Wisconsin Department of Health Services – Photo: Facebook.
Wisconsin has restored coverage for gender confirmation surgery for the state’s transgender employees.
The state’s Group Insurance Board voted 5-4 on Wednesday to cover transition-related treatments for people who have been diagnosed with gender dysphoria. The surgeries will start being covered starting Jan. 1, reports the Associated Press.
“What we’re talking about is the improved health and well-being of our members for no cost,” board member Herschel Day, an associate professor at the University of Wisconsin-Eau Claire, said. Day added that providing the coverage shouldn’t impact premiums.
The board had previously approved coverage for gender confirmation surgery in 2016, but rescinded its decision in 2017 after receiving political pressure from Republican Gov. Scott Walker, a longtime opponent of LGBTQ rights.
Last year, a state consultant claimed that providing the coverage or other transition-related treatments would cost about $100,000 to $250,000 annually, assuming that two to five individuals were to pursue the surgery.
According to the AP, UnitedHealthcare, which is starting a Medicare Advantage program for state workers and retirees, agreed with the decision to cover the surgery. The company told the board that the state’s refusal to cover such procedures would cause the company to be out of compliance with federal Medicare rules.
Last year, the state was sued by the American Civil Liberties Union of Wisconsin on behalf of two transgender employees at the University of Wisconsin-Madison, who complained after they were denied coverage for surgical costs, even though their doctors had confirmed that the surgery was considered medically necessary.
One of the plaintiffs, Alina Boyden, was forced to forego gender confirmation surgery, while the second, Shannon Andrews, was forced to pay $21,000 in out-of-pocket expenses. Both women claimed that the denial of coverage violated their rights under the Equal Protection Clause of the Fourteenth Amendment, and under several other federal laws prohibiting discrimination based on sex.
Last month, a federal judge ruled, in a case brought by two other state residents, that Wisconsin also can’t ban Medicaid funds from being used to pay for gender confirmation surgery.
U.S. Rep. Becca Balint has introduced a bill to protect and expand access to gender-affirming care for transgender individuals at a time when the Trump administration is seeking to restrict the practice.
The Vermont Democrat's bill -- the Transgender Health Care Access Act -- establishes grants to support medical education programs and professional training in transition-related care, and to expand access to such services in rural communities.
She introduced the bill on March 31, coinciding with Transgender Day of Visibility.
The congresswoman noted in a news release that in a survey of students at 10 medical schools, nearly 4 in 5 students did not feel competent at treating transgender patients suffering from gender dysphoria.
Germany's Foreign Office is issuing warnings to transgender and nonbinary citizens traveling to the United States.
The warning is due to a recent executive order from President Donald Trump declaring that only passports with male or female gender markers will be accepted as valid. The order erases transgender identity from law, refusing to acknowledge a person's gender identity if it differs from their assigned sex at birth.
Under Trump's order, the U.S. will only recognize two sexes: male and female, based on biological characteristics at birth as a matter of policy. It declares that gender cannot be changed through medical interventions.
The U.S. Supreme Court has agreed to take up a challenge to a Colorado law prohibiting mental health therapists from subjecting LGBTQ youth to conversion therapy.
The court will hear the case during its next term, which begins in October and runs through June 2026.
Conversion therapy is a practice intended to change a person's sexual orientation or gender identity to align with heterosexual or cisgender norms. Most mainstream medical organizations have largely discredited it as ineffective and potentially even harmful.
Yet, many social conservatives insist that people who hold religious beliefs opposing homosexuality should be allowed to enroll their children, or, in the case of adults, themselves, in the practice.
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