Maryland to cover unprecedented number of gender-affirming procedures in “groundbreaking” win
Maryland’s Medicaid program now covers gender-affirming care that reaches far beyond hormones and surgery, including voice therapy, fertility preservation, hair and scar removal, and a wide range of procedures. Under a law that took effect January 1, 2024, patients can only be denied a covered service if a clinician finds it would harm their individual health — never on the basis of identity. The bill grew directly out of conversations at Pride festivals and support groups across the state, shaped by trans Marylanders describing the barriers they faced. For residents like Renee Lau, who had been saving toward surgeries she couldn’t afford, the relief is immediate. As other states move to restrict trans healthcare, Maryland offers a hopeful template for how Medicaid can meet people where they are.









