The Section 1557 Non-discrimination regulations for the ACA were released in May, and the carriers are releasing their notices and interpretations of the regulations. I guess this is one of those "hidden easter eggs" in Obamacare that no one discussed, voted on, or even thought about WAY WAY back in 2010 when the law passed. You remember 2010, right? That was two years after 2008 when every candidate for President articulated their view of marriage as being between a man and woman. It is probably not surprising that the definition of marriage has changed in the eight years since then. But, did anyone expect that the definitions of what is a man or woman become so . . . subjective. But, let's not discuss politics.
The non-discrimination rules prohibit discrimination in the administration of health insurance based on race, color, national origin, age, gender or disability. In addition to this general prohibition, the Final Rule outlines specific underwriting practices, plan designs and marketing activities that are prohibited forms of discrimination. Section 1557 does not mandate any coverage of benefits, but prohibits discriminatory exclusions or limitations from being placed on benefits. Thus, groups may not exclude gender reassignment surgery (or other benefits) based on a discriminatory factor. This means that a group health plan may exclude or limit gender reassignment surgery (or any other benefit) based on neutral, non-discriminatory factors, such as clinical criteria; however, a group health plan may not exclude or limit gender transition surgery (or any other benefit) because of a discriminatory factor (i.e., age, gender, gender identity, sexual orientation, disability, etc.).
But, in response to this new rule every carrier has determined that all blanket exclusions for gender transition surgery when medically necessary shall be removed. Thus, the effect of this rule is to mandate the coverage of gender transition surgery. The key language here is "medically necessary." When is gender transition surgery medically necessary? This is "to be determined," but my guess would be that it is whenever a doctor says so. This is how Blue Cross Blue Shield is handling it: