dems in letter to FDA urging end of discriminatory blood ban 2017-07-19 - WASHINGTON — Today, U.S. Representative Mike Quigley ( IL-05 ), who serves as Vice Chair of the LGBT Equality Caucus, led 32 of ...


Gay News

Lawsuit filed in support of suspended CPS teacher Chambers 2017-07-19 - In the two months since suspended Chicago Public School ( CPS ) special-education teacher Sarah Chambers' supporters held a Twitter storm with the ...


Gay News

LGBTQ seniors sought for study 2017-07-19 - Howard Brown Health is looking for subjects to complete a survey on LGBTQ aging as part of the LGBTQ&A: The Aging Project. Subjects ...


 



Copyright © 2017 Windy City Media Group. All rights reserved.
Reprint by permission only. PDFs for back issues are downloadable from
our online archives. Single copies of back issues in print form are
available for $4 per issue, older than one month for $6 if available,
by check to the mailing address listed below.

Return postage must accompany all manuscripts, drawings, and
photographs submitted if they are to be returned, and no
responsibility may be assumed for unsolicited materials.
All rights to letters, art and photos sent to Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago
Gay and Lesbian News and Feature Publication) will be treated
as unconditionally assigned for publication purposes and as such,
subject to editing and comment. The opinions expressed by the
columnists, cartoonists, letter writers, and commentators are
their own and do not necessarily reflect the position of Nightspots
(Chicago GLBT Nightlife News) and Windy City Times (a Chicago Gay,
Lesbian, Bisexual and Transegender News and Feature Publication).

The appearance of a name, image or photo of a person or group in
Nightspots (Chicago GLBT Nightlife News) and Windy City Times
(a Chicago Gay, Lesbian, Bisexual and Transgender News and Feature
Publication) does not indicate the sexual orientation of such
individuals or groups. While we encourage readers to support the
advertisers who make this newspaper possible, Nightspots (Chicago
GLBT Nightlife News) and Windy City Times (a Chicago Gay, Lesbian
News and Feature Publication) cannot accept responsibility for
any advertising claims or promotions.

 

 

 

TRENDINGBREAKINGPHOTOS

Sponsor
Sponsor
Sponsor


 



Sponsor

About WCMG Publications News Index  Entertainment Features Bars & Clubs Calendar Videos Advertisers OUT! Guide    Marriage


About WCMG      Contact Us      Online Front  Page      Windy City  Times      Nightspots      OUT! Guide     
Identity      BLACKlines      En La Vida      Archives      Subscriptions      Distribution      Windy City Queercast     
Queercast Archives      Advertising  Rates      Deadlines      Advanced Search     
Press  Releases      Event Photos      Join WCMG  Email List      Email Blast     
Upcoming Events      Todays Events      Ongoing Events      Post an Event      Bar Guide      Community Groups      In Memoriam      Outguide Categories      Outguide Advertisers      Search Outguide      Travel      Dining Out      Blogs      Spotlight  Video     
Classifieds      Real Estate      Place a  Classified     

Windy City Media Group produces Windy City Queercast, & publishes Windy City Times,
The Weekly Voice of the Gay, Lesbian, Bisexual and Trans Community,
Nightspots, Out! Resource Guide, and Identity.
5315 N. Clark St. #192, Chicago, IL 60640-2113 • PH (773) 871-7610 • FAX (773) 871-7609.