Trans Resource Navigator

Gender-affirming care in Alabama

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 Part of this page may be out of date until we review it.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: Alabama Medicaid Administrative Code (2026-10-12) · #206
  • Page changed: Ala. Code § 43-8-1, definitions (2026-10-12) · #205
  • Page changed: Ala. Code § 26-26-4, prohibited practices upon a minor (2026-10-12) · #204
  • Page changed: Ala. Code § 26-26-3, definitions (2026-10-12) · #203
  • Page changed: Apply for Medicaid (2026-10-12) · #202
  • Page changed: Ala. Code § 43-8-1, definitions (2026-09-28) · #9
  • Page changed: Ala. Code § 26-26-4, prohibited practices upon a minor (2026-09-28) · #8
  • Page changed: Ala. Code § 26-26-3, definitions (2026-09-28) · #7
Care for adults
Allowed
Care for people under 18
Banned
Alabama Medicaid pays for hormones
Unclear
Alabama Medicaid pays for surgery
Unclear
Private plans must cover care
No state rule

Adults can get hormone therapy and surgery in Alabama; no state law restricts adult care. For anyone under 19, Alabama makes it a felony to provide puberty blockers, hormones, or gender-affirming surgery, and that ban has been in effect since August 2023. Alabama has no shield law and no insurance protections. UAB's Gender Health Clinic in Birmingham and telehealth services such as Plume and QueerMed serve adults.

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

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

If you are under 18, or a parent

The Alabama Vulnerable Child Compassion and Protection Act (SB 184, Act 2022-289, Ala. Code §§ 26-26-1 to 26-26-8) bans, for anyone under 19, puberty blockers, "supraphysiologic" doses of testosterone or estrogen, sterilizing surgeries, genital surgeries, and removal of healthy tissue when done to affirm a gender different from the minor's sex at birth. A violation is a Class C felony for the person who provides it. The only exception is for minors with a medically verified disorder (difference) of sex development. Mental health counseling is not banned. The law also bars school staff from keeping a student's gender identity from parents.

A federal court blocked the hormone and blocker provisions in May 2022, but the Eleventh Circuit vacated that injunction on August 21, 2023 (Eknes-Tucker v. Governor of Alabama). The ban is fully in effect. In June 2025, the U.S. Supreme Court upheld Tennessee's similar law in United States v. Skrmetti.

Families can get navigation help and $500 travel grants from the Campaign for Southern Equality's Trans Youth Emergency Project.

[1][2][4][5][6][18]

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.

  • 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

  • UAB Gender Health Clinic[11]

    Birmingham academic clinic providing gender-affirming hormone therapy, sexual and reproductive health, and referrals for voice therapy, dermatology, mental health, and some surgeries. Adults 19 and older.

    • Insurance
    205-975-5854

  • QueerMed[12][13]

    Telehealth gender-affirming care that lists Alabama as a service state (adults only here because of the youth ban). Takes some insurance; self-pay is $99 a month including labs, medications extra. Can write letters for gender marker changes.

    • Paid
    • Telehealth

  • Thrive Alabama[14][15]

    Huntsville community health center with LGBTQ-focused primary care, PrEP, STI testing, and behavioral health; sliding-fee discount for uninsured patients. Call to ask about hormone therapy. Also has clinics in Florence and Albertville.

    • Sliding scale
    • Sees uninsured patients
    256-536-47003500 Memorial Parkway SW, Huntsville, AL 35801

  • AIDS Alabama Living Well Health Clinic[16]

    Birmingham walk-in sexual health clinic with STI testing and treatment, PrEP and PEP, and help getting PrEP free or at low cost if you are uninsured.

    • Cost varies
    • Sees uninsured patients
    205-831-06413522 7th Ave S, Birmingham, AL 35222

  • Central Alabama Alliance Resource and Advocacy Center (CAARAC)[17]

    Free HIV and hepatitis C testing, mailed HIV self-test kits, support groups, and resource referrals for Autauga, Dallas, Elmore, Lee, Lowndes, Macon, and Montgomery counties.

    • Free
    334-398-8912108 East Bridge Street, Wetumpka, AL 36092

  • Campaign for Southern Equality, Trans Youth Emergency Project[18]

    Patient navigation and $500 travel grants (renewable up to four times a year) for families of trans youth under a care ban. In Alabama it also serves trans 18-year-olds.

    • Free

  • Point of Pride HRT Access Fund[19]

    Pays for up to 18 months of telehealth hormone care through partner providers; applications open once a year.

    • Free

  • A4TE Trans Health Project[20]

    Free help appealing insurance and Medicaid denials for gender-affirming care, with templates and guides.

    • Free

  • HRSA Find a Health Center[21]

    Federal search tool for community health centers, which charge on a sliding scale based on income.

    • Sliding scale
    • Sees uninsured patients

Paying for care

Medicaid (Alabama Medicaid)[7][8][20]

Alabama Medicaid's administrative code has no written exclusion of gender-affirming care, but also no policy covering it, so coverage is decided case by case. Alabama has not expanded Medicaid, so most adults without children or a disability do not qualify. If you are denied, ask for the denial in writing and appeal; A4TE's Trans Health Project can help.

Apply for coverage

Private insurance[10][9]

No Alabama law prohibits insurers from excluding gender-affirming care. Read your plan's exclusions list. If a claim is denied, appeal with the insurer first, then file a complaint with the Alabama Department of Insurance. Employer self-funded plans are regulated federally, not by the state.

File an insurance complaint

The rules in detail

Rules for adultsNo Alabama law restricts gender-affirming care for adults (19 and older).

No Alabama law restricts gender-affirming care for adults (19 and older). Options:

  • UAB Gender Health Clinic (Birmingham) offers hormone therapy, sexual and reproductive health, and referrals for voice therapy, mental health, and some surgeries. Call 205-975-5854.
  • Telehealth: Plume and QueerMed both serve Alabama. QueerMed lists self-pay at $99 a month including labs (medications extra).
  • Community health centers charge on a sliding scale; find one at findahealthcenter.hrsa.gov and ask whether they prescribe hormones.

If you are 18: you are still a minor under Alabama law, so in-state providers cannot start or continue hormones until you turn 19. The Campaign for Southern Equality's Trans Youth Emergency Project helps 18-year-olds in Alabama find care in other states and offers travel grants.

If you have no insurance and little money: compare telehealth self-pay prices, apply to Point of Pride's HRT Access Fund, and check generic prices with GoodRx (generic estradiol and spironolactone are often inexpensive).

[11][12][13][18][21][19][3]
Laws and court cases1 court case, 2 laws

Eknes-Tucker v. Governor of Alabama, No. 22-11707

The ban is in effect. No court order protects providers or patients under 19.[5]

Families and providers challenged the V-CAP ban. The district court preliminarily blocked the hormone and blocker provisions in May 2022; on August 21, 2023 the Eleventh Circuit vacated that injunction. Last update 2023-08-21.

Sources

21 sources. Numbers in the text, like [1], point here.Show all
  1. Ala. Code § 26-26-4, prohibited practices upon a minorAlabama Legislature, Law. accessed
    “Prescribing or administering puberty blocking medication to stop or delay normal puberty ... A violation of this section is a Class C felony.”
  2. Ala. Code § 26-26-3, definitionsAlabama Legislature, Law. accessed
    “MINOR. The same meaning as in Section 43-8-1.”
  3. Ala. Code § 43-8-1, definitionsAlabama Legislature, Law. accessed
    “MINOR. A person who is under 19 years of age.”
  4. SB 184 (2022), Act 2022-289, enrolledAlabama Legislature, Law. accessed
    “This act shall become effective 30 days following its passage and approval by the Governor”
  5. Eknes-Tucker v. Governor of Alabama, No. 22-11707 (11th Cir. Aug. 21, 2023)U.S. Court of Appeals for the Eleventh Circuit, Court. accessed
    “VACATED.”
  6. United States v. Skrmetti (U.S. June 18, 2025)CourtListener, Court. accessed
  7. Alabama Medicaid Administrative CodeAlabama Medicaid Agency, Regulation. accessed
  8. Apply for MedicaidAlabama Medicaid Agency, Official page. accessed
    “Apply Online - Pregnant Women and Children, Parent/Caretaker, or Plan First”
  9. File a Consumer ComplaintAlabama Department of Insurance, Official page. accessed
    “Before you file a request for assistance with the Alabama Department of Insurance, you should first contact the insurance company or producer in an effort to resolve the issue(s).”
  10. Alabama equality profileMovement Advancement Project, Organization. accessed
    “Private Insurance: No nondiscrimination protections for transgender individuals”
  11. Gender HealthUAB Medicine, Organization. accessed
    “The Gender Health Clinic at UAB Medicine provides gender-affirming care ... Hormone therapy”
  12. LocationsQueerMed, Organization. accessed
    “QueerMed Services Available Alabama Arizona Arkansas”
  13. Plans and CostsQueerMed, Organization. accessed
    “Self-Pay per Month $99/month”
  14. Specialized CareThrive Alabama, Organization. accessed
    “Uninsured? A sliding fee discount is available to those who qualify.”
  15. PrEPThrive Alabama, Organization. accessed
  16. Living Well Health ClinicAIDS Alabama, Organization. accessed
    “We also have resources to help people without insurance access PrEP at a low cost or free.”
  17. About UsCentral Alabama Alliance Resource and Advocacy Center, Organization. accessed
    “The counties served are Autauga, Dallas, Elmore, Lee, Lowndes, Macon and Montgomery.”
  18. Trans Youth Emergency ProjectCampaign for Southern Equality, Organization. accessed
    “Transgender people who are 18 years old if they live in Alabama or have lost care due to the Executive Order.”
  19. HRT Access FundPoint of Pride, Organization. accessed
  20. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed
  21. Find a Health CenterHealth Resources and Services Administration, Official page. accessed