Transgender Missourians have many new rights and protections under the Affordable Care Act, including:

  • The right to not be denied insurance coverage or charged more because of past medical care or a preexisting condition, including gender dysphoria or gender identity.
  • The right to clinically appropriate preventive services, including “sex-specific” preventive services (such as mammograms or prostate cancer screening), without cost-sharing.
  • The right to coverage of health services (such as preventive screenings, hormone therapy, and mental health services) as long as those services are covered for other people on your insurance plan  

The U.S. Department of Health and Human Services recently proposed additional protections for the transgender community. Although these rules have not been finalized yet, transgender people can and should be aware of these proposed protections and check back here for progress. The proposed rules include:

  • Banning transgender exclusions in private health insurance and state Medicaid programs, so more insurance plans could provide coverage for transition-related care. Requiring many health care entities to treat individuals in accordance with their gender identity in, for instance, assigning a person to a room or ward in a hospital.
  • Prohibiting discrimination on the basis of sex stereotyping (i.e., stereotypical notions of masculinity and femininity).


​LGBT Health Access Team

​The work of the LGBT Health Access team utilizes both PROMO Fund and SAGE of PROMO Fund as collaborative partners in tackling health disparities and issues faced by LGB, transgender, and gender non-conforming Missourians. To date, the collaboration has helped to enact 125+ LGBT welcoming policies in over 53 Missouri Hospitals. Also, over 3,000 health and social service providers in Missouri have been trained in LGBT cultural competency. To find out more about the 8 different trainings that SAGE of PROMO Fund offers, including trainings for the workplace, creating welcoming spaces, and LGBT and Aging, please click here

Missouri ranks 6th in the Nation, and 1st in the Midwest for Hospitals that identify as "Leaders in LGBT Health" according to the Human Rights Campaign's Healthcare Equality Index. This is a significant increase from 2014, when Missouri was ranked 37th in country.

If you face discrimination, you have rights. We encourage you to file a complaint or share your story with us.


​Transgender people face a higher rate of uninsurance, HIV infection, and suicidality, among other health needs. Discriminatory exclusions and practices by health workers also limit access to medically necessary care for transgender people. 



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