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Access to Gender-Affirming Care and Transgender Mental Health

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  • Samuel Mann
  • Travis Campbell
  • Duc Hien Nguyen

Abstract

Using variation in the coverage of gender-affirming care under Medicaid, we provide the first evidence of increasing access to gender-affirming care on the mental health of transgender people. We use data from the 2014–20 Behavioral Risk Factor Surveillance System paired with a triple-difference design that leverages state-level differences in timing and availability of Medicaid coverage for gender-affirming care and income-based Medicaid eligibility thresholds. Results demonstrate that Medicaid coverage of gender-affirming care meaningfully improves the mental health of transgender people. We also provide suggestive evidence that this is driven by increased take-up of gender-affirming care.

Suggested Citation

  • Samuel Mann & Travis Campbell & Duc Hien Nguyen, 2024. "Access to Gender-Affirming Care and Transgender Mental Health," American Journal of Health Economics, University of Chicago Press, vol. 10(2), pages 162-181.
    • Handle: RePEc:ucp:amjhec:doi:10.1086/728080
    DOI: 10.1086/728080
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