Some states have multiple employee health plans with differing policies on coverage for gender-affirming medical care. North Carolina was ordered to remove its exclusion in 2022 by a federal judge, but the state is appealing the ruling. The exclusion was inactive as of December 2022.

Source: ProPublica review of health plans in all 50 states and D.C.
Chart: Lucas WaldronThe 19th・19thnews.org