Gender Equity on Drug, Testing, Procedure, and Preventive Coverage

Employers and health plans should not discriminate by birth or the patient's identified gender in the provision of health care benefits including a) prescription drugs and devices, b) elective sterilization procedures, c) diagnostic testing, and d) medically indicated surgical procedures. 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.

This coverage should extend to the medically-appropriate, sex-specific recommended preventive services determined appropriate for a particular individual by the individual's primary care physician. (2002) (2016 COD)