Few State Medicaid
Programs Report Covering a Broad Range of Gender-Affirming Health
Services for Adults
While many state
Medicaid programs cover aspects of gender-affirming health services for
adults, only Maine and Illinois reported covering five standard
gender-affirming services in 2021: hormone therapy, gender-affirming
surgery, mental health counseling related to gender-affirming care, voice
and communication therapy, and fertility assistance for adult transgender
enrollees, according to a KFF survey.
Nine states, including Michigan, Connecticut, and Colorado, reported
covering four of the five services. Alabama and Texas reported not
covering any of these services under Medicaid.
The survey of states on
coverage of sexual and reproductive health services for adult enrollees
was conducted in Summer 2021. Forty-one states and the District of
Columbia responded to the survey.
Despite protections
implemented by the Biden administration, several states have recently
moved to implement bans or consider actions limiting access to
gender-affirming health care, particularly for youth. Coverage of
specific services for adults varies and policies like requiring prior
authorization can limit access. Additionally, some states do not have
policies addressing coverage in their state Medicaid programs,
potentially leaving many low-income transgender and nonbinary individuals
without a clear path to coverage for medically necessary health services.
Read the brief on the full
survey findings.
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