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Progress shows that racial and ethnic minorities who are lesbian, usa flag and confederate flag bedding set gay, or bisexual face significant health care challenges. 441 In addition, the health disparities faced by LGBTQ

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from the criminal justice system and from deportation are critical to protecting this population from violence and abuse. Cities and counties can take steps to protect their LGBTQ community members usa flag and confederate flag bedding set from criminalization and deportation, including issuing LGBTQ-inclusive anti-profiling guidance, not renting jail space to the Department of Homeland Security, and declaring their cities sanctuary cities. To further expand the ability of LGBTQ people to obtain IDs, mayors and county executives can convene an exploratory committee to consider launching their own ID program. As with any plan to offer services to marginalized populations, it is essential to have LGBTQ people represented on the committee, particularly unaccompanied homeless youth and transition-aged young adults. By launching their own ID program,

communities can design an application for their residents free of restrictive state and federal rules. For example, a county or city ID might allow applicants to submit alternate forms of proof of identity, which would make it accessible for LGBTQ youth experiencing homelessness and might make it easier for transgender people to obtain gender-affirming IDs, like New York City has done. In most of the country, state law does not explicitly protect LGBTQ people from being fired from a job or refused housing because of their sexual orientation or gender identity. Access to employment and shelter are basic necessities that many LGBTQ people have been deprived. The frequency and impact of employment discrimination on LGBTQ people is described further in the “Governance” section of this report. A report by the Institute of Medicine noted that the intersection of race and sexual orientation can have an effect on health outcomes440 And research from the Center for American