Trans Resource Navigator

Gender-affirming care in Northern Mariana Islands

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

Gender-affirming care is legal in the Northern Mariana Islands for adults and minors, and no CNMI law bans it. Local access is very limited, Medicaid coverage is unclear, and the main telehealth services do not serve the CNMI.

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 (CNMI Medicaid (Commonwealth Medicaid Agency))[5][1]

The Commonwealth Medicaid Agency publishes no policy on gender-affirming care. Ask for a written coverage decision and appeal any denial.

Private insurance[1]

No CNMI law bars insurers from excluding gender-affirming care.

The rules in detail

Rules for adultsNo law restricts adult care. Options: 1.

No law restricts adult care. Options:

  1. Ask a primary care provider at the Commonwealth Healthcare Corporation (CHCC) or a community health center (HRSA finder) to prescribe or continue hormones.
  2. If you travel to Guam, Hawaii, or the mainland, see what care is available there.
  3. Apply to national funds (Point of Pride, Genderbands). Check whether they accept CNMI residents.
[1][6][3]
Rules for under 18No CNMI law bans gender-affirming care for minors.

No CNMI law bans gender-affirming care for minors. There is no shield law. Parental consent is required (see also the CNMI Medical Consent Act, 3 CMC ch. 11).

[1][2]

Sources

9 sources. Numbers in the text, like [1], point here.Show all
  1. Northern Mariana Islands equality profileMovement Advancement Project, Organization. accessed
    “Negative Law: Laws Banning Best Practice Medical Care For Transgender Youth: No Negative Law”
  2. Title 3, Division 2 Health (includes Chapter 11, Medical Consent Act)CNMI Law Revision Commission, Law. accessed
  3. Commonwealth Healthcare CorporationCommonwealth Healthcare Corporation, Official page. accessed
  4. Behavioral HealthCommonwealth Healthcare Corporation, Official page. accessed
  5. Commonwealth Medicaid Agency provider directoryCommonwealth Medicaid Agency, Official page. accessed
  6. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  7. Point of PridePoint of Pride, Organization. accessed
  8. GenderbandsGenderbands, Organization. accessed
  9. Trans LifelineTrans Lifeline, Organization. accessed