State Employee Benefits
This map reflects state laws or administrative policies which explicitly include, explicitly exclude, or have no clear policy covering transition-related or gender-affirming care for transgender people who are state employees as part of their state employee health benefits.
State explicitly includes gender-affirming care in its state employee health benefits
(24 states + D.C.)
State does not mention or has no clear policy regarding gender-affirming care in its state employee health benefits
(12 states + 5 territories)
State explicitly excludes gender-affirming care from its state employee health benefits
(14 states)
*Note that some states that cover transgender-related medical care may require preauthorization or pre-approval for receiving it.
Recommended citation:
Movement Advancement Project. 2026. “Equality Maps: Healthcare Laws and Policies.” https://mapresearch.org/equality-map/healthcare-laws-and-policies/. Data as of June 12, 2026.
Movement Advancement Project. 2026. “Equality Maps: Healthcare Laws and Policies.” https://mapresearch.org/equality-map/healthcare-laws-and-policies/. Data as of 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.
55%
55% of the LGBTQ population lives in states that explicitly include gender-affirming care in its state employee health benefits
18%
18% of LGBTQ population lives in states that do not mention or has no clear policy regarding gender-affirming care in its state employee health benefits
27%
27% of LGBTQ population lives in states explicitly exclude gender-affirming care from its state employee health benefits
