Official photo of Commissioner Emily Johnson Piper (Photo: Minnesota Department of Human Services).
The American Civil Liberties Union (ACLU) and the ACLU of Minnesota filed a lawsuit on Thursday in Minnesota State Court challenging the current ban on using covering transition-related surgery expenses for transgender people.
The ACLU, which filed the lawsuit on behalf of Evan Thomas and the LGBT rights group OutFront Minnesota, is suing Emily Johnson Piper in her role as the Commissioner of Minnesota’s Department of Human Services, and demanding that the state repeal the coverage exclusions in both Medical Assistance, the state’s Medicaid program, and MinnesotaCare, the state’s program for lower-income residents without access to employee-sponsored health insurance. The ACLU argues that not only is the current exclusions are both discriminatory against transgender people, and have no basis in medical science.
“For many transgender people, transition-related surgery is a medical necessity and can sometimes be a matter of life and death,” Joshua Block, an attorney with the ACLU’s Lesbian, Gay, Bisexual, and Transgender Project. “Transgender Minnesotans — like everyone else — should be able to receive adequate health care based on medical standards of care.”
Under current Minnesota law, all transition-related surgical care is denied coverage, regardless of whether it is medically necessary for treating a person’s gender dysphoria. However, the same treatments are required to be covered under the federal Medicare program and under all private health insurance plans regulated by the state of Minnesota.
“Every major medical organization has recognized that policies banning coverage for medically necessary transition care have no basis in modern medical science,” Block continued. “Minnesota’s statute is a historical relic based purely on disapproval of transgender people.”
In addition to Medicare, 10 other states and the District of Columbia currently provide coverage for transition-related surgical care through their public health insurance or Medicaid programs.
Thomas, the lead plaintiff in the case, is currently on Medical Assistance and has been diagnosed with gender dysphoria. After fighting depression, Thomas was able to begin hormone therapy and legally changed his name and gender earlier this year. But he is still being denied coverage for medically necessary transition-related surgery.
“A weight was lifted when I first began my gender transition and realized I didn’t have to pretend to be a woman anymore,” Thomas said in a statement. “Being denied surgical treatment is harmful to my health and well-being every day I’m forced to live in this body.”
The U.S. Air Force is rescinding a ban on including preferred pronouns in email signatures and other communications. The military branch announced the change in a news release.
The reversal was signed by Acting Assistant Secretary of the Air Force for Manpower and Reserve Affairs Gwendolyn DeFilippi.
The earlier directive, signed by Defense Secretary Pete Hegseth, was issued on January 31 to comply with an executive order issued by President Donald Trump stating that the United States government will only recognize two sexes -- male and female -- as legitimate.
Montana Gov. Greg Gianforte signed two anti-transgender bills into law, one of which bars transgender people from public restrooms matching their gender identity and the other banning transgender women and girls from female-designated sports teams.
The laws were passed on party-line votes in both legislative chambers, with Republicans voting in the affirmative.
The first law requires public schools, correctional facilities, other public buildings -- including the state Capitol -- and domestic violence shelters to designate bathrooms, changing facilities, and sleeping areas for a single sex -- male or female. Entry to such spaces will be based on a person's assigned sex at birth, as determined by a person's chromosomal makeup.
"I love people," says Becca Balint. "I love getting to know them. I love figuring out what makes them tick. I love laughing with them.... I love people, and I get energy from them."
The U.S. Representative from Vermont is definitely a people person: personable, gregarious, cheerful, and willing to engage in conversation, whether it's about serious, pressing political issues or more informal interactions, like cooing over her communication director's pet dog, who briefly appeared on screen during the first minutes of our Zoom interview.
Born on a U.S. Army base in Heidelberg, West Germany, Balint, the daughter of a service member who was himself an immigrant from post-World War II Hungary, lived briefly abroad before moving stateside to Peekskill, New York.
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