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The board had previously approved coverage for gender confirmation surgery in 2016, but rescinded its decision in 2017 after receiving political pressure from Republican Gov.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.
Thanks to the Trump administration, policing gender is becoming the norm -- and it's about much more than trans women.
By Riki Wilchins
March 29, 2025
A Tucson Walmart called the police on a Black "stud"-identified lesbian last month, claiming a man had entered the women's room.
The two male Pima County sheriff's deputies accosted 19-year-old Kalaya Morton just after she had used a tampon and while she was in the stall still trying to pee.
They demanded that she come out immediately, which she was unable to do. Even after she finished her business and exited the stall, lifting her shirt to show the two men that she was a cisgender woman, one of the male deputies still complained that Kalaya "looked like a man."
The Supreme Court of the United Kingdom, Britain's highest court, unanimously found that the terms "woman" and "sex" as used in the country's Equality Act -- the national law prohibiting instances of sex-based discrimination -- refer only to individuals who were biologically female at the time of their birth.
The advocacy group that brought the case, For Women Scotland, sought to clarify that the term "sex" refers only to one's assigned sex at birth, based on their biological or chromosomal makeup.
The group felt that the clarification was necessary after the Scottish government eliminated the requirement that a person must be medically diagnosed with gender dysphoria to legally change one's gender identification, thereby making it easier for people to do so based solely on self-identification.
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.
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