Whereas many state Medicaid applications cowl points of gender-affirming well being companies for adults, solely Maine and Illinois reported overlaying 5 normal gender-affirming companies in 2021: hormone remedy, gender-affirming surgical procedure, psychological well being counseling associated to gender-affirming care, voice and communication remedy, and fertility help for grownup transgender enrollees, in line with a KFF survey. 9 states, together with Michigan, Connecticut, and Colorado, reported overlaying 4 of the 5 companies. Alabama and Texas reported not overlaying any of those companies underneath Medicaid.
The survey of states on protection of sexual and reproductive well being companies for grownup enrollees was carried out in Summer season 2021. Forty-one states and the District of Columbia responded to the survey.
Regardless of protections applied by the Biden administration, a number of states have lately moved to implement bans or think about actions limiting entry to gender-affirming well being care, significantly for youth. Protection of particular companies for adults varies and insurance policies like requiring prior authorization can restrict entry. Moreover, some states shouldn’t have insurance policies addressing protection of their state Medicaid applications, doubtlessly leaving many low-income transgender and nonbinary people and not using a clear path to protection for medically vital well being companies.
Learn the temporary on the complete survey findings