In mid-December the New York Department of Health published proposed regulations expanding Medicaid to include transition-related care (full regulatory text available here). Unfortunately, the proposed rule excludes payment for coverage for hormone replacement therapy or gender-affirming surgeries for those under the age of 18. While there are other issues (such as the extensive list of procedures not covered), I felt the denial of coverage for transgender teens was the most important element to address.
The PDF of the comment is available here; the full text of the comment is below.