In a recent letter hailed by advocates in the LGBT community, the Department of Health and Human Services clarified that provisions in the Affordable Care Act prohibiting sex discrimination in health insurance apply to transgender people.
The letter declares that it would be discriminatory for employers, insurers and others to deny health insurance coverage or benefits based on “gender identity or failure to conform to stereotypical notions of masculinity or femininity.”
While the letter does not mean that insurers have to cover surgery related to gender transition, it does send a message that this is a problem that needs to be addressed. The HHS plans to issue further guidance on the subject.
Many major professional medical organizations, including the American Medical Association and the American Psychiatric Association, support treatment for gender dysphoria.