New York 2025-2026 Regular Session

New York Assembly Bill A06596

Introduced
3/6/25  

Caption

Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

Impact

The bill also seeks to reform the executive laws concerning discriminatory practices by healthcare entities. It introduces a specific prohibition against discrimination based on sexual orientation, gender identity, and expression, thereby broadening protections for individuals accessing healthcare services. Additionally, it requires that health insurance policies cover treatments for conditions like gender dysphoria without imposing annual deductibles or insurance copayments, further facilitating access to necessary medical care.

Summary

Bill A06596 aims to amend New York State laws to ensure that all medically necessary gender-affirming care is covered under Medicaid, irrespective of the availability of federal funds. This legislation is intended to address barriers faced by individuals seeking gender-affirming medical services, and it aims to guarantee that such services are recognized as essential healthcare. By mandating coverage for these services, the bill seeks to promote health equity and access for transgender individuals within the Medicaid system.

Contention

Despite the positive implications of A06596 for many advocates of LGBTQ+ rights, the bill has faced notable contention from various sectors. Critics express concerns about the financial implications of requiring Medicaid to cover gender-affirming care, particularly in the context of federal funding limitations. Critics also argue that such mandates could strain state resources and complicate the healthcare landscape. The discussions surrounding the bill highlight a divide in opinions regarding the balance between ensuring comprehensive healthcare access and the economic impact on state-funded programs.

Companion Bills

NY S06377

Same As Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

Previously Filed As

NY S08058

Defines gender-affirming care for the purposes of certain prohibitions regarding the legal system and gender-affirming care.

NY A08627

Defines gender-affirming care for the purposes of certain prohibitions regarding the legal system and gender-affirming care.

NY S00380

Requires health insurance policies to include coverage for doula services as required coverage for maternity care.

NY A08329

Requires health insurance policies to include coverage for doula services as required coverage for maternity care.

NY A06993

Relates to consideration of gender-affirming health care or gender-affirming mental health care in child custody cases for purposes of jurisdiction, forum and enforcement of custody orders.

NY S08704

Relates to consideration of gender-affirming health care or gender-affirming mental health care in child custody cases for purposes of jurisdiction, forum and enforcement of custody orders.

NY A02401

Requires health insurance coverage for substance use disorder treatment services.

NY A03148

Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts.

NY S06973

Prohibits an insurer or health maintenance organization from including certain requirements in insurance contracts.

NY S00137

Requires that medicaid and health insurance plans provide coverage for costs of prescription smoking cessation treatment that is ordered by a physician; establishes a coverage limit for each covered individual.

Similar Bills

CT HB06609

An Act Concerning Minors Experiencing Gender Dysphoria Or Incongruence.

NY S06377

Requires Medicaid to cover gender-affirming care regardless of federal funding; prohibits discriminatory practices by health care entities including hospitals, certain professionals, and insurers; requires insurance coverage for services or treatments for gender dysphoria or gender incongruence.

CT HB05370

An Act Prohibiting Certain Treatment Practices And Promoting Psychotherapy For Minors Experiencing Gender Dysphoria Or Incongruence.

NV SB163

Requires certain health insurance to cover treatment of certain conditions relating to gender dysphoria and gender incongruence. (BDR 57-129)

NJ A5419

Prohibits health care professionals from providing gender-affirming health care services to persons under 21 years of age.

CT SB01045

An Act Concerning Surgery On Minors.

GA HB660

State government; prohibit coverage of expenses for any transition related intervention under state health benefit plan or with any state funds

GA SB39

Employees' Insurance and Benefits Plans; expenses for gender-affirming care under the state health benefit plan or with any state funds; prohibit coverage