The 2025 Long-Term Care Equality Index Is Here!
The Human Rights Campaign Foundation and SAGE developed the Long-Term Care Equality Index (LEI) to meet a critical need for lesbian, gay, bisexual, transgender, and queer (LGBTQ+) older Americans: safe, equitable, welcoming care and support as they age.
Most long-term care and senior housing providers do not want LGBTQ+ older people to hide their identity, face discrimination, or worry about the care they will receive. However, these providers may be unsure of how to protect their LGBTQ+ residents from discrimination or develop sexual and gender identity-affirming policies. The LEI provides a roadmap of LGBTQ+ inclusive policies and practices for senior housing providers and expands the network of LGBTQ+ welcoming senior housing options for LGBTQ+ older people.
Launched in 2019, the Long-Term Care Equality Index (LEI) is a national benchmarking tool and roadmap for U.S. senior housing communities to support their efforts for LGBTQ+ inclusion of residents, visitors, and staff. Modeled after the successful Healthcare Equality Index, the LEI evaluates senior housing communities based on four core pillars: non-discrimination and staff training, resident services and supports, employee benefits, and engagement with and a public commitment to the LGBTQ+ community.
The Long-Term Care Equality Index 2025 Report represents the second validated survey on LGBTQ+ inclusion in long-term care and senior housing communities. The Human Rights Campaign Foundation and SAGE are excited to present this report on the 274 communities from 33 states (including D.C.) that actively participated in the LEI 2025 survey cycle.
For more information, check out the report below or visit the digital version here.
