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Colorado residents with bodies that conflict with their gender may have an easier time paying for treatment starting in 2023. The federal Centers for Medicaid and Medicaid Services announced Tuesday that it has approved Colorado’s plan for updating the state essential health benefits (EHB) package. The plan includes a minimum level of coverage for gender-affirming care. The new Colorado EHB package also includes access to an annual mental health wellness exam and six acupuncture sessions per year.

Other states have used state laws and regulations to set minimum requirements for gender-affirming care coverage, but Colorado is the first state to build the requirements into its EHB package, federal officials said in the approval announcement.


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