Idaho Gov. Brad Little – Photo: Phil White / Office of the Governor of Idaho
Idaho Republican Gov. Brad Little signed a bill into law prohibiting Medicaid and state employee health plans from covering the cost of gender-affirming medications and procedures for low-income transgender adults and minors.
House Bill 668 declares that public funds “shall not reimburse or provide coverage for any surgical operation or medical intervention…for purposes of altering the appearance of an individual in order to affirm the individual’s perception of the individual’s sex in a way that is inconsistent with the individual’s biological sex.”
The bill contains exemptions for certain types of surgical operations or medical interventions, such as those deemed medically necessary; those meant to force intersex people or those with “a medically verifiable genetic disorder of sex development” to conform to binary bodily stereotypes; and those used to help a person “de-transition” or to treat an “infection, injury, disease or disorder that has been caused or exacerbated by” gender-affirming surgery.
It also declares that any transition-related procedures performed to alter a person’s appearance to align with their gender identity, rather than their assigned sex at birth, does not qualify as “medically necessary.”
Because the bill prohibits “public funds,” state employees, like teachers or government workers, are barred from using their employer-sponsored health plan to cover the cost of gender-affirming treatments for themselves or their dependents, reports the Idaho Capital Sun.
The measure’s backers argue that it is necessary to prevent taxpayer dollars from being wasted on efforts to affirm a person’s gender identity.
A sponsor of a nearly identical measure argued that the bill does not completely ban transgender people from obtaining coverage for medical procedures or medications — just as long as those aren’t related to their transition.
“While I have great compassion for those who struggle with these issues [of gender dysphoria], I also understand that the idea of actually creating the function of the opposite sex is a scientific impossibility,” State Rep. Julianne Young (R-Blackfoot), the sponsor of the similar-in-scope House Bill 520 said during debate.
House Bill 668 ultimately passed the Idaho House of Representatives by a 58-11 vote, and the Idaho Senate by a 26-8 vote. If no legal challenge is mounted against the law, it will take effect on July 1.
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.
President Donald Trump used his address to Congress on Tuesday, March 4, to attack transgender individuals, calling transgender identity a "lie" and railing against transgender athletes, gender-affirming care, and trans visibility in the military and more broadly within society.
At one point during the speech, Trump switched from speaking about a child who was diagnosed with cancer to claim his administration was protecting children from "toxic ideologies" in schools.
He brought up the story of January Littlejohn, a Florida anti-transgender activist who sued the Leon County School District in Tallahassee, Flordia, in 2021, alleging that her child's school had discussed restrooms and name change requests with the child, assisting her in "socially transitioning" without informing Littlejohn or her husband of their efforts.
Republicans in nine states are calling for the overturn of marriage equality.
In Idaho, Michigan, Montana, North Dakota, and South Dakota, lawmakers have introduced resolutions demanding the U.S. Supreme Court reverse its landmark 2015 decision in Obergefell v. Hodges, in which the court struck down all existing state-level same-sex marriage bans.
Last month, the Idaho House of Representatives voted 46-24 to approve one such resolution, asking the nation's highest court to "restore the natural definition of marriage, a union of one man and one woman."
While the resolution is non-binding and doesn't require the Supreme Court to take action, Republican lawmakers see it as a "messaging" bill that expresses their extreme displeasure with same-sex marriage.
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