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.”
A federal judge issued a nationwide order blocking a pair of executive orders from President Donald Trump seeking to criminalize the provision of gender-affirming health care to transgender youth.
U.S. District Judge Brendan Hurson, of the District of Maryland, granted a preliminary injunction to the families of several transgender young adults and adolescents whose access to gender-affirming care was disrupted by Trump's orders. Those families are joined by the pro-LGBTQ advocacy group PFLAG National and GLMA, the country's largest organization of LGBTQ and allied health professionals.
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.
President Donald Trump used his address to Congress on Tuesday, March 4, to attack transgender individuals, calling transgender identity a "lie" and railing against transgender athletes, gender-affirming care, and trans visibility in the military and more broadly within society.
At one point during the speech, Trump switched from speaking about a child who was diagnosed with cancer to claim his administration was protecting children from "toxic ideologies" in schools.
He brought up the story of January Littlejohn, a Florida anti-transgender activist who sued the Leon County School District in Tallahassee, Flordia, in 2021, alleging that her child's school had discussed restrooms and name change requests with the child, assisting her in "socially transitioning" without informing Littlejohn or her husband of their efforts.
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