HHS Secretary Sylvia Burwell – Photo: U.S. Dept. of Health and Human Services
New rules proposed by the U.S. Department of Health and Human Services (HHS) would effectively prohibit health care plans from denying coverage to transgender people for various treatments for gender dysphoria. The HHS rules, intended to implement nondiscrimination provisions contained in the Affordable Care Act, would classify gender identity discrimination as sex discrimination. To comply, plans would have to cover medically necessary medications, surgeries or other treatments for gender dysphoria if they cover similar services to non-transgender people with other medical conditions.
Once finalized, the HHS rules will apply to health insurance plans sold on either state or federal health care exchanges, Medicaid, the Children’s Health Insurance Program, Medicare, the Indian Health Service, and any health care provider who accepts federal funds. The rules will not apply to private health plans who neither accept Medicare or Medicaid and who offer insurance plans outside of the exchanges. While the rules do not specifically address programs such as veterans’ and military health care, those agencies are expected to implement the nondiscrimination provisions into their programs.
“The Department of Health and Human Service’s proposed rules have the potential to be life-saving for transgender people,” Mara Keisling, executive director of the National Center for Transgender Equality, remarked in a statement. “These rules will help finally make the promise of the Affordable Care Act real for transgender people — that they can find affordable health insurance that covers the essential care they need and doesn’t exclude care simply because of who they are.”
The Trump administration suspended $175 million in federal funding for the University of Pennsylvania as punishment for having allowed transgender swimmer Lia Thomas to compete in 2022.
Thomas originally competed for the men's swim team but competed on the women's team following her transition.
She complied with what NCAA regulations regarding transgender athlete eligibility were at the time, undergoing hormone therapy for a year before competing.
In 2022, Thomas began breaking school and meet records, becoming the first transgender woman to win an NCAA swimming championship medal in the Division I women's 500-yard freestyle event.
Over the chants of hundreds of protesters, Iowa Republicans passed a bill to eliminate the ability of transgender people to access public accommodations that align with their gender identity, as well as their ability to access credit, housing, and to obtain employment.
As the February 27 vote was taken, a spectator shouted, "Hope you're proud of yourself!" while another screamed, "Fascist scumbags, eat shit!"
The vote, which passed 33-15 along party lines, makes Iowa the first state in the United States to eliminate existing nondiscrimination protections for a previously protected group of citizens.
U.S. District Judge Ana Reyes, of the District of Columbia, issued a preliminary injunction blocking President Donald Trump's executive order banning transgender people from enlisting in the military, which also includes expelling transgender service members from the Armed Forces.
The federal judge found the Trump administration's ban violates the Equal Protection Clause of the 14th Amendment to the U.S. Constitution because it discriminates against trans service members on the basis of their transgender status and sex.
Reyes said Trump's executive order was "soaked in animus."
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