On May 15, 2025, the Oregon DOI issued Bulletin No. DFR 2025-4 regarding health benefit plan coverage of gender-affirming treatment under Oregon Revised Statutes (ORS) 743A.325 and Oregon Administrative Rule (OAR) 836-053-0441.
The bulletin provides supplemental guidance for health benefit plans regarding coverage of gender-affirming treatment, including WPATH-8 as a minimum standard for coverage, network adequacy, and “detransition services,” where clinical treatments are intended to reverse t