Maryland implements Medicaid expansions for gender-affirming care

Effective Jan. 1, through its Trans Health Equity Act, Maryland Medicaid coverage has expanded gender-affirming services and procedures. It has expanded from mental health services, hormone replacement therapy and gender reassignment surgery to include body contouring, vocal surgery and therapy, hair removal, puberty blockers, fertility preservation and various other cosmetic surgeries. It also covers the revision or reversal of prior gender-affirming procedures.