Introduction
1
This informational booklet is meant to serve as a guide to the specic steps
involved in managing the process of changing your name and gender
marker on important documents like your birth certicate, social security
card, and driver’s license in Nevada.
This booklet also provides information related to changing your name and
gender marker with the State of Nevada Division of Welfare and
Supportive Services (DWSS), understanding Nevada Medicaid coverage
for hormone therapy and gender reassignment services, and Nevada law
regarding health care coverage related to your gender identity or
expression.
Nevada Revised Statute (NRS) 651.070 identies and prohibits
discrimination in any place of public accommodation in Nevada, includ-
ing insurance ofces, ofces of providers of health care, hospitals, or other
service establishments, based on race, color, religion, national origin,
disability, sexual orientation, sex, gender identity or expression. NRS
651.050(2) denes gender identity or expression as “a gender-related
identity, appearance, expression or behavior of a person, regardless of
the person’s assigned sex at birth.”
Nevada Administrative Code (NAC) 686A.110 through 686A.160 prohibits
denial of benets relating to coverage of medically necessary health care
services on the basis of sex. NAC 686A.140 prohibits restricting, reducing,
modifying, or excluding benets relating to coverage involving the genital
organs of only one sex when the restriction, reduction, modication or
exclusion is not required for both sexes.
NRS 651.070 and NAC 686A.140(7) prohibit the denial, exclusion, or limita-
tion of benets relating to coverage of medically necessary health care
services on the basis of sex as it relates to gender identity or expression.
An insurance carrier may not deny, exclude or limit benets for medically
necessary health care services if the medically necessary health care
services would be provided at current standards of care to another
covered person without regard to their gender identity or expression.
This guide was compiled using information from a number of different
agencies (state and local government agencies and non-prot
agencies).
Please see the nal page of this guide for a complete list of contributors.