Iowa State University has agreed to settle a discrimination lawsuit brought by a transgender employee for $28,000 after she was denied coverage for transition-related care under her employee health insurance plan.
Elyn Fritz-Waters, a former assistant scientist at the university, was diagnosed with gender dysphoria in 2016, and, on the advice of her primary care provider, was advised to undergo gender confirmation surgery to help treat her dysphoria.
Yet even though the care was deemed medically necessary, Fritz-Waters was still denied coverage due to an insurance exclusion that specifically prohibits coverage for transition-related care.
Fritz-Waters filed a complaint with the Iowa Civil Rights Commission, alleging that the insurance exclusion was discriminatory because it denied her equal access to health care benefits based on her sex and gender identity. She later resigned from her post at the university in February 2017.
The Civil Rights Commission agreed with Fritz-Waters’ claims, and granted her “right-to-sue” status later that year, at which point she filed a lawsuit against the university.
Last Wednesday, the Iowa Appeal Board approved a $27,500 settlement in the case. The university will pay $25,000, and the state government will pick up the remainder of the tab. The state of Iowa did not admit wrongdoing or legal violation as part of the settlement.
After Fritz-Waters filed suit, the Iowa Board of Regents decided to expand insurance coverage to include transition-related care for transgender individuals, Annette Hacker, a university spokeswoman, told the Des Moines Register.
Fights over transgender health care have taken center-stage in recent years. In 2016, an Iowa transgender man was allowed to receive gender confirmation surgery under Medicaid due to a processing error, even though the state continued to refuse to allow other Medicaid recipients to receive coverage for transition-related procedures. Earlier this year, an Iowa jury awarded a transgender man $120,000 for discrimination he faced on the job — including the denial of insurance coverage — due to his gender identity.
In 2017, two transgender women sued the state, arguing that the Medicaid exclusion was discriminatory and unconstitutional. A federal judge ruled in favor of the two women, finding that transition-related procedures deemed medically necessary can be covered by Medicaid. Last week, Gov. Kim Reynolds signed a bill into law containing a provision that allows local governments and agencies to refuse to use public dollars to pay for surgery, hormones, or other treatments.
The first-of-its-kind lawsuit alleges that Dr. May Chi Lau illegally prescribed hormone treatments to 21 minors, in violation of a state ban on transition-related care.
In the first-of-its-kind lawsuit in the United States, Texas Attorney General Ken Paxton has sued a Dallas doctor, accusing her of violating Texas's law barring physicians from providing gender-affirming care to minors.
Paxton alleges that Dr. May Chi Lau, a specialist in adolescent medicine, prescribed and provided hormone treatments to 21 minors between October 2023 and August 2024 to assist the youth in transitioning genders.
Under the ban, which was passed last year and upheld by the Texas Supreme Court in June after being challenged in a lawsuit, doctors are prohibited from providing puberty blockers or hormone replacement therapy to minors and can have their license to practice medicine permanently revoked and be fined hundreds of thousands of dollars.
Donald Trump's ads attacking Kamala Harris for her support of gender-affirming care for transgender prisoners are ringing a bit hollow following a New York Times exposé that showed his own Justice Department held a very similar position.
Trump is not being widely called out for his hypocrisy, however. Most Democrats, save Harris, sidestep any mention of transgender issues -- appearing concerned that their support of transgender rights will hurt them among moderate and swing voters. Republicans, meanwhile, simply ignore all historical facts.
In his ads, Trump has lambasted Harris for supporting gender-affirming care for transgender inmates, including undocumented immigrants who are in custody, in an attempt to paint her as too liberal in the eyes of moderate and independent voters.
Two sitting Democratic congressmen came out publicly against allowing transgender females to compete on women's sports teams.
This continues an alarming trend of people on the political Left blaming LGBTQ visibility as one of the reasons for Republican victories in this year's elections.
Following Donald Trump's win in the presidential race and the start of post-election analyses to determine why most voters shifted heavily away from the Democratic party, U.S. Rep. Tom Suozzi (D-N.Y.) told The New York Times that the party "have to stop pandering to the far left."
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