CURRENT CAMPAIGNS

CARE DELIVERY

Advance the next generation of LGBTQ+ health delivery that meets people where they are and sets a new standard of excellence.

TELEHEALTH, INTERSTATE, AND COMMUNITY-EMBEDDED CARE

Persistent access barriers make diverse care delivery modes essential. The expansion of telehealth during COVID-19 significantly improved access for many LGBTQ+ people, particularly those previously required to travel long distances for care. Protecting and permanently funding telehealth services is critical.

Because LGBTQ+ health policies vary widely by state, many individuals continue to cross state lines for essential care, incurring financial and logistical burdens. Protecting interstate access, alongside advocating for comprehensive care in every state, strengthens system resilience amid shifting policy environments. Additional community-based strategies are essential in underserved areas. Mobile clinics can deliver primary care, mental health services, and HIV testing, while on-site pharmacies reduce medication barriers. Peer support programs foster mentorship, connection, and continuity of care.

The Alliance will continue advocating for protected telehealth access, interstate care safeguards, and innovative delivery models that reach LGBTQ+ people wherever they are.

ACCESS FOR UNDERINSURED PATIENTS

Millions of Americans remain uninsured or underinsured, and LGBTQ+ people face disproportionate coverage gaps that can lead to delayed or foregone care. 

The Affordable Care Act (ACA) significantly expanded coverage but continues to face political and structural threats. Strengthening the ACA and expanding Medicaid in all states are critical priorities, particularly in states that have yet to adopt expansion. Even where coverage options exist, enrollment barriers persist. Community-based peer navigators play a key role in helping individuals understand and access available plans.

The Alliance supports strengthening the ACA, expanding Medicaid nationwide, and investing in navigation resources that help LGBTQ+ people enter and remain in the health insurance system.

DATA AND DIGNITY

Sexual Orientation and Gender Identity (SOGI) data is essential for identifying health disparities and informing equitable policy and care delivery.

SOGI data collection must always be voluntary, confidential, and conducted by trained providers. Proper training ensures that any collected data is accurate, respectful, and used solely for equitable purposes. Many people decline to share SOGI information due to fears of data misuse or privacy breaches. In a political climate where LGBTQ+ rights face increasing threats, concerns about surveillance are understandable and must be addressed.

The Alliance is committed to advancing ethical, consensual data practices and building trust that SOGI data will be used solely to promote health equity and improve outcomes.

INTEGRATED CLINICAL MODELS

Comprehensive LGBTQ+ healthcare extends beyond individual services to include HIV prevention and treatment, mental health care, and substance use treatment. Structural stigma and discrimination contribute to elevated rates of HIV, mental health conditions, and substance use disorders within LGBTQ+ communities, making access to integrated care essential.

Care models must also address the diversity within LGBTQ+ populations. Older adults, adolescents, Black LGBTQ+ individuals, and those in rural areas experience disproportionate disparities. Centering these populations improves access, reduces inequities, and strengthens outcomes across communities. 

The National LGBTQ+ Healthcare Alliance is committed to advancing comprehensive care that meets the needs of all LGBTQ+ people, regardless of age, race, income, or geography. 

For more information, visit our Delivering Comprehensive Care issue brief.