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REPORT: Out2Enroll Campaign Offers Recommendations to Improve ACA Outreach and Enrollment in LGBT Communities

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Contact: Tom Caiazza
Phone: 202.481.7141

Washington, D.C. — The Affordable Care Act, or ACA, offers unprecedented opportunities to improve the health and economic security of millions of Americans, including members of lesbian, gay, bisexual and transgender, or LGBT, communities. The first open enrollment period showed, however, that these opportunities may not be fully realized if outreach and enrollment efforts do not effectively engage LGBT people and their families.

A new report from the Out2Enroll campaign—a collaborative LGBT outreach and enrollment initiative from the Center for American Progress, the Sellers Dorsey Foundation, and the Federal Agencies Project—analyzes a variety of stakeholder interviews to look in depth at LGBT-oriented community engagement efforts over the first open enrollment period. The report assesses promising practices, identifies remaining concerns, and offers concrete recommendations to help the marketplaces and other stakeholders effectively connect LGBT people with their new coverage options.

The report’s major findings include:

  • The visibility and effectiveness of LGBT-oriented outreach and enrollment varied significantly by state.
  • Stakeholders took advantage of a variety of strategies and opportunities to engage LGBT people.
  • LGBT outreach was complicated in many states by uncertainty surrounding outstanding policy issues related to relationship recognition for same-sex couples, transgender coverage exclusions, HIV coverage, and plan transparency.

“With one in three low- and middle-income LGBT people uninsured before the launch of open enrollment in 2013, the ACA’s efforts to close the coverage gap are an incredible opportunity to improve the health and financial security of millions of LGBT Americans,” said Kellan Baker, the Associate Director of the LGBT Research and Communications Project at the Center for American Progress and an Out2Enroll steering committee member. “This report identifies many promising outreach and enrollment practices but also underscores the need for more targeted efforts to make sure that the benefits of the law reach everyone who needs them, including LGBT people.”

The report’s specific recommendations include:

  • Outreach and enrollment efforts in every state should explicitly include LGBT communities.
  • LGBT-specific cultural-competency training should be provided for outreach and enrollment personnel.
  • Voluntary demographic information on sexual orientation and gender identity should be collected through health insurance marketplace applications.

Click here to read the report.

For more information or to speak to an expert on this topic, contact Tom Caiazza at or 202.481.7141.

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: 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: Sally Tucker
202.481.8103 or