Health plans

Hawaii Asks Health Plans To Show Benefits Of Gender Transition On Web

Descriptions of gender identity benefits should be posted on the web “as soon as possible and at the latest, before the effective date of plans for plan year 2022,” Hayashida said.

Hayashida noted that Hawaii’s laws prohibit health plans from discriminating against individuals with respect to participation or coverage, based on real or perceived gender identity.

He also cited a recent initiative by the US Department of Health and Human Services to change the way the HHS interprets a provision in the Affordable Care Act that prohibits discrimination based on sex. The HHS now says it believes the term “discrimination on the basis of sex” includes “discrimination on the basis of sexual orientation” and “discrimination on the basis of gender identity”.


In the past, some people referred to gender transition procedures as “sex reassignment” procedures.

The collaborative effort of the health industry – a consortium of volunteer-led health insurers that includes representatives from many major health coverage providers, including Aetna, Aetna, Cigna, Humana, UnitedHealth and the Centene’s Health Net unit – suggested, in a communication toolkit approved in 2019, that the term “sex reassignment” be used exclusively, and that the use of terms such as “gender affirming surgery” be used and “gender transition” is more sensitive.

Honolulu (Photo: Shutterstock)

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