While a pre-existing condition clause will no longer be able to be used, an exclusion of services can and will be used by insurance companies to control costs. I foresee less policies covering SRS or trans related care, not more. My mother has already been told that she can not get insurance because of diabetes, with no pre-existing clause, just an exclusion. Any policy can exclude almost any condition. There are a few things that are required coverage but not many. Her only recourse was state insurance with prohibitive premiums.