CAP en Español
Small CAP Banner

Idea of the Day: Health Insurance Exchanges Should Collect Data on Sexual Orientation and Gender Identity

  • print icon
  • SHARE:
  • Facebook icon
  • Twitter icon
  • Share on Google+
  • Email icon
idea light bulb

Health insurance exchanges, established under the Affordable Care Act, are new state-based marketplaces for uninsured individuals and small businesses to shop for affordable health insurance products. The exchanges will also provide valuable new data on the health care needs of people across the United States, including historically underserved groups such as the LGBT population.

Exchanges will have the opportunity to collect these data through optional demographic questions on exchange application forms, as well as through their oversight of insurance carriers offering plans in the exchange marketplaces. If done well, data collection will help policymakers and advocates better understand and address health disparities affecting the LGBT community, while also protecting the confidentiality of those who volunteer information on their sexual orientation and gender identity.

Public health practitioners and health care providers know that the future of health and health care is built on data. Data collection is indispensable to efforts to achieve better health for all by identifying, tracking, and eventually eliminating health disparities. Data help policymakers, advocates, researchers, and community members better collaborate in understanding where disparities exist, directing resources to where they are most needed, and tailoring health programs to the specific needs of diverse communities.

Sexual orientation and gender identity data will facilitate numerous activities of the health insurance exchanges, including measuring the effectiveness of health plan initiatives to promote cultural competency and quality improvement, assessing the insurance coverage needs of LGBT communities, and designing effective outreach policies and programs for connecting LGBT people and their families with affordable, high-quality coverage.

For more on this topic, please see:

To speak with our experts on this topic, please contact:

Print: Liz Bartolomeo (poverty, health care)
202.481.8151 or

Print: Tom Caiazza (foreign policy, energy and environment, LGBT issues, gun-violence prevention)
202.481.7141 or

Print: Allison Preiss (economy, education)
202.478.6331 or

Print: Tanya Arditi (immigration, Progress 2050, race issues, demographics, criminal justice, Legal Progress)
202.741.6258 or

Print: Chelsea Kiene (women's issues,, faith)
202.478.5328 or

Print: Elise Shulman (oceans)
202.796.9705 or

Print: Benton Strong (Center for American Progress Action Fund)
202.481.8142 or

Spanish-language and ethnic media: Jennifer Molina
202.796.9706 or

TV: Rachel Rosen
202.483.2675 or

Radio: Chelsea Kiene
202.478.5328 or


This is part of a regular column: Idea of the Day

For more from the same column, click here