As Affordable Care Act regulations remain under attack, transgender community members continue to face obstacles to obtaining coverage of medically-necessary healthcare under private and public health insurance policies. This panel will provide a review of common coverage issues under marketplace, Medicare, Medicaid, and employer-based plans, and discuss advocacy techniques. Issues will include explicit exclusion of all transition-related healthcare, implicit exclusion through prohibitions on cosmetic services, and meeting diagnostic criteria for medical necessity. Practitioners will discuss preservation of rights in the administrative hearing context, strategic litigation, as well as the impact of pending federal court decisions on ongoing litigation. Finally, the panel will share the nuts and bolts of outreach initiatives aimed at supporting clients through the claims process. Audience members will also be invited to join an interactive discussion on other successful outreach efforts across the country. Come prepared to discuss what efforts have worked in your state, and learn what measures have been successful in others.
Speakers: Jay Kaplan, American Civil Liberties Union; Noah E. Lewis, Transcend Legal; Kerene Moore, Michigan Advocacy Program; Amy Nelson, Whitman-Walker Health; Liza Thantranon, Legal Services of Northern California