¹Considers Gender Dysphoria to be a 'special need' and treats it accordingly ²No mention of the specific treatment(s) provided ³The provision banning gender-affirming surgeries for inmates, though part of SB 49, was never challenged ⁴Will only provide surgeries in 'extraordinary circumstances' ⁵Has no healthcare policy concerning inmates, just a general responsibility ⁶No mention of gender-affirming care, but may consider gender-affirming surgery to be an 'cosmetic or elective surgery', which it is 'not liable for' ⁷Provides 'regular and or urgent medical care' to inmates ⁸Provides necessary medical care to any American Samoa citizen free of charge