MassHealth reaffirms their commitment to non-discrimination and the LGBTQ community.

Posted by: | Posted on: June 27, 2020

Message from MassHealth on federal changes to Section 1557 of the ACA and the impact on the LGBTQ community:

On June 12th, the Trump Administration announced changes to its interpretation of Section 1557 of the Affordable Care Act. These changes remove certain federal nondiscrimination in health care protections for members of the LGBTQ community, and in particular, for transgender individuals. Additionally, the change weakens federal requirements related to translation and language access. MassHealth submitted a letter in opposition to these changes on August 13, 2019 to the federal Department of Health and Human Services when they were first announced in draft form. Monday’s Supreme Court decision concluding that Title VII of the Civil Rights Act protects LGBTQ individuals from employment discrimination may further impact the administration’s changes to Section 1557.

We want to expressly emphasize that these federal changes have not changed MassHealth’s commitment to providing all medically necessary MassHealth services to LGBTQ individuals who are MassHealth members, including transgender members. Nor do these federal changes affect our commitment to ensuring  LGBTQ members can access MassHealth covered benefits free from unlawful discrimination. We want to reiterate that various other state laws and regulations, as well as MassHealth managed care contracts, continue to prohibit discrimination in health care for the LGBTQ community and require meaningful language access for MassHealth members.  Plans and providers must continue to ensure compliance with these nondiscrimination requirements.

The Massachusetts Attorney General’s Office is building a case to challenge the federal administration’s rewrite of Section 1557 non-discrimination regulations. Specifically, the AGO would like assistance in identifying trans and nonbinary individuals with private health insurance + MassHealth, where the private plan denied, excluded, or otherwise didn’t cover a service that MassHealth then covered. The private plan can be self-insured or fully-insured. If your care or service was denied by a private plan and later covered by MassHealth please send an email to:

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