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 U.S. State Department has completely deleted information for transgender individuals from its international travel advisory page.
The department's "International Travel" section on the website, which used to be designated for "LGBTQI+" travelers, now only denotes "LGB Travelers"
"LGB travelers can face special challenges abroad," the website reads. "Laws and attitudes in some countries may affect safety and ease of travel. Many countries do not recognize same-sex marriage.
"Many countries also only recognize the male and female sex markers in passports and do not have IT systems at ports of entry that can accept other sex markers," the page adds, the sole reference that transgender or nonbinary individuals may have received "X" markers on their passports.
Just as it did four years ago, the Trump administration has removed nearly all mentions of LGBTQ identity and HIV from the White House website.
Moreover, searches for "lesbian," "gay," and "bisexual" result in an executive order from President Donald Trump reversing various executive orders issued by former President Joe Biden.
A search for "transgender" brings up the same order, as well as a separate order effectively erasing gender identity from law and requiring the federal government to only recognize a person's assigned sex at birth on identity documents, government surveys, and to receive any government benefits.
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.
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