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.