Across the country, state-level laws are threatening access to healthcare for LGBTQ+ individuals, particularly transgender youth. These policies are not just creating legal and logistical challenges—they are creating fear, uncertainty, and gaps in care for communities already at high risk of being underserved.
Now more than ever, it is critical to support inclusive, affirming healthcare systems—and to ensure that LGBTQ+ individuals have access to the coverage and care they deserve.
A Growing Crisis in LGBTQ+ Healthcare
New legislation in several states is targeting gender-affirming care, restricting providers from offering essential services, and limiting insurance coverage options for LGBTQ+ youth and adults alike. This has led to:
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Increased anxiety and confusion among patients and families
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Reduced access to trusted providers
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Higher rates of uninsurance and delayed care
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Greater demand on grassroots organizations for support
Yet the need for affirming, high-quality healthcare remains—especially for transgender youth, LGBTQ+ people of color, and individuals living in rural or politically hostile environments.
American Exchange: A Partner in Advocacy and Access
At American Exchange, we believe healthcare is a human right. Our work is rooted in equity, respect, and confidentiality, and we’ve built our services to meet the needs of LGBTQ+ communities at every step of the enrollment and navigation process.
We support:
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Tailored ACA enrollment for LGBTQ+ individuals, including those recently removed from Medicaid or other programs
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Privacy-focused communication, protecting individuals in unsafe or unsupportive households
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Inclusive language and training for outreach and navigation teams
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Partnerships with grassroots advocates and CBOs to scale access and trust
Whether someone needs coverage for mental health, gender-affirming care, or HIV prevention, we help them feel seen, respected, and supported—not just enrolled.
Now Is the Time to Act
The LGBTQ+ community, particularly youth, is facing a coordinated attack on their right to care. The role of advocates, healthcare providers, and enrollment partners is more important than ever.
If your organization supports LGBTQ+ populations, you don’t have to navigate these challenges alone. American Exchange is here to stand beside you—not just with systems and services, but with deep understanding and aligned values.
Let’s connect and create a care access strategy that meets people where they are—and affirms who they are.
