Trans Resource Navigator

Gender-affirming care in Oregon

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  • Page changed: Gender-affirming care, Oregon Health Plan (2026-10-05) · #166
  • Page changed: Apply for the Oregon Health Plan (2026-10-05) · #164
  • Page changed: File a complaint (2026-10-05) · #155
Care for adults
Allowed
Care for people under 18
Allowed
Oregon Health Plan (OHP) pays for hormones
Covered
Oregon Health Plan (OHP) pays for surgery
Covered
Private plans must cover care
Yes, by law

Gender-affirming care is legal and protected in Oregon for adults and minors. The Oregon Health Plan covers hormones, surgery, and related care, state-regulated private plans may not exclude it (HB 2002), and state law shields patients and providers from other states' bans. A federal rule proposed to take effect October 13, 2026 could cut federal Medicaid funding for some care for patients under 18; OHA says there is no change to coverage today.

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. Hormones by telehealth
  3. Clinics, programs, and funds
  4. Paying for care
  5. Rules for adults
  6. Rules for under 18
  7. Laws and court cases
  8. 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.

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.

  • FOLX Health

    InsuranceTakes insuranceNo Medicaid18+

    LGBTQ-focused telehealth offering hormone therapy, PrEP, primary care, and mental health visits. Accepts major commercial insurance (Aetna, Blue Cross Blue Shield, Cigna, UnitedHealthcare) but not Medicaid or Medicare. A Point of Pride HRT Access Fund partner.

    In-network with many commercial plans; self-pay membership about $69 to $98 per month all-inclusive.

  • QueerDoc

    Sliding scale

    Small telehealth practice offering informed-consent hormone therapy with transparent sliding-scale pricing. Does not bill insurance for visits, but labs and prescriptions can go through your insurance. A Point of Pride HRT Access Fund partner.

    Sliding scale by income; check the current pricing page.

  • 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

  • OHSU Transgender Health Program[7][8]

    Oregon's academic trans health program. Coordinates hormone therapy, primary care, surgery (top surgery, vaginoplasty, phalloplasty, and more), voice therapy, hair removal, and fertility care, plus the Doernbecher Gender Clinic for children and teens. Navigation, education, and advocacy are free. Call 503-494-7970 or email transhealth@ohsu.edu.

    • Insurance
    • Accepts Medicaid

    Serves: Oregon and southwest Washington, all ages

    503-494-7970

  • Prism Health (CAP Northwest)[9][10][11]

    LGBTQ+ focused clinic run by CAP Northwest (formerly Cascade AIDS Project) with primary care, gender-affirming care, PrEP, HIV care, behavioral health, and an on-site pharmacy. Serves patients regardless of ability to pay; takes OHP and most insurance. Call 503-445-7699.

    • Sliding scale
    • Accepts Medicaid
    • Sees uninsured patients
    503-445-76992236 SE Belmont St, Portland, OR 97214

  • Outside In[12]

    Portland community health center offering primary care and clinically indicated hormone therapy. Call 503-535-3800.

    • Sliding scale
    • Accepts Medicaid
    • Community reported
    503-535-3800

  • Planned Parenthood Columbia Willamette[13]

    Planned Parenthood affiliate for Oregon and southwest Washington. Offers gender-affirming hormone therapy at health centers and by telehealth, plus PrEP and STI testing. Confirm the minimum age and new-patient availability when you call.

    • Sliding scale
    • Telehealth
    • Accepts Medicaid
    • Unverified

  • Oregon Health Plan enrollment (ONE.Oregon.gov)[2]

    Apply for OHP online, by phone, or with free help from a community partner. OHP covers hormones and surgery.

    • Free

  • HRSA Find a Health Center[14]

    Federal locator for community health centers that charge on a sliding scale by income.

    • Sliding scale
    • Sees uninsured patients

  • Point of Pride HRT Access Fund[15]

    Pays for telehealth hormone therapy for trans people who cannot afford it; applications open periodically.

    • Free

  • GenderBands[16]

    National nonprofit that gives grants toward gender-affirming care costs.

    • Free

Paying for care

Medicaid (Oregon Health Plan (OHP))[1][2]

OHP covers medically necessary gender-affirming care prescribed under the WPATH Standards of Care, Version 8: hormone therapy, puberty blockers, mental health therapy, hair removal, speech therapy, physical therapy, lab work, and medical tattooing, plus facial surgery, chest surgery, gonadectomy, genital surgery, and body contouring. For adults, OHP criteria include a mental health and medical assessment, documented gender dysphoria, informed consent, and fertility counseling. OHP Client Services: 1-800-273-0557.

Apply online at ONE.Oregon.gov, by phone, or with a free community partner.

Apply for coverage

Private insurance[4][6]

Since January 1, 2024, ORS 743A.325 (HB 2002) bars state-regulated health plans from denying or limiting medically necessary gender-affirming treatment prescribed under accepted standards of care, from applying blanket or cosmetic exclusions (it names tracheal shave, electrolysis, facial feminization, and revisions), and from denying care unless a provider experienced in gender-affirming treatment has reviewed the denial. If a plan denies care, appeal with the plan first, then file a complaint with the Oregon Division of Financial Regulation. Self-funded employer plans are federally regulated and may not be covered.

File an insurance complaint

The rules in detail

Rules for adultsNo state restriction. Gender-affirming care is protected under the Reproductive Health Equity Act (2017) and HB 2002 (2023), which also protects…

No state restriction. Gender-affirming care is protected under the Reproductive Health Equity Act (2017) and HB 2002 (2023), which also protects Oregon patients and providers from out-of-state legal action. Telehealth prescribing is legal.

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

  1. Apply for the Oregon Health Plan (Oregon's Medicaid). It covers hormones, labs, and surgery.
  2. Go to a community health center. They charge on a sliding scale; find one at findahealthcenter.hrsa.gov. In Portland, Outside In and Prism Health serve LGBTQ+ patients regardless of ability to pay.
  3. Planned Parenthood Columbia Willamette offers hormone therapy at Oregon health centers and by telehealth.
  4. Point of Pride's HRT Access Fund pays for telehealth hormone care for people who qualify.
[1][3][14][9]
Rules for under 18Legal. Oregon has no ban on gender-affirming care for minors, and HB 2002 protects families and providers.

Legal. Oregon has no ban on gender-affirming care for minors, and HB 2002 protects families and providers. Under ORS 109.640, a minor 15 or older may consent to medical diagnosis and treatment by a physician, physician associate, or nurse practitioner without a parent's consent; many clinics still involve parents for hormone therapy. The Oregon Health Plan covers puberty blockers and hormones for adolescents who have entered stage 2 of puberty, and surgery after at least 12 months of hormone therapy.

Watch: OHA is reviewing a federal rule proposed to take effect October 13, 2026 that would bar federal Medicaid and CHIP reimbursement for some gender-affirming medications and surgery for patients under 18. OHA says the rule is not in effect and OHP coverage has not changed.

[5][3][1][7]
Laws and court cases3 laws

Sources

16 sources. Numbers in the text, like [1], point here.Show all
  1. Gender-affirming care, Oregon Health PlanOregon Health Authority, Official page. accessed
    “OHA is currently reviewing a federal rule change that is proposed to take effect Oct. 13, 2026, and calls for prohibiting federal reimbursement for some gender-affirming medications and surgery provided to patients under 18 who are covered by Medicaid and Children's Health Insurance Program (CHIP). The rule is not in effect today and there are no changes to Medicaid coverage in Oregon.”
  2. Apply for the Oregon Health PlanOregon Health Authority, Official page. accessed
  3. HB 2002 (2023), Oregon Laws 2023 chapter 228Oregon State Legislature, Law. accessed
    “Modifies provisions relating to access to reproductive health care and gender-affirming treatment.”
  4. ORS 743A.325, Gender-affirming treatmentOregon State Legislature, Law. accessed
    “A carrier offering a health benefit plan in this state may not ... Apply categorical cosmetic or blanket exclusions to medically necessary gender-affirming treatment.”
  5. ORS 109.640, Medical treatment without parental consentOregon State Legislature, Law. accessed
    “A minor 15 years of age or older may give consent, without the consent of a parent or guardian of the minor, to ... medical or surgical diagnosis or treatment by a physician.”
  6. File a complaintOregon Division of Financial Regulation, Official page. accessed
  7. Transgender Health ProgramOHSU, Organization. accessed
  8. Contact the Transgender Health ProgramOHSU, Organization. accessed
  9. Prism HealthCAP Northwest, Organization. accessed
  10. PrEP at Prism HealthCAP Northwest, Organization. accessed
  11. CAP Northwest (formerly Cascade AIDS Project)Organization. accessed
    “Through Prism Health, the organization provides gender-affirming care and behavioral health services.”
  12. Outside InOrganization. accessed
  13. Planned Parenthood Columbia WillametteOrganization. accessed
  14. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  15. Point of PrideOrganization. accessed
  16. GenderBandsOrganization. accessed