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Comment & Response
January 26, 2016

Marriage Equality Act and Changes to Health Insurance Coverage

Author Affiliations
  • 1Urban Institute, Health Policy Center, Washington, DC
JAMA. 2016;315(4):417. doi:10.1001/jama.2015.16446

To the Editor Using data from the American Community Survey (ACS), Dr Gonzales1 analyzed the association between implementation of the Marriage Equality Act for same-sex couples in New York and their health insurance coverage. There are a few problems with the analysis.

First, as the US Census Bureau reports,2,3 ACS data on same-sex adults are subject to substantial error, including failing to identify many lesbian, gay, and bisexual adults (LGB; including all those not currently living with a partner) and misclassifying a significant number of opposite-sex couples as same-sex couples.

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