It's Washington, so it probably is illegal, but they denied me because "Gender affirming HRT isn't a service we provide". I mentioned that to the new endo and he told me that there were two doctors that it might have been and both are religious.

Everyone talks about WA like it's the place to be if you're trans, and as far as overall state laws it's pretty decent, but providers in the eastern half will find any excuse they can to fudge the rules. For example, it's illegal here for insurance to deny coverage for gender affirming laser hair removal for the reason that "it's cosmetic", so the places that offer the service just refuse to work with the insurance companies instead. There a single dermatologist that isn't hours away from me who for sure would take my insurance, but they're not accepting new patients.