SAGE: Advocacy & Services for LGBT Elders
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For Immediate Release

June 28, 2012

Services and Advocacy for GLBT Elders Applauds the Supreme Court Decision to Uphold the Affordable Care Act

Affordable Care Act includes several provisions beneficial to lesbian, gay, bisexual and transgender (LGBT) older Americans and their loved ones.

[New York, NY] SAGE (Services & Advocacy for GLBT Elders) today applauds the decision by the Supreme Court of the United States to uphold the Affordable Care Act. The law includes several provisions that can improve the health and well-being of LGBT older adults, such as strengthening Medicare, expanding Medicaid, improving community long-term services and supports, and providing additional elder abuse and nursing home transparency protections.

"This decision is an important victory for LGBT older people, who experience significant disparities in areas such as access to health care, HIV and AIDS, and chronic health conditions," said Michael Adams, Executive Director of SAGE. "Upholding the Affordable Care Act will help ensure that millions of older Americans—including LGBT elders—receive vital health care and the support they need to age with dignity and respect."

The Supreme Court upheld nearly every aspect of the healthcare reform law, with the only exception being to limit the federal government's ability to require all states to participate in Medicaid expansion.

Some of the provisions of the Affordable Care Act that will directly affect older adults include:

  • Under Medicare, improving access to preventive health services by eliminating cost-sharing for preventive services and providing an Annual Wellness Visit.
  • Improving access to primary care physicians under MedicareExpanding coverage to older adults under 65 through the Medicaid expansion.
  • Improving community long-term services and supports through the Community First Choice Option, the Balancing Incentive Payment Program, and extending Medicaid's spousal impoverishment protections to long-term care in the community.
  • Protecting the safety and well-being of older adults through the Nursing Home Transparency and Improvement Act, the Elder Justice Act, and the Patient Safety and Abuse Prevention Act.

Read a joint statement of support by a coalition of LGBT organizations, including SAGE.

For more information on LGBT aging and health issues, visit SAGE's National Resource Center on LGBT Aging at

SAGE is the country's largest and oldest organization dedicated to improving the lives of lesbian, gay, bisexual and transgender (LGBT) older adults. Founded in 1978 and headquartered in New York City, SAGE is a national organization that advocates for public policy changes that address the needs of LGBT older people. SAGE also offers supportive services and consumer resources to LGBT older adults and their caregivers, provides education and technical assistance for aging providers and LGBT organizations through its National Resource Center on LGBT Aging, and cultural competence training through SAGECare. With staff located across the country, SAGE coordinates a growing network of affiliates across the country. Learn more at

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