Table 1 Transgender-related state policies included in analysis

Transgender Enrollment in Private Insurance

1 – private insurers are prohibited from denying coverage based on gender identity

0 – no explicit prohibitions on private insurers deny coverage based on gender identity

Private Insurance Coverage of Gender Affirming Care

1 – private insurers are required to cover gender affirming care

0 – private insurers are not required to cover gender affirming care

Medicaid Coverage of Gender Affirming Care

1 – Medicaid policy explicitly covers gender affirming care

0 – Medicaid policy does not explicitly cover gender affirming care

Name Change Publication Requirements

1 – Publication of a name change is never required

0 – Publication of a name change is required in at least some circumstances, or the law is unclear

Name Change Legal Status Requirements

1 – Name change requirements are the same for all

0 – At least some people with a criminal record are required to undergo additional steps or are not allowed to change their name

Driver’s License Gender Marker Change Requirements

1 – Requires a simple form completed only by the applicant

0 – Has additional requirements such as certification by a medical or psychological provider or court order

Birth Certificate Gender Marker Change Requirements

1 – No surgery or court order required

0 – Requires surgery, a court order, or is prohibited

Equality Policies

Scoring

Housing Nondiscrimination

1 – Gender identity is a protected class

0 – Gender identity is not a protected class

Public Accommodations Nondiscrimination

1 – Gender identity is a protected class

0 – Gender identity is not a protected class

Credit Nondiscrimination

1 – Gender identity is a protected class

0 – Gender identity is not a protected class

Transgender Panic Defense

1 – Inadmissible

0 – Permitted

Inclusion in Hate Crime Laws

1 – Gender identity is a protected class

0 – Gender identity is not a protected class