A major advancement of the Affordable Care Act, or ACA, is that Millennials entering the job market are now able to remain on their parents’ health insurance until age 26. This is not an option, however, for the many lesbian, gay, bisexual, transgender, and queer, or LGBTQ, Millennials who have left or been forced to leave their homes because of family rejection related to their sexual orientation, gender identity, or gender expression. This issue brief provides an overview of the other ways in which the ACA—especially the expansion of state Medicaid programs—helps LGBTQ young people without homes gain access to the health care they need.