Knowledge Center

The New York Foundation looks to connect its grantees and other nonprofit organizations in New York City with resources useful in achieving our common goals. With our Knowledge Center we collect reports, case studies, policy briefs, and other knowledge assets produced by New York Foundation grantees and affiliated organizations. While some of these works were funded by the Foundation, our goal in providing this collection is to put a spotlight on the contributions that Foundation grantees have made to social issue analysis and problem solving.

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Improving the Lives of Transgender Older Adults: Recommendations for Policy and Practice

January 1, 2012

Transgender and gender non-conforming adults face a myriad of challenges as they age. While very limited, the existing research on transgender people paints a picture of many people aging in isolation and without a network of knowledgeable or welcoming providers in the aging, health and social services arenas. Further, transgender elders often experience extreme disparities in access to health care and low rates of health insurance coverage due in large part to systemic discrimination from providers and insurance companies, as well as economic instability resulting from discrimination in employment and housing, among other areas. An overarching challenge for policymakersand practitioners isthe dearth in research examining the challenges facing this population--and the types of policies and programmatic interventions that would improve their lives. While the need for better data and more research on lesbian, gay and bisexual communities has gained support over the last few years, gender identity remains largely absent from the scope of social research and analysis. Moreover, few studies have addressed the specific challenges facing transgender elders. Research focused on transgender people of color is even more limited, despite some studies suggesting that they experience high levels of violence and discrimination.

Medicaid, Spousal Impoverishment Protections and Same-Sex Couples in New York State

September 1, 2011

Provides background on Medicaid's long-term support program and offers historical context on the creation of the spousal impoverishment protections, initially available only to heteosexual married copules. This paper also examines how older LGBT couples face numerous financial and social barriers as they age, both nationwide and in New York State, and are thus highly reliant on support from Medicaid and similar programs. Based on this overview, this brief offers recommendations for New York on the specific actions necessary to enact the estate protections explicitly outlined in the CMS letter.

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