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Moderate Effects of Same-Sex Legislation on Dependent Employer-Based Insurance Coverage Among Sexual Minorities (Medical Care Research and Review)

Publication Topics

Access to Health Care; Barriers to/Disparities in Health Care; Use of Health Services; Health Insurance Coverage and Programs; Employment-based coverage; Health Care Reform; Lesbian, Gay, Bisexual

Publication Type

Journal Article

Publication Date


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<a onclick="OpenPopUpPage('{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1310&RootFolder=*', RefreshPage); return false;" href="{7AAD61FA-4BCB-48C0-B0B7-87AFDC3673EF}&ID=1310&RootFolder=*">Linda Diem Tran, MPP</a>

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​A difference-in-difference approach was used to compare the effects of same-sex domestic partnership, civil union, and marriage policies on same- and different-sex partners who could have benefitted from their partners' employer-based insurance (EBI) coverage. Same-sex partners had 78 percent lower odds of having EBI compared with different-sex partners, adjusting for socioeconomic and health-related factors. Same-sex partners living in states that recognized same-sex marriage or domestic partnership had 89 percent greater odds of having EBI compared with those in states that did not recognize same-sex unions. The impact of same-sex legislation on increasing take-up of dependent EBI coverage among lesbians, gay men, and bisexual individuals was modest, and domestic partnership legislation was equally as effective as same-sex marriage in increasing same-sex partner EBI coverage. Extending dependent EBI coverage to same-sex partners can mitigate gaps in coverage for a segment of the lesbians, gay men, and bisexual population but will not eliminate them.


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Moderate Effects of Same-Sex Legislation on Dependent Employer-Based Insurance Coverage Among Sexual Minorities

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Version: 3.0
Created at 7/5/2017 1:09 PM by i:0#.f|uclachissqlmembershipprovider|celeste
Last modified at 7/5/2017 1:25 PM by i:0#.f|uclachissqlmembershipprovider|celeste