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Health care could get more expensive for transgender people under a new Trump rule

  • Health care costs for transgender Americans could rise starting in 2026 due to a proposed rule by the Centers for Medicare & Medicaid Services that may exclude gender-affirming care from insurance plans sold on the individual and small-group marketplace.
  • Experts warn that if finalized, the rule could lead to increased premiums and out-of-pocket expenses for transgender individuals, and potentially encourage health insurance companies to deny claims related to gender-affirming care.
  • Olivia Hunt of Advocates for Trans Equality describes the proposal as part of ongoing efforts by the Trump administration to weaken nondiscrimination protections for transgender people under the Affordable Care Act.
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Gingrich 360 broke the news in on Monday, April 14, 2025.
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