¹As coverage had previously been mandated by the Iowa Supreme Court, the future of HF 1049 is unclear ²Applies solely to the exclusion for minors ³The 4th Appeals Court's order mandating coverage for state employees has been vacated by the Supreme Court pending further consideration ⁴Ohio has an explicit exclusion in its codes, but it has been reported that it stopped being enforced in 2019. Bottom surgery for both trans women and trans men is listed as a covered benefit ⁵Requires a patient to be screened and treated for other mental health conditions before treatment is covered ⁶The 4th Appeals Court's order has been vacated by the Supreme Court pending further consideration ⁷Yes, this Google spreadsheet is an official government source