Medicaid
This map shows state policies regarding Medicaid coverage of medically necessary health care for transgender people. Some state policies explicitly include coverage of such care, while other explicitly exclude it. Still other states have no explicit policy either way. Importantly, even in states without an explicitly inclusive policy, transgender people may still be able to access transgender-inclusive coverage or benefits, but when states have no explicit policy, transgender people are more likely to report obstacles to receiving care, including being denied needed care. Â
Additionally, a growing number of states have enacted bans on best practice medical care for transgender youth, as shown by the caution icon on the map below. These policies are not necessarily specific to Medicaid coverage, but because the health care itself is banned in those states, those states’ Medicaid programs presumably will not cover such medical care for minors.
*Notes (see also the “Citations & More Information” tab or link below the map legend for more info about every state):Â
Court rulings:
–In Florida, in June 2023, a federal judge blocked the state’s ban on Medicaid coverage, meaning that transgender Floridians on Medicaid should be able to access medically necessary care. However, the state is appealing the decision. This map will be updated as the case progresses.Â
–In West Virginia, a 2022 ruling found the state’s earlier exclusions unconstitutional, which led to the state explicitly including this care for adults, though with many requirements. A March 2026 ruling has now upheld the state’s original exclusions, so this state policy may soon change, but for now the explicit inclusion remains on the state’s website and in its Medicaid provider manual. The 2026 decision is also being appealed. See the “Citations & More Information” for more detail.
Other notes:
–In Hawai`i, the state Medicaid policy is unclear. Hawai`i has a law banning gender identity discrimination in health insurance and banning exclusions of gender-affirming care, but the state also has a pre-existing regulation that explicitly excludes transgender-related health care from being covered or paid for by the state Medicaid program.Â
—Ohio policy explicitly excludes transgender-related care, but as of mid-2019, The Washington Post and Bloomberg News both reported that state officials said they were not enforcing the exclusion. However, in 2024, the state enacted a ban on transgender youth’s medical care, added at least some new exclusions.
–In Louisiana and Utah, the states have no explicit policy, but TLDEF reports that the individual health organizations that operate Medicaid in the state each have inclusive policies for covering transgender-related care.
Recommended citation:
Movement Advancement Project. “Equality Maps: Healthcare Laws and Policies: Medicaid.” https://mapresearch.org/equality-map/medicaid-coverage-of-transgender-related-health-care/. Accessed June 12, 2026.
Percent of Adult LGBTQ Population Covered by Laws
*Note: These percentages reflect estimates of the LGBTQ adult population living in the 50 states and the District of Columbia. Estimates of the LGBTQ adult population in the five inhabited U.S. territories are not available, and so cannot be reflected here.
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