Medicaid Coverage for Gender-Affirming Care

By Christy Mallory and William Tentindo

An estimated 152,000 transgender adults in the U.S. are enrolled in Medicaid. Medicaid beneficiaries who are transgender face a patchwork of policies across the U.S. that leave many of them without access to coverage for gender-affirming care.

  • Fewer than half (69,000) of transgender Medicaid beneficiaries have affirmative access to coverage for gender-affirming care under express policies in state law.
  • For 51,000 transgender Medicaid beneficiaries, coverage is uncertain because they live in states where the laws are silent on coverage for gender-affirming care.
  • An estimated 32,000 transgender Medicaid beneficiaries do not have access to covered gender-affirming care because they live in states with express bans on coverage.

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