Employers and health plans should not discriminate by the patient's birth gender, sexual orientation, or marital status in the provision of health care benefits including a) prescription drugs and devices, b) elective sterilization procedures, c) diagnostic testing, d) medically indicated surgical procedures, and e) assisted reproductive technologies. These benefits should be covered under the same terms and conditions as other prescription drugs, devices, elective surgeries, diagnostic testing, and medically indicated surgical procedures.
Coverage should include medically appropriate services for individuals requiring transition or transgender care as determined by best practice standards, the patient, and the attending physician. Further, this coverage should extend to the medically-appropriate, sex-specific recommended preventive services determined appropriate by the patient's primary care physician. (2002) (2018 COD)