Importance Recent evidence suggests that state policies affecting sexual minorities are
associated with health disparities. Twelve states have laws permitting the denial of services
to same-sex couples, and the US Supreme Court is considering whether states can prohibit
the denial of services to same-sex couples. Objective We investigated whether state laws
permitting individuals to refuse services to sexual minorities were associated with changes
in the proportion of sexual minority adults reporting mental distress. Design, Setting, and …