Managed care organization prohibited from discriminating against person with respect to participation or coverage on basis of gender identity or expression

A managed care organization that issues a health care plan shall not discriminate against any person with respect to participation or coverage under the plan on the basis of actual or perceived gender identity or expression. Prohibited discrimination includes, without limitation: 1. Denying, cancelling, limiting or refusing to issue or renew a health care plan on the basis of the actual or perceived gender identity or expression of a person or a family member of the person; 2. Imposing a payment or premium that is based on the actual or perceived gender identity or expression of an insured or a family member of the insured; 3. Designating the actual or perceived gender identity or expression of a person or a family member of the person as grounds to deny, cancel or limit participation or coverage; and 4. Denying, cancelling or limiting participation or coverage on the basis of actual or perceived gender identity or expression, including, without limitation, by limiting or denying coverage for health care services that are: (a) Related to gender transition, provided that there is coverage under the plan for the services when the services are not related to gender transition; or (b) Ordinarily or exclusively available to persons of any sex.