Health Insurance Coverage Among Same-Sex vs Different-Sex Couples

Is health insurance coverage different for same-sex vs different-sex couples?This cross-sectional study of 2008 to 2022 American Community Survey (ACS) data for 20 938 414 individuals found that recent gains in insurance coverage among same-sex couples have largely been concentrated among key groups: male couples, married couples, those insured by plans offered by their employers, those in states that have expanded Medicaid, and those at the top of the income distribution.These findings suggest that although same-sex couples now report, on average, higher rates of insurance coverage than different-sex couples, more must be done to ensure that these gains are distributed equitably, especially to those living in states that have not yet expanded access to public health insurance.

Corresponding Author: Gabe H. Miller, PhD, Department of Sociology, University of Alabama at Birmingham, 1720 Second Ave S, Birmingham, AL 32594-0110 (ghmiller@uab.edu).

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