Trans Resource Navigator

Gender-affirming care in American Samoa

Care for adults
Allowed
Care for people under 18
Allowed
American Samoa Medicaid (American Samoa Medicaid State Agency) pays for hormones
Unclear
American Samoa Medicaid (American Samoa Medicaid State Agency) pays for surgery
Unclear
Private plans must cover care
No state rule

Gender-affirming care is legal in American Samoa for adults and minors, and no territorial law bans it. Local access is very limited, Medicaid coverage is unclear, and national telehealth services do not serve American Samoa. Many people seek care in Hawaii.

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. Clinics, programs, and funds
  3. Paying for care
  4. Rules for adults
  5. Rules for under 18
  6. 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.

Clinics, programs, and funds

Paying for care

Medicaid (American Samoa Medicaid (American Samoa Medicaid State Agency))[2][1]

American Samoa Medicaid funds care for eligible residents and runs an off-island medical referral program. It publishes no policy on gender-affirming care. Ask the agency directly, and ask for any denial in writing.

Apply for coverage

Private insurance[1]

No American Samoa law bars insurers from excluding gender-affirming care.

The rules in detail

Rules for adultsNo law restricts adult care. In practice, options are few: 1.

No law restricts adult care. In practice, options are few:

  1. Ask your primary care provider or a community health center (use the HRSA finder) to prescribe or continue hormones.
  2. If you travel to Hawaii, providers there, including telehealth services that serve Hawaii, can see you while you are physically in Hawaii.
  3. Apply to national funds (Point of Pride, Genderbands). Check whether they accept American Samoa residents.
[1][3]
Rules for under 18No territorial law bans gender-affirming care for minors.

No territorial law bans gender-affirming care for minors. There is no shield law. Parental consent is required.

[1]

Sources

6 sources. Numbers in the text, like [1], point here.Show all
  1. American Samoa equality profileMovement Advancement Project, Organization. accessed
    “Negative Law: Laws Banning Best Practice Medical Care For Transgender Youth: No Negative Law”
  2. American Samoa Medicaid State AgencyAmerican Samoa Medicaid State Agency, Official page. accessed
    “Medicaid is a federal health program that provides funding for health services to eligible residents of American Samoa.”
  3. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  4. Point of PridePoint of Pride, Organization. accessed
  5. GenderbandsGenderbands, Organization. accessed
  6. Trans LifelineTrans Lifeline, Organization. accessed