Bloomberg Law
Sept. 10, 2019, 9:26 AM

Transgender Medicaid Patients Face Coverage Barriers Despite Law

Sam McQuillan
Sam McQuillan

Recent lawsuits are directing states to include gender affirming surgeries in their Medicaid coverage and end a half-century of debate on directing taxpayer dollars toward transgender care.

A mishmash of state policies and a myriad of legal barriers still make getting coverage a challenge.

Seven states have policies in place barring Medicaid coverage for surgeries, despite a federal law that mandates the coverage. Many of these states, most recently Wisconsin, are seeing these decades-old laws overturned in court. Even in the 19 states with laws requiring Medicaid to cover transgender care—which encompasses over 20 different forms of facial, body, and ...

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