Federal Medicaid Rule Restricts Coverage of Gender-Affirming Care for Minors: What Changed
A fact-based summary of the CMS final rule barring federal Medicaid and CHIP funds from covering most gender-affirming care for minors, effective October 13, 2026.
Books
Coming Soon, 2nd edition.
An Unexpected Turn is a fast-moving, male-to-female (M>F) coming-of-age novel that explores secrecy, identity, and the profound ripple effects of our choices. Poignant, comical, and deeply moving, the story originally debuted as a short novella.
Inspired by terrific customer reviews on Amazon, Brianna has expanded the narrative into a complete, full-length second edition.
Read Chapter One · See Amazon Reviews and Buy 1st edition novella
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Reading Guides
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New to the site or to trans topics? Start with these essential pieces.
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The definitive, must-read articles across every topic.
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Essays and analysis — my thoughts and opinions on gender, identity, and the wider conversation.
18 piecesObservations
First-hand essays drawn from encounters and experiences I have lived and witnessed.
6 pieces
Federal Court Vacates Rule Excluding Gender-Affirming Care From ACA Essential Health Benefits
A federal court vacated the provision of a Trump administration rule that excluded certain gender-affirming care from the ACA's essential…
Who You Are Behind The Mask
Who you are behind the mask deals with both the masks you wore pre- and post-transition, and the mask others…
Boxes Defining Transgender People
Fear can singularly be the most debilitating emotion we as humans experience, but don’t let others label us to create…
The Inspiration of An Unexpected Turn
An Unexpected Turn, written by Brianna Nicole Austin, is a male-to-female story about a young boy who gets caught dressed.…
Why Be Someone Else?
This is a common question that is asked of transgender people. I [and others] have heard it quite often. Many…