Lbian, gay, bisexual, and transgenr (LGBT) dividuals often face challeng and barriers to accsg need health servic and, as a rult, n experience worse health out. The challeng n clu stigma, discrimatn, vlence, and rejectn by fai and muni, as well as other barriers, such as equaly the workplace and health surance sectors, the provisn of substandard re, and outright nial of re bee of an dividual’s sexual orientatn or genr inty. This issue brief exam populatn characteristics of the LGBT muny and the impacts of the Affordable Care Act (ACA), Supreme Court lgs and other policy chang related to same-sex marriage that n surance verage and accs to health re servic, and recent actns by the Tmp Admistratn.