Skip to main content

The context you need, when you need it

When news breaks, you need to understand what actually matters — and what to do about it. At Vox, our mission to help you make sense of the world has never been more vital. But we can’t do it on our own.

We rely on readers like you to fund our journalism. Will you support our work and become a Vox Member today?

Join now

Sex-reassignment surgeries can now be covered by federal health plans

Just two weeks after Medicare lifted a ban on sex-reassignment surgeries, the federal government undid its own coverage ban on all transition-related care, including surgeries, for federal employees.

The decision, in short, means federal employees might be able to get transition care through government-provided Federal Employee Health Benefits plans starting in 2015.

Edmund Byrnes, spokesperson for the Office of Personnel Management, wrote in an email that the change was in response to advances in medical evidence.

In the past, health experts classified transgender status as an untreatable mental health condition. Today, most of the health-care community, including the American Psychiatric Association, says gender dysphoria can, depending on the patient, be successfully treated with hormone therapy and sex-reassignment surgery.

The federal government’s decision does not mean that all Federal Employee Health Benefits plans will now cover sex-reassignment surgeries. It will instead fall on carriers to decide whether they want to cover transition-related care.

Still, LGBT advocates quickly applauded the decision.

“Today’s welcome decision by the Office of Personnel Management to remove this discriminatory and harmful exclusion is an important step towards closing the gap in access to quality health care for transgender workers,” HRC Government Affairs Director David Stacy said in a statement. “HRC urges FEHB insurance carriers to include this essential coverage in their plans so that federal workers have access to medically necessary transition-related care.”

By HRC’s estimate, just 25 percent of Fortune 500 companies offer full transition-related care. LGBT advocates hope that the end of the Medicare ban will get private employers to rethink their stances on the issue.

Props to BuzzFeed for breaking the story.

Update: Clarified that the federal government’s ban affected all transition-related care, not just sex-reassignment surgeries, in the lead paragraph.

More in Health Care

Health
Hantavirus will test if the world learned anything from CovidHantavirus will test if the world learned anything from Covid
Health

The hantavirus outbreak is still small. But it’s a huge test for a battered public health sector.

By Dylan Scott
Health
How worried should I be about hantavirus?How worried should I be about hantavirus?
Health

5 questions about the hantavirus cruise ship outbreak, answered.

By Dylan Scott
Good Medicine
Do health influencers actually know what they’re talking about?Do health influencers actually know what they’re talking about?
Good Medicine

Most health influencers don’t have real credentials — but they are more influential than ever.

By Dylan Scott
Health
A major new study found AI outperformed doctors in ER diagnosis — but there’s a catchA major new study found AI outperformed doctors in ER diagnosis — but there’s a catch
Health

An Open AI model posted impressive results in emergency care. But we still need human doctors.

By Dylan Scott
Health
Please don’t inject yourself with bootleg peptidesPlease don’t inject yourself with bootleg peptides
Health

Why Americans have gone wild self-experimenting with the hottest thing in wellness: Peptides.

By Dylan Scott
Health
RFK Jr. is in his influencer eraRFK Jr. is in his influencer era
Health

The real reason Trump’s health secretary is launching a podcast.

By Dylan Scott