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These laws, often called "shield" laws, often explicitly combine protections for gender-affirming care and abortion and cover a variety of protections including protecting both providers and patients from being punished, mandating insurance providers to cover the procedures and acting as "sanctuary states" that protect patients traveling to the ...
Mental health care: Often, gender-affirming care will include counseling. A 2018 study found that the prevalence of mental health problems among transgender youth was seven times higher than among ...
Many Republican states have passed laws banning such treatments, often called gender-affirming care, for minors. The rule applies to recipients of federal funds, including Medicaid programs.
Bans on gender-affirming care have been criticized as governments interfering with the patient-doctor relationship and taking away healthcare decisions from parents and families for their children. [367] [368] State level bans on gender-affirming care in the United States have led some families with transgender children to move out of their states.
Starting in the early-2020s, as many as 13 U.S. states banned gender affirming health care for transgender youth, [195] with several states further restricting treatment for adults as well. [196] [197] In January 2024, several Republican legislators have expressed their desire to ban gender-affirming healthcare altogether. [198]
While Arizona has a 2022 law on the books banning surgical care for transgender minors, Democratic Gov. Katie Hobbs signed an executive order in 2023 ensuring access to gender-affirming health care.
Medicaid does not have a federal policy on transgender health care and leaves the regulation of the coverage of gender-confirming health care up to each state. [132] While Medicaid does not fund sex reassignment surgery in forty states, [ 133 ] several, like New York [ 134 ] and Oregon, [ 135 ] now require Medicaid to cover (most) transgender care.
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