Thoreson N, et al. - Researchers conducted this cross-sectional study to investigate the health insurance policies in the Affordable Care Act (ACA) marketplace and Medicaid policies for coverage of permanent hair removal for transgender and gender-minority (GM) individuals and to compare the policies in each state with statewide protections of coverage for gender-affirming care. From September 1 to October 31, 2019, and January 17 to 30, 2020, private health insurance policies available on the ACA marketplace and statewide Medicaid policies were examined. One hundred sixty-six out of 174 Medicaid and Affordable Care Act marketplace policies (95.4%) broadly excluded or did not mention gender-affirming care, excluded or did not mention coverage of hair removal, or only permitted coverage in the setting of genital surgery. Medicaid policies and private policies in states with no legal protection for transgender coverage have been less likely to cover permanent hair removal. Findings from this report show that most insurance plans do not cover permanent hair removal for transgender and GM patients.