Trans Resource Navigator

Gender-affirming care in Wyoming

Care for adults
Allowed
Care for people under 18
Banned
Wyoming Medicaid pays for hormones
Unclear
Wyoming Medicaid pays for surgery
Not covered
Private plans must cover care
No state rule

Adults can legally get hormone therapy in Wyoming, mostly through telehealth and a few clinics such as Wellspring Health Access in Casper. Hormones, puberty blockers, and surgeries for gender transition are banned for anyone under 18 (since July 1, 2024). Wyoming Medicaid does not cover transition surgery for anyone, and state law does not stop private insurers from excluding trans care. 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

Banned since July 1, 2024 (W.S. 35-4-1001, enacted by 2024 SF 99, "Chloe's law"). For anyone under 18, physicians and other licensed providers may not, for the purpose of gender transition: prescribe puberty blockers, give testosterone or estrogen at above-typical doses, perform mastectomy, or perform sterilizing or other surgeries. Penalty: providing this care is grounds for suspension or revocation of the provider's license.

Exceptions: care for a child with a medically verifiable disorder of sex development, or with central precocious puberty, with parental consent. Mental health care is still allowed, but not the banned medications.

No court has blocked the law, and Wyoming has no shield law. Some families seek care in states where it remains legal for minors. Wyoming Medicaid separately does not cover puberty blockers or hormone therapy for gender dysphoria for minors.

[1][2][3]

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.

  • 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

Paying for care

Medicaid (Wyoming Medicaid)[3][4]

Wyoming Medicaid's provider manual (section 24.9) says it "does not cover gender transition or reassignment procedures for clients regardless of age or diagnosis" and "does not cover puberty blockers or hormone therapy for gender dysphoria for minors." It does not list hormone therapy for adults as excluded, so adult hormone prescriptions may be covered; ask your prescriber and pharmacy.

Who qualifies: Wyoming has not expanded Medicaid, so most adults without children, a disability, or a pregnancy do not qualify no matter how low their income. Parents, pregnant people, children, and people with disabilities may qualify. Apply online at the WES portal or call 1-855-294-2127.

Apply for coverage

Private insurance[5][6][13]

Wyoming has no state law that bars health insurers from excluding gender-affirming care, so check your plan's exclusions list. Marketplace (healthcare.gov) plans are sold in Wyoming; compare their coverage before enrolling. If a state-regulated plan denies a claim, appeal to the insurer first, then contact the Wyoming Department of Insurance, which has a complaint process and an independent medical claim review. Employer self-funded plans are federally regulated; the Trans Health Project has appeal templates.

File an insurance complaint

The rules in detail

Rules for adultsNo Wyoming law restricts gender-affirming care for adults 18 and older.

No Wyoming law restricts gender-affirming care for adults 18 and older. In-person options are few, so most people use telehealth: Plume and QueerDoc serve Wyoming, and prescribe on an informed-consent basis (no therapist letter). Wyoming Equality keeps a private directory of affirming local providers and will match you by request (it keeps the list private for safety).

If you have no insurance and little money:

  1. Ask a community health center (find one at findahealthcenter.hrsa.gov). They must see you regardless of ability to pay and charge on a sliding scale; ask whether a provider will prescribe hormones.
  2. Wellspring Health Access in Casper offers hormone therapy and says it can help with financial assistance.
  3. Point of Pride's HRT Access Fund pays for telehealth hormone care (applications open once a year).
  4. Generic estradiol and spironolactone are usually inexpensive with a pharmacy discount coupon; ask the pharmacy for its cash price.
[7][8][10][11]
Laws and court cases2 laws

Sources

13 sources. Numbers in the text, like [1], point here.Show all
  1. W.S. 35-4-1001, Gender transitioning and reassignment procedures for children prohibitedWyoming Legislature, Law. accessed
    “no physician or health care provider shall ... (A) Puberty suppression or blocking prescription drugs to stop or delay normal puberty; (B) Supraphysiologic doses of testosterone to females; (C) Supraphysiologic doses of estrogen to males.”
  2. 2024 SF 99, Children gender change prohibition (Chloe's law), Chapter 113Wyoming Legislature, Law. accessed
    “providing that gender transitioning and reassignment procedures are grounds for suspension or revocation of a physician's or health care provider's license ... Signed 3/22/2024, effective 7/1/2024.”
  3. CMS-1500 Provider Manual v19.0 (July 1, 2026), section 24.9 Gender Transition and Reassignment ProceduresWyoming Medicaid, Regulation. accessed
    “Wyoming Medicaid does not cover gender transition or reassignment procedures for clients regardless of age or diagnosis. Wyoming Medicaid does not cover puberty blockers or hormone therapy for gender dysphoria for minors.”
  4. Wyoming MedicaidWyoming Department of Health, Official page. accessed
  5. Consumers (file a complaint, independent medical claim review)Wyoming Department of Insurance, Official page. accessed
  6. Wyoming equality profileMovement Advancement Project, Organization. accessed
    “Private Health Insurance Nondiscrimination Laws 0/1 ... State Medicaid Policy Related to Coverage for Transgender People: Negative Law”
  7. Find careWyoming Equality, Organization. accessed
    “Due to threats to safety including the leaking of doctor's personal information, we keep the full directory private and offer information based on patient requests.”
  8. Gender Affirming CareWellspring Health Access, Organization. accessed
    “Some of our gender-affirming services include: Hormone Therapy, Wellness Visits And Check-ups, STI and STD Testing and Treatment, Vasectomy, PreP, Assistance with Changing Legal Documents”
  9. Communicable Disease UnitWyoming Department of Health, Official page. accessed
  10. Find a Health CenterHealth Resources and Services Administration, Official page. accessed
  11. HRT Access FundPoint of Pride, Organization. accessed
  12. GenderbandsOrganization. accessed
  13. Trans Health ProjectAdvocates for Trans Equality, Organization. accessed