REGULATORY · MARKET STRUCTURE · COMPETITIVE · USA EEOC upholds OPM restriction on FEHB gender-transition coverage Change The EEOC upheld OPM's authority to allow FEHB and PSHB plans to exclude coverage for gender-transition procedures. Why it matters EEOC's ruling confirms OPM may require FEHB and PSHB carriers to exclude specified gender-transition (sex-rejecting) procedures. This restricts routine FEHB-funded coverage of those procedures under standard benefits, limiting access to exceptions and certain counseling provisions that OPM requires carriers to maintain. Carriers must implement the exclusions for Plan Year 2026 while preserving exceptions for individuals already undergoing treatment. opm.gov · 5:19 AM More actions Like (sign in) Save (sign in) Share Facebook LinkedIn X / Twitter Copy link
