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New York · 2025-2026 General Assembly
A06596Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.
Mandates Medicaid and private insurance coverage for medically necessary gender-affirming care and treatments for gender dysphoria or incongruence, and prohibits health care entities and insurers from denying or limiting such care based on gender identity or transgender status.
all medically necessary gender-affirming care regardless of whether any federal funds are available for such coverage.
Why the model tagged it this way: The bill requires Medicaid coverage for gender-affirming care independent of federal funds, adds gender-affirming care to covered services in child health plans, prohibits discrimination by health care entities (including insurers and providers) on the basis of gender identity or expression including specific bans on denying coverage for gender dysphoria/incongruence treatments, and mandates insurance policies to cover medically necessary treatments for gender dysphoria or incongruence without annual deductibles or coinsurance (with limited exception). All provisions expand access to and legal
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