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Mystery mom's avatar

Some people in states that mandate coverage are covered under employer plans that are self-funded - Self-funded plans follow federal law and are not required to adhere to state mandates

Shawn's avatar

I’m so glad this ended up being an optimistic article 🥺

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Jun 14, 2025
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Aleksandra Vaca's avatar

Hi Kenzie! Thank you so much for your comment (and for subscribing!)! I started Transitics not only because I wanted something realistic and not the depressing narrative that dominates political discussions in trans spaces, but also so I could give my two cents on everything that is happening in the country right now and how it affects us. Plus, I love writing and I have the time!

For a little background on me, I grew up in Texas. I realised I was trans at 15, in the midst of all these attacks against trans youth. Gender-affirming care for minors was de facto banned at that point…so I was forced to wait 2 years and 3 months until I turned 18 to start HRT. I finally started medically transitioning a little less than 8 months ago (October 22nd, 2024!) and it truly did save my life. I’m the happiest I’ve ever been!

Aside from that, I’m also going to be a student starting in September, majoring in political science at Northwestern in Illinois. To be honest, I’m just really thankful I get to leave Texas because I don’t feel safe here anymore. Although the bill to ban HRT outright died in committee this session, there’s no doubt that next year they’ll try it again and I do not want to be here for that. They already took enough of my life, I won’t put myself in a position where they can take more. And, I get to study what I love, which I’m really looking forward to!

As for your question about the classification of transgender care, I’ve covered the of the HHS report in another article. However, the ‘Big, Beautiful Bill’ seeks to do exactly what you mentioned: remove the requirement for insurance to cover it. That’s pretty much all they can do, but it might not pass after all. I would advise you to rest easy, as the Trump doesn’t have control over medical associations which make the guidelines in the first place. Standards of care will remain, and in a ton of states insurance companies will still be required, by law, to cover gender-affirming care.

I know I said this in this article and I say this a lot in others, but most of everything that may be passed at the federal level against trans people will be a removal of protections, not an imposition of restrictions. Red states—like you mentioned, Florida—will continue to deteriorate, which is terrible, but blue states will stay the same. And even then, the courts may reinstate some protections that are removed.

I will cover the restrictions red states are trying to place in the future, I’m just waiting on United States v. Skrmetti, which is essential to anything they may try to do. It going our way will be a massive roadblock for them, so be on the lookout for that.

Remember: we will get through this. I know everything seems dark and scary right now, but this period won’t last forever. Hate never wins.