Adult Gender-Affirming Care Timeline.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Treatment seekers are referred via Aland health and medical services to hospitals in mainland Finland or Sweden. Start year of the arrangement not verified.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

The Ministry approved a clinical guideline for hormone therapy at the Mother Teresa University Hospital Centre and said it sets no reimbursement scheme; the exact approval date was not verified.

Current criteria as read for the audit (page modified 4 February 2026): gender dysphoria diagnosis and two independent assessments for genital surgery. The start year of the two-assessment rule is not verified.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Gender-affirming surgery is not covered under Medicare, while hormones are PBS-listed. The year coverage began is not verified; this records the position in 2026.

Free public service for ACT residents from 16 providing hormone therapy; no surgery. Start year not verified.

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

A Family Welfare Division official said hormone services in government hospitals cannot be launched without a clear legal and regulatory framework, so no public service exists yet.

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

Current form (revised 10 March 2026) requires the practitioner to confirm the Payment Schedule criteria for gender dysphoria. Start year of BC's surgery funding not verified.

The Health Minister saw no reason to change the Austrian legal position on gender-affirming treatment.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

The Health Minister saw no reason to change the Austrian legal position on gender-affirming treatment.

Current law: trans people have a right to pharmacological treatment and to the surgical portfolio, mental-disorder diagnostic categories may not be used and diagnostic assessments of gender identity are banned.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Gender-affirming surgery is not covered under Medicare, while hormones are PBS-listed. The year coverage began is not verified; this records the position in 2026.

Gender-affirming surgery is not covered under Medicare, while hormones are PBS-listed. The year coverage began is not verified; this records the position in 2026.

Western Australian laws apply on the islands, as modified by ordinance; the year WA laws were first applied is not verified here.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Annulled the Medical Syndicate's refusal to complete a trans client's procedures and ordered the Sex Reassignment Committee to finish its examinations and send its opinion to Al-Azhar; the committee's composition was…

Treatment takes place in Denmark and may be funded by the Faroese health system if approved by the Danish system. Start year of the arrangement not verified.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A Family Welfare Division official said hormone services in government hospitals cannot be launched without a clear legal and regulatory framework, so no public service exists yet.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Documents that doctors require psychologist and psychiatrist opinions establishing ICD-10 F64.00, that hormones need doctor-specific off-label permits from the national public health centre with fresh opinions, and that…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

The HSE confirmed that gender affirming surgery is not available in Ireland and is funded abroad under the Treatment Abroad Scheme on a consultant application with a multidisciplinary team report; 69 patients were…

The HSE is developing a new model of care for adults and young people, expected in the fourth quarter of 2026; no finalised national model of care for minors exists.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Gender-affirming surgery is not covered under Medicare, while hormones are PBS-listed. The year coverage began is not verified; this records the position in 2026.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

A Family Welfare Division official said hormone services in government hospitals cannot be launched without a clear legal and regulatory framework, so no public service exists yet.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Amended another annex of Order No. KR DSM-203/2020 and treats the order as in force, which confirms the 2020 rules on sex change remain current; the sex change annex was not changed.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A Family Welfare Division official said hormone services in government hospitals cannot be launched without a clear legal and regulatory framework, so no public service exists yet.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

The Ministry stated that the diagnosis is made under ICD-10 by a psychiatrist or a council of doctors; it said its answer is not binding.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

The Health Minister saw no reason to change the Austrian legal position on gender-affirming treatment.

Reported that the Health Ministry asked the G-BA in January 2026 to set rules within a year and that the current assessment continues to apply meanwhile.

A Family Welfare Division official said hormone services in government hospitals cannot be launched without a clear legal and regulatory framework, so no public service exists yet.

The minister confirmed annex C point 15 remains in force and that revision, including informed consent models, is under analysis.

A Family Welfare Division official said hormone services in government hospitals cannot be launched without a clear legal and regulatory framework, so no public service exists yet.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

Replaced the definition of transgender person with socio-cultural identities (kinner, hijra, aravani, jogta, eunuch), people with intersex variations and people forced into a transgender identity, removing trans men,…

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.

Federal employee health plans stopped covering hormones and surgery for gender transition at any age from 2026, apart from case-by-case continuation for people mid-treatment.

MassHealth made no change to gender-affirming care coverage after the federal rule and will cover any lost federal funding from the state Affirming Health Care Trust.

A federal court vacated the 2025 federal rule that would have removed sex-trait modification from essential health benefits, so the federal Marketplace exclusion no longer applies.