Study: Non-discriminatory state-level insurance can improve access to gender-affirming care JAMA_current
What is the association between California’s 2013 Insurance Gender Nondiscrimination Act and utilization of gender-affirming surgery?In this population epidemiology study of 25 252 transgender and gender-diverse patients in California vs Washington and Arizona , implementation of the Insurance Gender Nondiscrimination Act was associated with an absolute 12.1% difference in probability of undergoing gender-affirming surgery.
Receipt of gender-affirming surgery, defined as undergoing at least 1 facial, chest, or genital procedure.A total of 25 252 patients had a diagnosis of gender dysphoria. Median ages were 34.0 years in California , 39 years among those undergoing gender-affirming surgery in control states, and 36 years among those not undergoing gender-affirming surgery in control states.
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