Trans Resource Navigator

Gender-affirming care in Oklahoma

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 Part of this page may be out of date until we review it.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: MySoonerCare (2026-10-12) · #282
  • Page changed: SB 904 (2026) bill information (2026-10-12) · #281
  • Page changed: 63 O.S. 1-800, Gender transition procedures, prohibitions (SB 904, 2026) (2026-10-05) · #158
  • Page changed: File an online complaint (2026-10-05) · #154
  • Page changed: Poe v. Drummond, No. 4:23-cv-00177 (N.D. Okla.), docket (2026-09-28) · #5
Care for adults
Limited
Care for people under 18
Banned
SoonerCare pays for hormones
Not covered
SoonerCare pays for surgery
Not covered
Private plans must cover care
No state rule

Adults in Oklahoma can still legally get hormone therapy from private clinics, Planned Parenthood, and telehealth. Since May 12, 2026, SoonerCare (Medicaid) may not cover hormones, puberty blockers, or surgery for gender transition at any age, public funds may not pay for it, and state-owned facilities (such as OU Health) may not provide it. Providing this care to anyone under 18 has been a felony since May 1, 2023, and a federal appeals court let that ban stand in 2025. Oklahoma has 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. Rules for adults
  3. Health centers near you
  4. Hormones by telehealth
  5. Clinics, programs, and funds
  6. Paying for care
  7. Laws and court cases
  8. Sources

If you are under 18, or a parent

Banned since May 1, 2023 (SB 613, 63 O.S. § 2607.1). A health care provider may not knowingly give anyone under 18 puberty blockers, cross-sex hormones, or surgery to affirm a gender different from their biological sex. A six-month taper for minors already on treatment ended in November 2023. Exceptions cover mental health care, depression and anxiety medication, precocious or delayed puberty, intersex conditions, and complications.

Penalties: providing this care is a felony (prosecution can begin until the patient turns 45) and unprofessional conduct for licensing boards. Parents or the patient can sue the provider until the patient turns 45, and the Attorney General can enforce the law.

The ban is in full effect. In Poe v. Drummond, the Tenth Circuit upheld the denial of a preliminary injunction on August 6, 2025, and the families dismissed the case later that month. Since May 12, 2026, SB 904 also bars SoonerCare and public funds from paying for this care. Oklahoma has no shield law. Mental health care and social support remain legal. Families considering care in another state should talk to a lawyer first.

[1][4][5][2]

Rules for adults

Hormone therapy is legal for adults 18 and older, but SB 904 (63 O.S. § 1-800, effective May 12, 2026) limits who can pay for and provide it, at any age:

  • SoonerCare will not pay for puberty blockers, hormones, or surgery for gender transition.
  • No public funds may be paid to any person or organization to provide or subsidize this care.
  • No state property, facility, or building may be used to provide it. Freedom Oklahoma reports this ended care at state facilities such as OU Health and OSU Medical Center and for people in state prisons.
  • State officers or employees who intentionally violate the law can be charged with a misdemeanor.
  • Mental health counseling is not affected.

If you have no insurance and little money, in rough order of what to try:

  1. Planned Parenthood Great Plains prescribes hormones to patients 18 and older at its Oklahoma health centers (Oklahoma City, Edmond, Tulsa) with no therapy requirement, in person or by telehealth. Financial counselors help uninsured patients. Call 1-800-230-7526.
  2. Diversity Family Health (Oklahoma City, Norman, Tulsa) and the OKEQ Health Clinic (Tulsa) are private LGBTQ+ clinics that offer hormone therapy and self-pay options.
  3. Telehealth: Plume serves Oklahoma. Point of Pride's HRT Access Fund pays for 18 months of telehealth hormone care through partner providers.
  4. For the medications themselves, generic estradiol and spironolactone are inexpensive with a pharmacy discount coupon; compare cash prices for testosterone.

If you were getting care through SoonerCare or a state facility and it stopped, move your prescription to a private provider as soon as possible so you do not run out.

[2][3][6][8][9][10][13][14]

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

  • Planned Parenthood Great Plains (Oklahoma City, Edmond, Tulsa)[8][9]

    Gender-affirming hormone therapy for patients 18 and older at all health centers, with no therapy or mental health letter required. Also PrEP, PEP, and STI testing. In person or telehealth; financial counselors for uninsured patients.

    • Cost varies
    • Telehealth
    • Sees uninsured patients
    800-230-7526

  • Diversity Family Health[10][11][12]

    LGBTQ+-focused nurse practitioner clinics in Oklahoma City, Norman, and Tulsa offering gender-affirming hormone therapy, primary care, PrEP and STI care (walk-in STI clinic weekday mornings in Tulsa), and mental health care in OKC and by video.

    • Cost varies
    405-848-00261211 N Shartel Ave, Suite 300, Oklahoma City, OK 73103

  • OKEQ Health Clinic (Oklahomans for Equality)[13]

    Tulsa LGBTQ+ center clinic offering hormone therapy, trans-affirming gynecological care, STI testing, PrEP, and free condoms, emergency contraception, and PEP samples. Self-pay with cost assistance; in network with Blue Cross Blue Shield.

    • Sliding scale
    • Sees uninsured patients
    918-938-6537621 E 4th St, Tulsa, OK 74120

  • Variety Care[7]

    Community health centers in Oklahoma City and nearby with sliding-fee primary care, HIV testing, PrEP and DoxyPEP, and staff "Champions" who help LGBTQ+ patients find affirming providers. Ask whether your site prescribes hormones.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
    • Community reported
    405-632-6688

  • Point of Pride HRT Access Fund[14]

    Pays for 18 months of telehealth hormone care (visits, labs, and letters) through partner providers, for people 18 and older.

    • Free

  • A4TE Trans Health Project[18]

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

    • Free

  • HRSA Find a Health Center[19]

    Federal search tool for community health centers that charge on a sliding scale by income, whether or not you have insurance.

    • Sliding scale

Paying for care

Medicaid (SoonerCare)[2][15]

Under 63 O.S. § 1-800(C) (SB 904, effective May 12, 2026), "the state Medicaid program shall not reimburse or provide coverage for any gender transition procedures, regardless of whether the procedures are provided to a minor or an adult." That covers puberty blockers, hormones, and surgery for gender transition. SoonerCare still covers mental health care, primary care, PrEP, and STI testing, so it is still worth enrolling if you qualify. Apply online or call the SoonerCare helpline at 1-800-987-7767.

Apply for coverage

Private insurance[17][16][18]

Oklahoma has no law requiring private health plans to cover gender-affirming care or banning trans-specific exclusions. Check your plan documents for an exclusion. If your plan wrongly denies a claim, you can appeal with the insurer, file a complaint with the Oklahoma Insurance Department (800-522-0071), and get free appeal help from A4TE's Trans Health Project. Employer self-funded plans are regulated federally, not by the state.

File an insurance complaint

The rules in detail

Laws and court cases1 court case, 2 laws

Poe v. Drummond, No. 23-5110

The case is over. The ban on care for minors is fully in effect.[4][5]

Families of trans minors and a physician challenged SB 613. The district court denied a preliminary injunction in October 2023; the Tenth Circuit affirmed on August 6, 2025, and the plaintiffs voluntarily dismissed the case on August 29, 2025. Last update 2025-08-29.

  • 63 O.S. § 2607.1: Ban on gender transition procedures for anyone under 18 (SB 613, 2023)
  • 63 O.S. § 1-800: No public funds, Medicaid, or state facilities for gender transition procedures at any age (SB 904, 2026)

Sources

19 sources. Numbers in the text, like [1], point here.Show all
  1. 63 O.S. 2607.1, Prohibition against providing gender transition procedures to any childOklahoma State Courts Network, Law. accessed
    “A health care provider who violates subsection B of this section shall, upon conviction, be guilty of a felony.”
  2. 63 O.S. 1-800, Gender transition procedures, prohibitions (SB 904, 2026)Oklahoma State Courts Network, Law. accessed
    “No state property, facility, or building may be used to provide gender transition procedures, regardless of whether the procedures are provided to a minor or an adult.”
  3. SB 904 (2026) bill informationOklahoma Legislature, Law. accessed
    “Gender transition procedures; prohibiting certain use of public funds and state facilities; providing criminal penalty. Emergency.”
  4. Poe v. Drummond, No. 23-5110 (10th Cir. Aug. 6, 2025)US Court of Appeals for the Tenth Circuit, Court. accessed
  5. Poe v. Drummond, No. 4:23-cv-00177 (N.D. Okla.), docketCourtListener, Court. accessed
    “NOTICE of Dismissal, closing case”
  6. Health + Wellness, Trans Healthcare UpdateFreedom Oklahoma, Organization. accessed
    “This is causing immediate harm to folks who receive care at state facilities such as OU Health and OSU Medical Center.”
  7. Variety Care Resource DirectoryFreedom Oklahoma, Organization. accessed
    “Uninsured and underinsured patients may qualify to pay for services on a sliding fee scale.”
  8. Gender-affirming carePlanned Parenthood Great Plains, Organization. accessed
    “We offer gender-affirming hormone care for patients 18 years and older at all of our health centers. You don't need to participate in therapy or provide information from a mental health provider to receive hormone therapy.”
  9. Planned Parenthood health centers in OklahomaPlanned Parenthood Federation of America, Organization. accessed
  10. Primary Care Services, Gender Affirming CareDiversity Family Health, Organization. accessed
    “Diversity Family Health can provide Gender Affirming Hormone Therapy (GAHT) and monitor your progress making adjustments as necessary.”
  11. Diversity Family Health, Oklahoma CityDiversity Family Health, Organization. accessed
  12. Diversity Family Health, TulsaDiversity Family Health, Organization. accessed
    “has a Walk-In STI clinic from 8-12 Monday - Friday”
  13. OKEQ Health ClinicOklahomans for Equality, Organization. accessed
    “Hormone Replacement Therapy (HRT) Accessible, affirming care for patients seeking hormone therapy.”
  14. HRT Access FundPoint of Pride, Organization. accessed
  15. MySoonerCareOklahoma Health Care Authority, Official page. accessed
    “call the SoonerCare helpline at 1-800-987-7767”
  16. File an online complaintOklahoma Insurance Department, Official page. accessed
  17. Oklahoma's Equality ProfileMovement Advancement Project, Organization. accessed
  18. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed
  19. Find a Health CenterHealth Resources and Services Administration, Official page. accessed