Trans Resource Navigator

Gender-affirming care in Utah

Care for adults
Allowed
Care for people under 18
Banned
Utah Medicaid pays for hormones
Covered
Utah Medicaid pays for surgery
Unclear
Private plans must cover care
No state rule

Gender-affirming care is legal for adults in Utah, and Utah Medicaid covers hormone therapy with prior authorization. For people under 18, new hormone treatment and puberty blockers have been banned since 2023, and a 2026 law (HB 174) ends most remaining care for minors on January 28, 2027. Surgery for minors is banned. Utah has no shield law and no law against insurance exclusions.

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. Since January 28, 2023 (SB 16), providers may not start hormone treatment or puberty blockers for gender dysphoria in anyone under 18 unless the minor was diagnosed before January 28, 2023 (Utah Code 58-1-603.1). HB 174 (2026), signed March 18, 2026, goes further: beginning January 28, 2027, providers may not give hormone treatment to a minor who was younger than 16 on March 18, 2026, or who had not already started cross-sex hormones by that date. Providers may taper treatment off before January 28, 2027 without the special state certification. Anyone still eligible must see a provider with Utah's "transgender treatment certification," after at least six months of treatment for gender dysphoria, with written consent from the minor and a parent.

Surgery. Genital and other sex-characteristic surgeries on anyone under 18 are banned (58-67-502).

Penalties. Violations are "unprofessional conduct," which means discipline of the provider's license. Families are not penalized.

Exceptions cover intersex conditions (disorders of sexual development), precocious puberty, and certain other medical conditions. Utah has no shield law; families traveling to Colorado, Nevada, or other states for care should ask the out-of-state clinic about that state's protections.

[1][2][4][3][8]

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

  • University of Utah Transgender Health Program[8][9]

    Adult program offering primary care and hormone therapy, gender-affirming surgery, fertility, voice therapy, hair reduction, counseling, and pelvic floor therapy. No referral needed. Coordinators help with prior authorizations, appeals, and letters for gender marker changes. Call 801-213-2195.

    • Insurance
    • Accepts Medicaid
    801-213-219550 North Medical Drive, Salt Lake City, UT 84132

  • UAF Legacy Health[11]

    Community clinic from the Utah AIDS Foundation offering primary care, hormone therapy, PrEP and HIV care, STI testing (including a low-cost after-hours clinic with no insurance required), and therapy. Accepts Medicaid, Medicare, PEHP, and most major insurers.

    • Insurance
    • Accepts Medicaid
    801-823-1988150 South 1000 East, Salt Lake City, UT 84102

  • Identity Hormones & Healthcare[12][13]

    LGBTQIA+ specialty clinic in Salt Lake City using an informed consent model for hormone therapy, with walk-in visits and PrEP.

    • Paid
    385-259-01661327 East 2100 South, Suite 101, Salt Lake City, UT

  • Planned Parenthood Association of Utah[14]

    Utah's Planned Parenthood affiliate provides sexual and reproductive health care at health centers statewide and has offered gender-affirming hormone therapy for adults. Call to confirm current availability and cost.

    • Sliding scale
    • Accepts Medicaid
    • Unverified

  • Point of Pride, HRT Access Fund[15]

    National fund that pays for telehealth hormone therapy for trans people who cannot afford it. Check the site for the current application window.

    • Free

  • Genderbands[16]

    Utah-based transition grant fund. Its website says it is transitioning its programs and assets to local organizations; check what is still open.

    • Free

  • University of Utah Health HIV PrEP Clinic[10]

    PrEP is free for people without health insurance; virtual and in-person appointments Monday to Friday. Call 801-585-2031.

    • Free
    • Telehealth
    • Sees uninsured patients
    801-585-2031

  • HRSA Find a Health Center[17]

    Federal search tool for community health centers, which charge on a sliding scale based on income regardless of insurance.

    • Sliding scale
    • Sees uninsured patients

Paying for care

Medicaid (Utah Medicaid)[5][6][9]

Utah Medicaid covers hormone therapy for gender dysphoria through its pharmacy prior authorization form (updated August 2026). For adults the prescriber documents a gender dysphoria diagnosis of at least six months, informed consent, a discussion of risks, and a lab monitoring plan. For minors the form applies the SB 16 and HB 174 limits described above.

We could not confirm whether Medicaid covers gender-affirming surgery; ask your plan or the University of Utah Transgender Health Program's coordinators, who help with prior authorizations and appeals.

Who qualifies: adults with income up to about 138% of the federal poverty level (Utah expanded Medicaid), plus children, pregnant people, and people with disabilities under other programs. Apply online, by mail, by fax, or at a Department of Workforce Services office; call 1-866-435-7414 (Salt Lake County 801-526-0950).

Apply for coverage

Private insurance[7][9]

No Utah law prohibits health plans from excluding gender-affirming care, so coverage depends on your plan. Read your plan's exclusions list, and if care is denied, appeal with the plan first. If that fails, you can file a complaint with the Utah Insurance Department (801-957-9200; toll-free in Utah 1-800-439-3805). Self-funded employer plans are federally regulated. The University of Utah Transgender Health Program's coordinators help patients with prior authorizations and appeals.

File an insurance complaint

The rules in detail

Rules for adultsNo state law restricts care for adults 18 and older.

No state law restricts care for adults 18 and older. Several Salt Lake City clinics prescribe hormones on an informed consent basis (no therapist letter), and telehealth prescribing is legal.

If you have little money, in rough order:

  1. Apply for Utah Medicaid. Adults qualify with income up to about 138% of the federal poverty level, and Medicaid covers hormone therapy with prior authorization.
  2. Go to a community health center (sliding-scale fees). Find one at findahealthcenter.hrsa.gov.
  3. UAF Legacy Health in Salt Lake City offers hormone therapy and accepts Medicaid and most insurance.
  4. Point of Pride runs an HRT access fund that pays for telehealth hormone care.
  5. Generic estradiol and spironolactone are inexpensive with discount cards; ask the pharmacy for the cash price.
[5][11][12][17]
Laws and court cases3 laws
  • Utah Code 58-1-603.1: Hormonal transgender treatment prohibition for minors (as amended by HB 174, 2026)
  • Utah Code 58-1-603: Hormonal transgender treatment on minors, requirements and certification
  • Utah Code 58-67-502: Unprofessional conduct, including sex characteristic surgery on minors

Sources

17 sources. Numbers in the text, like [1], point here.Show all
  1. Utah Code 58-1-603.1, Hormonal transgender treatment prohibition for minorsUtah State Legislature, Law. accessed
    “beginning on January 28, 2027, a health care provider may not provide a hormonal transgender treatment to a patient who is a minor if the patient: (a) would be younger than 16 years old as of March 18, 2026; or (b) has not received cross-sex hormones as of March 18, 2026.”
  2. Utah Code 58-1-603, Hormonal transgender treatment on minors, requirementsUtah State Legislature, Law. accessed
    “A health care provider may provide a hormonal transgender treatment to a minor only if the health care provider has been treating the minor for gender dysphoria for at least six months.”
  3. Utah Code 58-67-502, Unprofessional conductUtah State Legislature, Law. accessed
    “performing, or causing to be performed, upon an individual who is less than 18 years old: (i) a primary sex characteristic surgical procedure; or (ii) a secondary sex characteristic surgical procedure”
  4. HB 174 (2026), Sex Characteristic Change Treatment AmendmentsUtah State Legislature, Law. accessed
    “prohibits providing cross-sex hormones and puberty blockers to minors after a certain date.”
  5. Utah Medicaid Pharmacy Prior Authorization Request Form, Hormone Therapy for Gender Dysphoria (updated 8-1-26)Utah Department of Health and Human Services, Medicaid, Official page. accessed
    “Criteria for Approval in Adults ... Is the patient 18 years of age or older?”
  6. Apply for MedicaidUtah Department of Health and Human Services, Official page. accessed
    “You may apply in person, by mail, or online.”
  7. ComplaintsUtah Insurance Department, Official page. accessed
    “Salt Lake City area: 801-957-9200 In-state toll-free: 1-800-439-3805.”
  8. Transgender Health ProgramUniversity of Utah Health, Organization. accessed
    “The Trans Health Program at University of Utah Health brings quality health care to trans adults from all walks of life.”
  9. Transgender Support Services and ResourcesUniversity of Utah Health, Organization. accessed
    “Explain the insurance prior authorization process and assist with appeals”
  10. HIV PrEPUniversity of Utah Health, Organization. accessed
    “University of Utah Health offers PrEP for free if you do not have health insurance.”
  11. UAF Legacy HealthUtah AIDS Foundation, Organization. accessed
    “Hormone Therapy Supportive and affirming healthcare for all individuals.”
  12. Identity Hormones & HealthcareOrganization. accessed
    “We follow an informed consent model”
  13. Utah Pride Center, Community ResourcesUtah Pride Center, Organization. accessed
  14. Planned Parenthood Association of UtahPlanned Parenthood, Organization. accessed
  15. Point of PrideOrganization. accessed
  16. GenderbandsOrganization. accessed
  17. Find a Health CenterHealth Resources and Services Administration, Official page. accessed