THE POLICY LANDSCAPE

Rights, restrictions & the places between.

Sources retrieved

Trans Policy Atlas data: Transitics' CATPALM (built by Aleksandra Vaca, a member of the Trans Data Initiative team) and the team's own research.

COLLECTION

Health care

Obtaining Medicaid coverage for gender-affirming care

50 states + D.C.

Payment policy; adult and minor eligibility and covered treatments differ.

Alabama: Explicit Exclusion For Minors; No Explicit Coverage or Exclusion For AdultsAlaska: Explicit CoverageArizona: Explicit Exclusion For Gender Reassignment Surgery; No Explicit Coverage or Exclusion; Coverage for State EmployeesArkansas: Explicit Exclusion For Minors; No Explicit Coverage or Exclusion For AdultsCalifornia: Explicit CoverageColorado: Explicit CoverageConnecticut: Explicit CoverageDelaware: Explicit CoverageDistrict of Columbia: Explicit CoverageFlorida: Explicit ExclusionGeorgia: Explicit Exclusion For Surgery & Hormone Therapy For Minors; Explicit Coverage For Adults & Puberty Blockers For MinorsHawaii: Explicit CoverageIdaho: Explicit ExclusionIllinois: Explicit CoverageIndiana: Explicit Exclusion For Minors; Explicit Coverage For AdultsIowa: Explicit ExclusionKansas: Explicit Exclusion Unless Patient is 21+ Years Old and Began Treatment Prior to October 1st, 2025Kentucky: Explicit ExclusionLouisiana: Explicit Exclusion For Minors; De Facto Exclusion, De Jure Explicit Coverage For AdultsMaine: Explicit CoverageMaryland: Explicit CoverageMassachusetts: Explicit CoverageMichigan: Explicit CoverageMinnesota: Explicit CoverageMississippi: Explicit Exclusion For Minors & Gender Reassignment Surgery; No Explicit Coverage or Exclusion For AdultsMissouri: Explicit ExclusionMontana: Explicit Exclusion For Gender Reassignment Surgery; No Explicit Coverage or Exclusion; Coverage Mandated For State EmployeesNebraska: Explicit Exclusion For Minors & Gender Reassignment Surgery; No Explicit Coverage or Exclusion For AdultsNevada: Explicit CoverageNew Hampshire: Explicit Exclusion For Minors; Explicit Coverage For AdultsNew Jersey: Explicit CoverageNew Mexico: Explicit CoverageNew York: Explicit CoverageNorth Carolina: Explicit Exclusion For Minors; No Explicit Coverage or Exclusion For AdultsNorth Dakota: Explicit Exclusion For Minors; Explicit Coverage For AdultsOhio: Explicit Exclusion For Minors; De Facto Coverage For AdultsOklahoma: Explicit Exclusion For Minors; No Explicit Coverage or Exclusion For AdultsOregon: Explicit CoveragePennsylvania: Explicit CoverageRhode Island: Explicit CoverageSouth Carolina: Explicit ExclusionSouth Dakota: Explicit Exclusion For Minors & Gender Reassignment Surgery; No Explicit Coverage or Exclusion For AdultsTennessee: Explicit ExclusionTexas: Explicit ExclusionUtah: Explicit Exclusion For Minors; Explicit Coverage For AdultsVermont: Explicit CoverageVirginia: Explicit CoverageWashington: Explicit CoverageWest Virginia: Explicit Exclusion For Minors; Coverage Mandated For AdultsWisconsin: Explicit CoverageWyoming: Explicit ExclusionALAKAZCOFLGAINKSMEMNNCNDOKPASDTXWYMOWVILNMARCAHIIAKYMIMSMTNHNYOHORTNUTVAWAWINESCIDNVVTLAMARICTNJDEMDDC
Select a state to inspect its policy and sources.
Access / protection recognized24
Conditions / barriers18
Restriction reported9
Colors summarize the source’s description. Court limits, age and setting matter; read the state details. Territories are available in the state selector.

A record is what a source reported on the date it was captured, not a legal effective date. An unobserved record is not a finding that no restrictions exist.