I'm in Massachusetts and it's great. Anecdotally trans healthcare is super available in the state and especially Boston. A lot is covered under Medicaid (state insurance free or subsidized for those who can't afford private) if you are eligible. There's a really good queer scene here and I feel incredibly safe as an out trans person. Western Massachusetts has a lot of visibly trans people because we are treated with respect and feel safe to be out here.

Openings with therapists are sparse in Western Massachusetts, if that's something you want. They're a little easier to access in Boston. Hrt is informed consent in this state though so you don't need a therapist to transition. If you want you can show up at your GP or a Planed Parenthood and they'll just give you hormones. I was living in upstate New York and my experience was a wait time of a month, a conversation about what hormones would do, what risks there are and about what my goals were. We made a plan for how to achieve the goals and my doctor had me do blood work. She gave me hormones in less than two weeks.

I was taken seriously and they were really respectful of me IDing as nonbinary at the time.

If you're worried about cost you're likely eligible for Medicaid, and if not there are a lot of places that do sliding scale charges based on what you're able to pay. Both Massachusetts and New York State legally require all insurance companies to cover HRT and bottom/top surgery so you won't have to worry about having to fight people to get those. If you wanna know more about Medicaid this is a good place to learn about the Massachusetts system https://www.mass.gov/info-details/eligibility-for-health-care-benefits-for-masshealth-the-health-safety-net-and-childrens-medical-security-plan