LGBT hate crimes are typically more violent and involve greater victim injury as compared to other victimizations, but they are substantially underreported. Victim reluctance to contact law enforcement may arise from perceptions of police bias. This study explores victim–police interactions, specifically reporting to the police, perceived police bias among victims who did not report, and differential police behavior among victims who reported. Using multiple years of National Crime Victimization Survey data, sexual orientation bias victimizations are compared with other forms of victimization. Logit regression models are examined before and after the Matthew Shepard Act. The pattern of results indicate that in the years following progressive policy reforms, LGBT bias victims continue to perceive the police as biased. Results do not significantly differ between sexual orientation bias victims and victims of other types of crime regarding police reporting and differential police response. Implications for policing efforts with the LGBT community are discussed.