Creating Equal Access to Quality Healthcare for Transgender Patients (2 credit hours)

Program Summary:  This course offers transgender-affirming hospital policies in an effort to promote nondiscriminatory and inclusive healthcare for transgender patients.  The policies address issues of nondiscrimination, patient rights, privacy, hormone therapy, room assignments, and access to restrooms.  Insurance issues are discussed.

This toolkit was last updated in July of 2017 and does not reflect recent changes stemming from the current administration and from developments in the judiciary. Most importantly, Section 1557 of the Affordable Care Act has been enjoined by a federal court in Texas. This means that protections for discrimination based on gender identity are currently not being enforced in federal courts or by the Department of Health and Human Services Office of Civil Rights. You can read more about that here:

This course is recommended for social workers, counselors, and therapists and is appropriate for beginning,  intermediate, and advanced levels of practice.  This course is not recommended for NBCC ethics credit.

Course Reading #1:  Creating Equal Access to Quality Healthcare for Transgender Patients

Publisher:  Lambda Legal, Human Rights Campaign, Hogan Lovells, New York City Bar

Course Reading #2:  Professional Organizations Statements Supporting Transgender People in Healthcare

Publisher:   Lambda Legal

Find the reading at:

Course Objectives:  To enhance professional practice, values, skills, and knowledge by identifying key issues related to transgender-affirming hospital policies.

Learning Objectives:  Describe recommended protocols for interaction with transgender patients.  Describe process for assigning rooms to transgender patients.  Describe the ‘two-step’ process for collecting gender information.  Describe the ‘minimum necessary’ standard.

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1: What percentage of over 6,000 transgender Americans surveyed in 2011 reported being refused health care due to their transgender or gender non-conformng status?
2: According to a large national lesbian, gay, bisexual and transgender (LGBT) health survey conducted in 2010, 70% of transgender respondents reported having one or more of all but which of the following experiences?
3: Section 1557 of the ________________ prohibits sex discrimination in any hospital or health program that receives federal funds.
4: The Affordable Care Act is the first federal law to prohibit sex discrimination.
5: Transgender and gender-nonconforming patients have the right to refuse to be examined, observed, or treated by medical students, residents, or any other facility staff, without jeopardizing the patient's access to medical care, when the primary purpose is
6: If a transgender patient is admitted to a hospital and is currently taking hormones, that treatment should
7: When transgender patients present for health care, they will be addressed and referred to on the basis of
8: If the patient's gender presentation does not clearly indicate the patient's gender identity, the hospital staff member should
9: A patient should be asked about transgender status
10: Where room assignments are gender-based, transgender patients will be assigned to rooms based on
11: Which of the following is first in the order of priority in assigning transgender patients to a hospital room?
12: One way hospitals can create a safer and more welcoming environment for transgender and gender non-conforming patients is to offer private
Intake forms (paper or electronic) should utilize the two- step method for collecting gender information by asking the following questions:
14: The 'Minimum Necessary" Standard refers to which of the following?
15: The medical necessity of sex assignment surgery and hormone therapy for patients with 'gender dysphoria' has been recognized by
16: Section 1557 of the Affordable Care Act
17: Because conditions such as gender dysphoria are relatively rare, distributed costs of providing insurance coverage for transgender-related care are

In order to purchase or take this course, you will need to log in. If you do not have an account, you will need to register for a free account.

After you log in, a link will appear here that will allow you to purchase this course.


Free State Social Work, LLC, provider #1235, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. Free State Social Work, LLC maintains responsibility for this course. ACE provider approval period: 9/6/2018 - 9/6/2021. Social workers completing this course receive 2 continuing education credits.

Free State Social Work has been approved by NBCC as an Approved Continuing Education Provider, ACEP NO. 6605. Programs that do not qualify for NBCC credit are clearly identified. Free State Social Work is solely responsible for all aspects of the programs.

G.M. Rydberg-Cox, MSW, LSCSW is the Continuing Education Director at Free State Social Work and responsible for the development of this course.  She received her Masters of Social Work in 1996 from the Jane Addams School of Social Work at the University of Illinois-Chicago and she has over 20 years of experience.  She has lived and worked as a social worker in Chicago, Boston, and Kansas City.  She currently practices in the area of hospital/medical social work.  The reading materials for this course were developed by another organization.