U.S. LGBT population 2020, by status of transgender exclusions in health insurance

As of February 2020, 53 percent of the LGBT population lived in U.S. states where private health insurance service providers weren't allowed to deny coverage for transgender-related health care services, such as sex reassignment surgery. However, only 37 percent lived in states where health insurance protections included sexual orientation and gender identity.

LGBT Americans

The share of Americans self-identifying as lesbian, gay, bisexual or transgender has grown in recent years. This suggests that insurance protections which cover LGBT-related health care services will also continue to grow in importance. The prevalence of younger Americans self-identifying as LGBT when compared with older generations confirms this. Millennials and Gen Xers are much more likely to personally identify as LGBT than previous generations were. Growing acceptance and tolerance in wider society means that more people are willing to be open about their gender identity and sexual orientation. For instance, support for same-sex marriage in the U.S. underwent a huge shift over the past two decades with the majority of Americans being in favor of it since 2011.

Share of LGBT population living in the U.S. states as of February 2020, by status of transgender exclusions in private health insurance coverage

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Release date

February 2020


United States

Survey time period

as of February 2020

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