D.C. Government Announces Comprehensive Coverage for Transgender Residents

February 27, 2014

Today, D.C. Mayor Vincent Gray announced that public and private health insurance plans that the D.C. government regulates–including Medicaid, D.C. government employee insurance, and private plans sold on D.C.’s health exchange–are required to cover transition-related care.

The new announcement makes D.C. healthcare coverage the most comprehensive plans for transgender Americans in the United States, a direct result of concerted advocacy from local activists, the National Center for Transgender Equality, or NCTE, and the Center for American Progress and other allies.

“This victory reaffirms growing agreement among advocates and the medical community that D.C.’s healthcare nondiscrimination laws require that insurance cover medically necessary transgender healthcare,” said Andy Bowen, NCTE Policy Associate.

“This policy will make D.C.’s healthcare programs and insurance coverage the most comprehensive in the country for the full scope of health care that transgender people need throughout their lives,” said Andrew Cray, Policy Analyst at CAP’s LGBT Research and Communications Project. “But more importantly, this announcement tells transgender people in the District that their health matters.”

In a bulletin released today, D.C.’s Department of Insurance, Securities, and Banking, or DISB, explains that it will view “attempts by companies to limit or deny medically necessary treatments for gender dysphoria, including gender reassignment surgeries, to be discriminatory.” Beyond that, DISB affirms, “it is the position of the Department that treatment for gender dysphoria, including gender reassignment surgeries, is a covered benefit…”

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