Kaiser Health News, July 13, 2017
Shefali Luthra

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[...] Before the ACA, Medicaid operated under its own anti-discrimination requirements. However, many state programs were vague in describing gender-transition benefits. This made it difficult for people like Singleton to understand what Medicaid covered. It also made it easier for plans to question the “medical necessity” of treatments and to issue denials.

By making it clear that state Medicaid programs could not refuse to pay for a health care service simply because the beneficiary is transgender, and suggesting greater federal attention to the matter, the Section 1557 rule pushed states to be more upfront about coverage specifics.

That regulation is back in play as the Department of Health and Human Services appears to be walking back from its directive and coverage protections. [...]

health care finance health care reform health law policy lgbtq medicaremedicaid public health regulation