Coverage Equity for Drugs, Testing, Procedure, Preventive Services, and Reproductive Technologies

Employers and health plans should not discriminate in the provision of health care benefits based on a patient's gender identity, sex assigned at birth, sexual orientation, marital status, or any other personal characteristic. Covered benefits such as prescription drugs and devices, elective sterilization procedures, diagnostic testing, medically indicated surgical procedures, and fertility assistance, including intrauterine insemination, egg retrieval, and other assisted reproductive technologies should be covered under the same terms for all patients.

Coverage should include services for individuals requiring transition or transgender care, as determined by the patient and their physician using patient-centered shared decision-making exercised in accordance with evidence-based standards of care. Coverage should also include all recommended preventive care services as determined by the patient's physician in accordance with evidence-based standards of care. (2002) (October 2023 COD)