Pennsylvania has explicit insurance guidance on transgender-related health care.

Bulletins and Announcements:

• Bulletin: Protecting Pennsylvanians from Conversion Therapy and Supporting LGBTQIA+ Pennsylvanians
  Issued by: Governor of Pennsylvania
  Issued on: Aug. 16, 2022
• Bulletin: Notice Regarding Nondiscrimination, Notice 2016-05, 46 Pa. Bulletin 2251
  Issued by: Pennsylvania Bureau of Life, Accident and Health, Office of Insurance Product Regulation
  Issued on: April 30, 2015
  Summary:

  Interpreting The Insurance Company Law of 1921, the Unfair Insurance Practices Act, and  Section 1557 of the Affordable Care Act to mean that "a policy will not exclude services based on gender identity and will not contain a categorical exclusion of coverage for all health services related to gender transition, as described in the OCR Proposed Rule, and also will affirmatively provide that medically necessary covered services will be available to a policyholder regardless of their gender identity."