After coming out as a
transgender man during college, Cray began his career as a legal fellow and policy analyst with the National Coalition for
LGBT Health, where he served as the lead researcher and author of the coalition's comprehensive report on
LGBTQ veterans’ health. Cray served as a Law Fellow at the
National LGBTQ Task Force in 2009, where he was tasked with writing recommendations for inclusion in the health reform legislation being debated in the United States Congress. Cray then became a health law and policy fellow at the
National Center for Transgender Equality, where he advocated for access to affordable, high-quality health care for transgender people. Andrew was a founding member of Trans Legal Advocates of Washington, which trains attorneys on transgender legal issues and operates
pro bono legal clinics for transgender clients. Beginning in 2012, Cray served as a Policy Analyst for the
Center for American Progress's LGBTQ Research and Communications Project. Cray's research focused on LGBTQ inclusion and engagement in
state implementation of the
Affordable Care Act, health insurance policies that improve coverage for LGBTQ families, LGBTQ-inclusive data collection, and LGBTQ youth. Cray spearheaded efforts to obtain transgender-inclusive health insurance policies in several U.S. states and the District of Columbia. Among his federal policy work, Cray played a critical role as a founder of Out2Enroll, a nationwide initiative that connects LGBTQ people and their families with health insurance coverage options. Cray participated in an event at the White House to celebrate the enrollment of more than 8 million people into health insurance following the implementation of the Affordable Care Act. Cray received a standing ovation from attendees. Paulette Aniskoff, director of the
White House Office of Public Engagement, said Cray's contributions to the Affordable Care Act were integral to the successful implementation of the law. ==Personal life and death==