A transgender Iowa man will receive medically necessary surgery under the state’s Medicaid program due to a claims processing error, but other transgender people will continue to be barred from having gender confirmation surgery covered under an existing ban on transition-related procedures.
Andrew Evans, an Iowa resident with coverage under the state’s Medicaid program, was seeking to have surgery to treat his gender dysphoria, and had enlisted the help of the American Civil Liberties Union (ACLU) of Iowa in his fight. In a surprise development on Monday, Amerigroup, one of Iowa’s private Medicaid providers, agreed to cover Evans’ surgery.
But while Evans’ medical providers had concluded that the surgery was medically necessary, Amerigroup never reached that conclusion. Rather, Amerigroup said it would pay for the procedure because it failed to process Evans’ request — which would have been denied — in a timely manner. As a result, Amerigroup said it would cover the surgery “as if it were authorized” in order to “amicably resolve” the situation.
The ACLU has long argued that bans prohibiting Medicaid from covering gender confirmation or transition-related surgery are discriminatory, as the program will cover identical procedures for cisgender people. A similar ban in Minnesota was recently struck down as unconstitutional for exactly that reason.
While the ACLU of Iowa celebrated Evans’ victory, it also slammed the state for continuing to keep the ban on transition-related surgery in place.
“It’s a core Iowa value to treat all people fairly,” Rita Bettis, the legal director of the ACLU of Iowa, said in a statement. “Iowa’s discriminatory ban on Medicaid coverage for the medical care that transgender people need is inconsistent with basic fairness. It needs to go.”
Bettis also encouraged other transgender people on Medicaid who have been denied coverage for medically necessary transition-related surgery to contact the ACLU of Iowa. Because Evans’ case has been resolved, the organization cannot currently pursue a lawsuit challenging the ban until another person can show they were legally “injured” by the denial of coverage.
“We are pleased that Evans’ surgery will be covered,” Donna Red Wing, the executive director of the LGBT organization One Iowa, said in a statement. “However, we continue to be concerned that exclusions for transgender surgery and other trans-related health care continue in Iowa and across the nation. One way to ensure transgender people have access to quality health care is for our insurance companies to remove those exclusions.”
The ACLU is currently suing over another transgender man’s request for medically necessary surgery to treat his gender dysphoria. However, that client, Jesse Vroegh, an employee at the Iowa Department of Corrections, is not on Medicaid, but has been denied coverage for surgery by Wellmark Blue Cross, his employer-sponsored insurance provider.
Poised to juggle her past and present, her fears and joys, in the one-woman autobiographical show Circus of the Self, Lucy Eden will also be juggling her two favorite props.
"I'm using balls and knives," Eden says, grinning. "And there's also some unicycling, some balance elements. I like to balance things on my face. It's one of my favorite elements of juggling."
So is comedy, which the performer blends with poetry and first-person narrative to relate her own origin story -- someone who is trans and grew up in rural south Georgia, before relocating to the Bay Area.
In another swipe at the transgender community, the national monument honoring what is widely seen as the seminal event of the modern LGBTQ rights movement has erased all mention of transgender and queer people.
Each June, the Stonewall National Monument in New York City typically decorates the fence surrounding Christopher Park -- the small park adjacent to the historic Stonewall Inn and part of the official monument -- with various Pride flags.
In past years, the display has featured a mix of flags -- the familiar six-stripe rainbow Pride flag, the blue, pink, and white transgender Pride flag, and the "Progress" flag, which adds stripes for Black and brown communities and a chevron design incorporating transgender and intersex Pride colors.
A new Williams Institute report shows LGBTQ adults are more likely to rely on food assistance -- and could be disproportionately harmed by Republican-led efforts to slash SNAP funding.
A new report from the Williams Institute, an LGBTQ-focused think tank at UCLA School of Law, finds that 15% of LGBTQ adults -- nearly 2.1 million people -- received Supplemental Nutrition Assistance Program (SNAP) benefits in the past year.
The report arrives as Congress prepares to pass legislation backed by President Donald Trump that would make his 2017 tax cuts permanent. In exchange -- particularly for high-income earners and corporations -- the Republican-backed bill proposes significant cuts to domestic social safety net programs.
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