Reproductive and LGBTIQ+ Health Access hero image

Reproductive and LGBTIQ+ Health Access

Emerging Risks and Responsibilities

Photo by Phanphen Kaewwannarat on iStock

June 24, 2025
Authors
  • Alisha Thompson portrait

    Alisha Thompson

    Manager, Inclusive Business, BSR

  • Jen Stark portrait

    Jen Stark

    Director, Inclusive Business, BSR


As access to reproductive and LGBTIQ+ healthcare becomes increasingly fragmented across the United States, companies are navigating a growing set of challenges, with implications for workforce well-being, data governance, service delivery, and operations. An area once considered peripheral to business needs to be an influential factor in business strategy. 

Businesses are providers and stewards of access through benefits, technology platforms, consumer touchpoints, and policy engagement. As legal uncertainty deepens and enforcement expands, companies are being called to take a more deliberate approach across their value chains. 

The report, Reproductive and LGBTIQ+ Health Access: Emerging Risks and Responsibilities, offers practical guidance for companies responding to this shifting landscape. It supports efforts to reduce harm, align internal systems, meet evolving stakeholder expectations, and promote equitable access.  

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The guidance includes targeted insights for industries with heightened exposure and influence, including financial services; technology, travel and hospitality; pharmaceutical, biotech, and pharmacy sectors; retail; and energy, extractives, transport, and industrials.

Industry Profiles
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The following action areas offer a starting point for business engagement: 

  • Understand how care access is shaped by operational and strategic decisions 
  • Build internal systems that can anticipate change and respond consistently 
  • Reevaluate physical footprint and service infrastructure through an access-informed lens 
  • Collaborate across sectors to promote coordinated and inclusive approaches 
     

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