For the first time since 1981, when it dubbed sex-change operations experimental, Medicare has opened the door to covering transexual operations, adding to the growing list of operations that would be allowed under Obamacare.
Acting on a new request, the Centers for Medicare & Medicaid Services said it is starting a new analysis that could lift the spending ban for sex-change operations with a goal of making a decision two days after Christmas and on the eve of Obamacare kicking in January 1.
http://washingtonexaminer.com/in-shift-medicare-would-pay-for-sex-change-operations/article/2525782
so, this is the 'change' part of hope and....