In response to a recent public records request, MuckRock received healthcare and health insurance-related complaints from the Massachusetts Division of Insurance and Attorney General’s Office. These complaints reveal that while gender-affirming treatment access in the state has progressed in recent years, policy barriers persist.

Early last year, we submitted non-discrimination policies regarding transgender students to all 50 states Department of Education as well as a few major cities across the U.S. We received 50 very different responses, varying from merely suggested policies to fully formed plans with structure and consequence.

Last year, Wyoming sued over federal Title IX expansions that included gender identity. Meanwhile, Vermont is a decade-ahead in expanding transgender student rights.