CMS proposes a policy that would add sex-trait modification to the list of items and services that may not be covered as essential health benefits beginning in plan year 2026.
In other words, they're throwing transgender folks under the bus, which is hardly surprising but is still appalling; I'll have a separate writeup about this soon. It doesn't mean that insurance carriers can't cover gender-affirming services, but it does mean those services can't have APTC subsidies applied towards them if they're included in the policy.
New Jersey Department of Banking and Insurance Issues Guidance to Insurance Carriers to Ensure Nondiscriminatory Health Coverage to Transgender Individuals
Addresses obligation to follow laws against discrimination based on gender identity, gender expression or on the basis that an individual is a transgender person
TRENTON — Department of Banking and Insurance Acting Commissioner Justin Zimmerman today issued a bulletin providing guidance to insurance carriers concerning health coverage for transgender individuals to ensure all New Jersey residents have equal access to health coverage and health care.
The guidance follows Executive Order No. 326 signed by Governor Phil Murphy in April protecting gender-affirming health care in New Jersey.