OPM directed federal health carriers to exclude gender-affirming care from FEHB, PSHB coverage
The U.S. Office of Personnel Management issued FEHB Program Carrier Letter 2025-01b on August 15, 2025, directing all Federal Employees Health Benefits and Postal Service Health Benefits carriers to exclude coverage for hormone treatments and surgical procedures tied to gender transition, effective Plan Year 2026. On August 3, 2026, the Human Rights Campaign Foundation and federal employees filed a class-action lawsuit alleging the exclusion violates Title VII's sex-discrimination protections.
