The more up-to-date estimate on this (Dec. 2022) from Williams is 267,000 trans people enrolled in Medicaid, about 164,000 of whom had access to gender-affirming care in their state Medicaid programs in 2022 and another 74,000 with ambiguous access.
[williamsinstitute.law.ucla.edu/publications...](
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RE:
[Medicaid Coverage for Gender-A...](
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Williams Institute
Medicaid Coverage for Gender-Affirming Care
Bluesky Social
Eric Michael Garcia (@ericmgarcia.bsky.social)
FWIW, about 152,000 transgender people use Medicaid.
https://williamsinstitute.law.ucla.edu/press/trans-adults-medicaid-press-release/

Williams Institute
Medicaid Coverage for Gender-Affirming Care