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 Tennessee State Senate has approved a bill requiring clinics to report detailed data on patients receiving gender-affirming care, a move critics warn could enable the state to track transgender people and the doctors who treat them.
The measure requires all gender clinics in Tennessee to submit monthly reports to the Department of Health on patients who receive transition-related treatments or surgery. The state would then publish annual reports based on that data.
The reports would exclude patients’ names but include details such as age, sex assigned at birth, prescribed medications, and the dates prescriptions were written or surgical referrals made. The requirement would apply not only to those receiving gender-affirming care, but also to patients seeking treatment for side effects or those who later experience "regret" and pursue "detransition."
A Kansas judge has temporarily blocked the state from enforcing its law banning minors from accessing non-surgical transition-related treatments such as hormones or puberty blockers.
On May 15, Judge Carl Folsom III of the State District Court in Douglas County granted a temporary injunction blocking the state from enforcing the law, finding that it likely violated parents' rights to make decisions about their children's health and wellbeing.
In his 117-page ruling, Folsom -- who was appointed by Democratic Gov. Laura Kelly -- wrote that transgender children were likely to suffer "irreparable harm" if the ban on transition-related hormonal treatments remained in effect. He also cited testimony asserting that gender-affirming, non-surgical treatments for minors are safe, effective, and medically credible.
A new rule from the U.S. Bureau of Alcohol, Tobacco, Firearms and Explosives could effectively criminalize transgender people who attempt to buy firearms, raising concerns about their ability to exercise Second Amendment rights.
The move stems from an executive order by President Donald Trump declaring that the federal government will recognize only two sexes -- male and female -- based on biological anatomy at birth.
Under the change, all gun buyers would be required to list their sex assigned at birth on purchase paperwork, even if they have legally changed their gender or undergone gender confirmation surgery. That would force transgender people to either "out" themselves or risk lying on a government form -- a crime punishable by up to five years in prison and a $250,000 fine, or up to 10 years if the lie is deemed "material" to the sale.
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