Transgender Insurance Watch: Care for Youth Officially Added to NYS Medicaid Coverage!

Apicha Community Health Center Oct 06, 2016  


Apicha Community Health Center applauds Governor Andrew M. Cuomo for his commitment to health equity for transgender and gender nonconforming (GNC) New Yorkers. In October, The New York State Health Department proposed a rule that will enable Medicaid to cover minors seeking access to hormone-therapy and other medical services that will aide in their transition. On December 7th, it became official! 

This rule is an important step in providing access to health care for all transgender and GNC people. It was just last year that the state decided to allow adults using Medicaid to access these services.  The New York Times reports the content of the rule: “The proposed changes therefore would make Medicaid coverage of transgender care and services available, regardless of an individual’s age, when such care services are medically necessary to treat the individual’s gender dysphoria.”


Infographic by Sylvia Rivera Law Project or Glaad 


When will the rule go into effect? 

The rule was announced on Wednesday, October 5, 2016.  On December 7th it was officially put in place and coverage will take effect immediately!

Proposal background

To get to this point, the health department has taken more active steps to better understand the unjust barriers that transgender people face in the health care system, especially youth. They consulted with health practitioners serving transgender youth in different pockets of NY state to better understand the need for youth access to hormone-therapy treatments.

  • In November 2015, Governor Cuomo announced new state regulations to protect all transgender New Yorkers from discrimination in housing, employment, credit, education, and public accommodations.
  • Also in November 2015, Governor Cuomo announced the state of New York approved for certain surgeries and other transgender-related care to be covered by Medicaid.


Transgender rights in New York State

Transgender rights has long been an issue left out in progress made by LGBT movements. In 2002, New York State passed legislation to protect people from facing discrimination in housing, employment, and other areas based on sexual orientation, but intentionally left out bias against trans* individuals.

“The law protected lesbians, gays and bisexuals, but it left out the ‘T’, so to speak. It left behind the transgendered,” Cuomo said. “That was not right, it was not fair and it was not legal,” he continued.

Governor Cuomo’s actions follow years of frustrating attempts to change legislation to include trans* rights. These efforts have been stopped again and again by the Republican-led state senate in Albany.

Are you transgender or GNC and looking for healthcare?

Learn more about Apicha CHC’s Transgender Health Clinic.

This clinic is for the specific needs of transgender and gender non-conforming, gender variant and genderqueer individuals.

Our Transgender Health services include:

  • Personalized Primary Care
  • Transgender Insurance Coverage
  • Routine Check-Up and Immunization
  • Initiation and Maintenance of Hormone Therapy
  • Short-Term Mental Health Services
  • Care Management
  • Transgender Groups

Please feel free to request an appointment or download more information about our to learn more about trans* health, Apicha CHC’s Transgender Health Clinic, and trans* insurance coverage.

Apicha Community Health Center | LGBT Health Center in NYC


Photo credit: Glaad 

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