I think pretty much every trans identified person can recount instances when we were made to feel uncomfortable, misgendered, and even denied emergency service because of our gender expression. And nearly everyone of us have reservations about returning to those intimidating institutions.
Under Obama-care this is no more according to HRC who reported this:
"In response to a letter from LGBT organizations, including HRC, the Department of Health and Human Services confirmed that the non-discrimination provision in the Affordable Care Act prohibits discrimination based on gender identity and sex stereotyping.
This part of the law, referred to as Section 1557, extends the protections of existing federal civil rights laws – which prohibit discrimination based on race, national origin, sex, disability and age – to anyone served under any federally funded or administrated health program or activity, or any entity established under the Act. Individuals who feel they have been discriminated against in a healthcare program that may fall under this protection can file a complaint with HHS’s Office of Civil Rights here"
Kudo's to HRC for working WITH and and giving CREDIT to others who contributed to this project. I think it's a sign of the times.