The U.S. Department of Health and Human Services issued a proposed rule on Section 1557 of the Affordable Care Act to ban discrimination based on so-called “gender identity.” Under the proposed rule, insurance companies cannot discriminate based on gender identity and must treat people consistent with their identity, including in access to facilities. Specifically, healthcare cannot be denied or services limited because the patient identify as another sex. The proposed rule also requires that sex transition care be evaluated on a case-by-case basis, explicitly outlawing categorical exclusions for sex transition.
Comments are due November 9, 2015. You can submit comments here.