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There are procedural steps two state medical boards have to complete before the rules are finalized. But there have already been reports of disruptions to care, and some transgender youth and their families say the stress is traumatizing.
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Activists are campaigning against clinics that offer care for transgender teenagers. Some families worry that will only fuel efforts to ban gender-affirming care in their state.
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Lawyers and health experts, as well as incarcerated and formerly incarcerated individuals, say getting gender-affirming care in prison often comes only after threats of lawsuits or a full legal fight.
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The Florida Agency for Health Care Administration rule prevents reimbursements to medical providers for such treatments as puberty blockers, hormone therapy and gender-affirming surgery.
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The codes used by U.S. medical providers to bill insurers haven’t caught up to the needs of trans patients or even international standards. Consequently, doctors are forced to get creative with what codes they use, or patients spend hours fighting big out-of-pocket bills.
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Under the rule, the Medicaid program would not cover puberty-blocking medication, hormones and hormone “antagonists,” gender affirmation surgeries and any “other procedures that alter primary or secondary sexual characteristics.” It goes into effect Aug. 21.
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The Florida Board of Medicine is slated to consider a proposal by Gov. Ron DeSantis’ administration to bar physicians from providing treatments such as hormone therapy and puberty-blocking medication to transgender youths.
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Gov. Ron DeSantis’ administration moved forward with a proposal that would deny Medicaid coverage for treatments such as puberty-blocking medication and hormone therapy. National and state legal and LGBTQ-advocacy groups have vowed to fight the proposal.
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Some doctors throughout Florida are speaking out against plans to block people receiving gender-affirming care from using Medicaid to pay for it.
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The Florida Department of Health released guidance that said treatment such as puberty-blocking medication and hormone therapy should not be used for transgender youths, clashing with federal officials over the issue.
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Fifteen states have enacted or are currently considering laws that would restrict medical treatments to more than 58,000 transgender youth.