While many of these religiously affiliated facilities provide quality care for millions of older adults, there is a coordinated effort to pass religious exemption laws, issue executive orders and agency guidance, and to litigate court cases to allow individuals, businesses, and even government contractors and grantees to use religion to discriminate. These laws are particularly worrisome for LGBT elders. Religious exemption laws jeopardize the security and safety of LGBT older adults at a time when they are most vulnerable and most in need.