P114. Reconstruction of the Hemilarynx After Hemilaryngectomy for Unilateral Advanced Larynx Tumors. The Learning Curve After 100 Cases of Hemilaryngeal Reconstruction by a Prefabricated Trachea

Abstract

RESULTS:In states with explicit inclusion of genderaffirming care, our interrupted time series analyses showed a significant increase in the number of patients covered under state legislation-dependent insurance receiving gender affirming surgeries around the time during which state legislations began mandating care (p<0.01) and in the years thereafter (p<0.01). This significance was not seen among the same regions for patients covered under non-state legislation-dependent insurance. Nor was it seen in either payer group in states without explicit inclusion of gender-affirming care. At the federal level, Medicare recipients exhibited a statistical significance among all states analyzed, regardless of coverage, around the time federal legislations took effect and in the years thereafter.CONCLUSION: Legislations mandating coverage appear highly effective in actuating surgical care of transgender patients in corresponding jurisdictions.