From cosmetic to critical: Oregon, other states work to boost trans health coverage

For most of her life in New Mexico, Christina Wood felt like she had to hide her identity as a transgender woman. So six years ago she moved to Oregon, where she had readier access to the gender-affirming health care she needed to live as her authentic self.

Once there, Wood, 49, was able to receive certain surgeries that helped her transition, but electrolysis, or permanent hair removal, wasn’t fully covered under the state’s Medicaid plan for low-income residents. Paying out-of-pocket ate up nearly half her monthly income, but it was critical for Wood's mental health.

“Having this facial hair or this body hair, it doesn’t make me feel feminine. I still look in the mirror and I see that masculine person,” she said. “It’s stressful. It causes anxiety and PTSD when you’re having to live in this body that you don’t feel like you should be in.”

That is likely about to change. Oregon lawmakers are expected to pass a bill that would further expand insurance coverage for gender-affirming care to include things like facial hair removal and Adam's apple reduction surgery, procedures currently considered cosmetic by insurers but seen as critical to the mental health of transitioning women.