Trans Resource Navigator

Gender-affirming care in New Hampshire

Care for adults
Allowed
Care for people under 18
Banned
NH Medicaid (including Granite Advantage) pays for hormones
Covered
NH Medicaid (including Granite Advantage) pays for surgery
Covered
Private plans must cover care
Yes, by law

Gender-affirming care is legal for adults in New Hampshire, and NH Medicaid and state-regulated private insurance cover it. Since January 1, 2026, state law bars providers from starting puberty blockers or hormones for anyone under 18 and bars gender surgery for minors; young people who began treatment before 2026 may continue. There is no shield law.

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

Hormones and puberty blockers: RSA 332-N:2 (HB 377), effective January 1, 2026, bars any person from giving a minor under 18 puberty blockers, cross-sex hormones, or other medical procedures to affirm a gender that differs from the minor's sex at birth. Exceptions: minors with a medically verifiable disorder of sex development, and treatment that began before January 1, 2026, which may continue. Violations lead to discipline by the Board of Medicine (no criminal penalty), and the minor may sue for damages until two years after turning 18; the attorney general may also sue.

Surgery: RSA 332-M (2024, expanded by HB 712 effective January 1, 2026) bars genital surgery, chest surgery, facial surgery, and removal of reproductive organs for gender purposes on minors. RSA 329:53 separately bars "transgender chest surgery" under 18.

Counseling, social support, and non-medical care are not banned. Dartmouth Health says established minor patients may continue hormones already prescribed, with parental approval. New Hampshire has no shield law; families seeking to start care may look to neighboring states such as Maine, Vermont, and Massachusetts.

[1][2][3][4][5][6]

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

  • Equality Health Center (Concord)[12]

    Independent nonprofit clinic offering gender-affirming hormone therapy, PrEP, STI testing, and behavioral health, with telehealth. Accepts NH Medicaid and most major insurers; financial assistance for uninsured patients who qualify. 603-225-2739.

    • Sliding scale
    • Telehealth
    • Accepts Medicaid
    • Sees uninsured patients
    603-225-273938 S. Main Street, Concord, NH

  • Planned Parenthood of Northern New England (Derry, Exeter, Keene, Manchester)[13]

    Lists gender-affirming hormone therapy, PrEP and PEP, and STI testing among its services; in-person and telehealth visits. Adults 18+ for starting hormones in New Hampshire.

    • Sliding scale
    • Telehealth
    • Accepts Medicaid

  • Dartmouth Health (Lebanon), transgender care programs[6]

    New Hampshire's academic health system. Runs a Pediatric and Adolescent Transgender Program that continues care allowed under state law; ask about adult gender-affirming services.

    • Insurance
    • Accepts Medicaid

  • Amoskeag Health (Manchester FQHC)[14]

    Federally qualified health center with several Manchester sites offering primary and behavioral health care on a sliding scale. Ask whether a primary care provider can manage hormone therapy.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
    603-626-9500145 Hollis Street, Manchester, NH 03101

  • Point of Pride, HRT Access Fund[15]

    National fund that pays for telehealth hormone therapy for adults who cannot afford it; applications open once a year.

    • Free
    • Unverified

  • HRSA Find a Health Center[16]

    Federal search tool for sliding-scale community health centers near you.

    • Free

  • New Hampshire Outright[17]

    Statewide LGBTQ+ youth organization (formerly Seacoast Outright) with youth and young adult groups and caregiver groups.

    • Free

Paying for care

Medicaid (NH Medicaid (including Granite Advantage))[7][10][11]

New Hampshire's Medicaid policy explicitly includes transgender-related care, according to the Movement Advancement Project. Adults with income up to about 138% of the federal poverty level qualify through the Granite Advantage expansion program. For minors, Medicaid cannot pay for care that state law now prohibits.

Apply online at NH EASY (nheasy.nh.gov), by phone through DHHS, or at a DHHS district office. If you are denied coverage for care, New Hampshire Legal Assistance can help with appeals.

Apply for coverage

Private insurance[8][9]

New Hampshire prohibits state-regulated health insurers from excluding medically necessary care for transgender people and bans insurance discrimination based on gender identity. If your plan denies care, appeal with the plan first, then contact the New Hampshire Insurance Department's Consumer Services. Self-funded employer plans are federally regulated and may not be covered; the Trans Health Project has appeal templates.

File an insurance complaint

The rules in detail

Rules for adultsNo state restriction on care for adults 18 and older.

No state restriction on care for adults 18 and older. Equality Health Center in Concord and Planned Parenthood of Northern New England (Derry, Exeter, Keene, Manchester) offer gender-affirming hormone therapy, and telehealth prescribing is legal.

If you have no insurance and little money, in rough order:

  1. Apply for NH Medicaid (adults up to about 138% of the federal poverty level qualify through Granite Advantage). It covers hormones and related care.
  2. Go to a community health center (FQHC) such as Amoskeag Health in Manchester; they charge on a sliding scale. Find one at findahealthcenter.hrsa.gov.
  3. Equality Health Center and Planned Parenthood offer financial assistance or sliding fees for uninsured patients.
  4. Point of Pride's HRT Access Fund pays for telehealth hormone care for a year or more (applications open once a year).
[12][13][16][7]
Laws and court cases3 laws

Sources

17 sources. Numbers in the text, like [1], point here.Show all
  1. RSA 332-N:2, Prohibitions for health care providersNew Hampshire General Court, Law. accessed
    “Nothing in this chapter shall prohibit a health care provider from continuing the direction or administration of medication or treatment that began prior to January 1, 2026”
  2. RSA 332-N:3, Private right of actionNew Hampshire General Court, Law. accessed
  3. RSA 332-M:3, Prohibition of gender surgery on minorsNew Hampshire General Court, Law. accessed
    “A physician shall not perform gender surgery on minors in the state of New Hampshire.”
  4. RSA 329:53, Prohibitions and enforcement (breast surgeries for minors)New Hampshire General Court, Law. accessed
    “no physician shall perform transgender chest surgery on a person under 18 years of age”
  5. GLAD Law Condemns NH Ban on Access to Health Care for Transgender Adolescents (August 1, 2025)GLAD Law, Organization. accessed
    “Today, Governor Ayotte signed HB 377”
  6. Statement on passage of House Bill 377 (August 5, 2025)Dartmouth Health, Organization. accessed
    “Under this new law in New Hampshire, established minor patients may continue hormone therapies already prescribed by their clinicians with the approval of their parents.”
  7. Medicaid coverage of transgender-related health careMovement Advancement Project, Organization. accessed
    “New Hampshire Medicaid policy explicitly includes coverage”
  8. Bans on insurance exclusions of transgender-related careMovement Advancement Project, Organization. accessed
    “Health insurers are prohibited from excluding coverage of medically necessary care for transgender people”
  9. How can we help with formal insurance complaints? (read via Wayback Machine)New Hampshire Insurance Department, Official page. accessed
  10. NH EASY (could not be loaded; HTTP 403)New Hampshire Department of Health and Human Services, Official page. accessed
  11. New Hampshire Legal AssistanceOrganization. accessed
  12. Equality Health CenterOrganization. accessed
    “We accept most major insurance companies ... NH Medicaid ... We also offer financial assistance for uninsured individuals who qualify.”
  13. Health servicesPlanned Parenthood of Northern New England, Organization. accessed
    “Gender affirming hormone therapy”
  14. LocationsAmoskeag Health, Organization. accessed
  15. Point of PrideOrganization. accessed
  16. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  17. New Hampshire OutrightOrganization. accessed