Trans Resource Navigator

Gender-affirming care in Alaska

Change detected, under review. An official source this page relies on changed recently. Part of this page may be out of date until we review it.

  • Page changed: Apply for Medicaid (2026-10-12) · #200
Care for adults
Allowed
Care for people under 18
Allowed
Alaska Medicaid (Denali KidCare for children and pregnant people) pays for hormones
Covered
Alaska Medicaid (Denali KidCare for children and pregnant people) pays for surgery
Covered
Private plans must cover care
No state rule

Gender-affirming care is legal in Alaska for adults and minors; no state law bans it. Alaska Medicaid removed its exclusion of transition-related care in 2021 after a federal lawsuit. There is no state shield law and no state ban on exclusions in private insurance. Planned Parenthood offers informed-consent hormones to adults in Anchorage, Fairbanks, and statewide by telehealth. Anchorage's LGBTQ health clinic (Identity) closed in May 2026, and the state medical board has proposed, but not adopted, a rule against care for minors.

Draft from official sources, September 24, 2026. Not yet checked by a person. How we verify

On this page
  1. Health centers near you
  2. Hormones by telehealth
  3. Clinics, programs, and funds
  4. Paying for care
  5. Rules for adults
  6. Rules for under 18
  7. Laws and court cases
  8. Sources

Community health centers near you

These federally funded centers must see you whether or not you have insurance, and charge based on income. Many, but not all, prescribe hormone therapy. Call and ask for "gender-affirming care" or "hormone therapy."

Sorting by distance uses your location only on this device. It is never sent anywhere.

Hormones by telehealth

These services prescribe hormones through video visits for people in this state. Point of Pride pays for a year and a half of care with several of them each spring.

  • Plume

    PaidNo Medicaid18+

    Trans-led telehealth service providing informed-consent hormone therapy, lab orders, prescriptions, and letters for surgery and documents, by app and video visit. Self-pay only since January 2026. A Point of Pride HRT Access Fund partner.

    About $99 per month ($90 in NY and NJ), which includes visits, messaging, prescriptions, and document letters. Labs and medications are billed separately and are often cheap with GoodRx or at a community pharmacy. Free for 18 months if you win a Point of Pride HRT Access Fund grant.

  • QueerDoc

    Sliding scale

    Small telehealth practice offering informed-consent hormone therapy with transparent sliding-scale pricing. Does not bill insurance for visits, but labs and prescriptions can go through your insurance. A Point of Pride HRT Access Fund partner.

    Sliding scale by income; check the current pricing page.

  • Planned Parenthood

    Sliding scaleTakes insurance

    Many Planned Parenthood affiliates provide informed-consent gender-affirming hormone therapy alongside sexual and reproductive health care, on a sliding scale and with Medicaid. Most affiliates see adults 18 and older; a few see 16- and 17-year-olds with parental consent and a readiness letter. Many start hormone care by telehealth. Self-pay initial consults typically run about $120 to $250 before sliding-scale discounts.

Clinics, programs, and funds

Paying for care

Medicaid (Alaska Medicaid (Denali KidCare for children and pregnant people))[8][9][10][11]

Alaska Medicaid's regulation listing non-covered services (7 AAC 105.110) previously included an exclusion that was repealed on July 25, 2021, after the state settled Being v. Crum, a federal lawsuit challenging the denial of gender-affirming surgery. Hormone therapy and surgery are now reviewed like other care: they must be medically necessary and some services need prior authorization. Cosmetic-surgery limits in the same regulation still apply to procedures judged cosmetic.

In April 2025 the state House added budget language against gender dysphoria care; its final status and effect are unclear, and it does not change the regulation.

Who qualifies: low-income adults 19 to 64 (Alaska expanded Medicaid), children, pregnant people, seniors, and people with disabilities. Apply at HealthCare.gov or Alaska Connect.

Apply for coverage

Private insurance[12]

Alaska has no state law or insurance bulletin that forbids private health plans from excluding gender-affirming care. Whether your plan covers it depends on the plan documents; many employer plans are self-funded and regulated federally, not by the state.

If a claim is denied, appeal with the plan first, then ask for an external review. For state-regulated plans, the Alaska Division of Insurance takes complaints (907-269-7900, or 1-800-INSURAK in state). The Trans Health Project (A4TE) has free appeal templates.

File an insurance complaint

The rules in detail

Rules for adultsNo Alaska law limits gender-affirming care for adults.

No Alaska law limits gender-affirming care for adults. Any licensed provider can prescribe hormones, and Planned Parenthood Great Northwest, Hawaiʻi, Alaska, Indiana, Kentucky uses an informed consent model for patients 18 and older: no therapist letter is needed. Its Anchorage and Fairbanks health centers and its Alaska Virtual Health Center (telehealth) all offer hormone care.

Because Alaska is large and rural, telehealth is often the most practical option outside Anchorage and Fairbanks: QueerDoc, Plume, and Planned Parenthood serve Alaska.

The state has no shield law protecting patients or providers from out-of-state legal action, and in June 2026 the state joined a federal lawsuit against WPATH, the professional body behind the main standards of care. Neither changes what care is legal for adults in Alaska today.

[1][2][7]
Rules for under 18Alaska has no law banning gender-affirming care for people under 18.

Alaska has no law banning gender-affirming care for people under 18. With parental consent, a licensed provider may prescribe puberty blockers or hormones.

However, access is thin and under pressure:

  • In August 2025 the State Medical Board approved a draft regulation that would make providing puberty blockers, hormones, or surgery for gender transition to anyone under 18 "unprofessional conduct" subject to discipline. As of September 2026 it does not appear in the published regulation (12 AAC 40.967); check for updates.
  • Identity Health Clinic in Anchorage, which served minors, closed on May 15, 2026.
  • Planned Parenthood's hormone care starts at 18.

Families should ask pediatric and adolescent providers directly, and can contact the ACLU of Alaska if a provider or school refuses care or information.

[4][5][6][1]
Laws and court cases1 court case, 2 laws

Being v. Crum, No. 3:19-cv-00060 (D. Alaska)

Alaska Medicaid may not categorically exclude gender-affirming care; requests are reviewed for medical necessity.[9][8]

Challenge to Alaska Medicaid's refusal to cover gender-affirming surgery. The parties reached a stipulated settlement (December 2020) approved by the court on January 25, 2021; the court retained jurisdiction. The exclusion was repealed from 7 AAC 105.110 effective July 25, 2021. Last update 2021-02-03.

  • 7 AAC 105.110: Alaska Medicaid non-covered services (former transition-care exclusion at paragraph 12 repealed 7/25/2021)
  • 12 AAC 40.967: State Medical Board definition of unprofessional conduct (subject of the 2025 draft regulation on minors)

Sources

17 sources. Numbers in the text, like [1], point here.Show all
  1. HRT: Hormone Therapy for Trans and Non-Binary PatientsPlanned Parenthood Great Northwest, Hawaiʻi, Alaska, Indiana, Kentucky, Organization. accessed
    “We offer gender-affirming hormone care for patients 18 years and older at all of our health centers and by telehealth.”
  2. Health Centers in AlaskaPlanned Parenthood Federation of America, Organization. accessed
    “Anchorage Health Center, Anchorage, AK; Alaska Virtual Health Center, Anchorage, AK; Fairbanks Health Center, Fairbanks, AK”
  3. Anchorage Health CenterPlanned Parenthood Federation of America, Organization. accessed
    “4001 Lake Otis Parkway”
  4. Alaska medical board seeks to restrict abortion, transgender medical careAlaska Beacon, News. accessed
    “the board approved a draft regulation that, if made final, would declare that providing gender transition care for someone younger than 18 amounts to "unprofessional conduct"”
  5. 12 AAC 40.967, Unprofessional conductAlaska Legislature (Alaska Administrative Code), Regulation. accessed
  6. Identity Closing Health Clinic and Transitioning Patient Care (archived)Identity, Inc., Organization. accessed
    “The clinic has closed as of May 15, 2026, but our board can be reached via email to address the transition in the community.”
  7. Alaska joins Federal Trade Commission to sue trans healthcare nonprofit over gender-affirming treatmentAlaska Beacon, News. accessed
    “The FTC was joined by Alaska, Iowa, Nebraska and Texas in the lawsuit, which was filed in federal court in Texas.”
  8. 7 AAC 105.110, Noncovered servicesAlaska Legislature (Alaska Administrative Code), Regulation. accessed
    “(12) repealed 7/25/2021”
  9. Being v. Crum, 3:19-cv-00060 (D. Alaska), docketCourtListener, Court. accessed
    “This case is now closed, the court to retain jurisdiction pursuant to the parties' stipulated settlement agreement of December 22, 2020”
  10. Alaska House votes down symbolic antiabortion budget language, passes amendment against trans careAlaska Beacon, News. accessed
    “Although a 2021 lawsuit resulted in a federal ruling that requires Alaska's Medicaid program to cover gender-affirming care, the Alaska Supreme Court has not considered the issue”
  11. Apply for MedicaidAlaska Department of Health, Official page. accessed
    “Eligible groups include low-income children, pregnant women, families, adults without dependent children between the ages of 19 and 64, the elderly, blind, and the permanently disabled.”
  12. Complaints (Alaska Division of Insurance), via Wayback Machine snapshot of 2026-08-22Alaska Division of Insurance, Official page. accessed
    “Insurance questions? Email: Consumer Services Call: 907-269-7900 or 1-800-INSURAK (in-state, outside Anchorage)”
  13. Medical servicesAnchorage Neighborhood Health Center, Organization. accessed
    “HIV prevention, testing, and treatment (including PrEP)”
  14. Sliding Fee Discount ProgramAnchorage Neighborhood Health Center, Organization. accessed
  15. HIV/AIDS Services (read via Wayback snapshot of 2025-05-12; live site blocks automated access)Alaska Native Tribal Health Consortium, Organization. accessed
    “ANTHC's Early Intervention Services program, through ANMC Internal Medicine, provides HIV/AIDS patient services, case management and counseling for Alaska Native and American Indian people.”
  16. HRT Access FundPoint of Pride, Organization. accessed
  17. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed