Legal protection is only one layer
State statutes and court rules may affect discrimination, family recognition, identity documents, healthcare, schools, employment, housing, and public accommodations. Those protections still need to be interpreted in the context of current enforcement and local practice.
Local experience can vary sharply
Large metros, smaller cities, suburbs, college towns, rural counties, school districts, healthcare systems, employers, and neighborhoods can differ in visibility, acceptance, services, and practical safety.
Healthcare deserves separate treatment
General LGBTQ+ friendliness does not establish access to affirming primary care, mental-health care, HIV services, reproductive care, transgender healthcare, specialists, insurance coverage, or medication continuity.
The household’s actual needs should drive the inquiry
Relationship status, children, parentage, custody, legal gender, privacy, public visibility, faith community, age, race, disability, and healthcare needs can all change what must be verified before treating a place as a serious candidate.