HHS Secretary Sylvia Burwell – Photo: U.S. Dept. of Health and Human Services
New rules proposed by the U.S. Department of Health and Human Services (HHS) would effectively prohibit health care plans from denying coverage to transgender people for various treatments for gender dysphoria. The HHS rules, intended to implement nondiscrimination provisions contained in the Affordable Care Act, would classify gender identity discrimination as sex discrimination. To comply, plans would have to cover medically necessary medications, surgeries or other treatments for gender dysphoria if they cover similar services to non-transgender people with other medical conditions.
Once finalized, the HHS rules will apply to health insurance plans sold on either state or federal health care exchanges, Medicaid, the Children’s Health Insurance Program, Medicare, the Indian Health Service, and any health care provider who accepts federal funds. The rules will not apply to private health plans who neither accept Medicare or Medicaid and who offer insurance plans outside of the exchanges. While the rules do not specifically address programs such as veterans’ and military health care, those agencies are expected to implement the nondiscrimination provisions into their programs.
“The Department of Health and Human Service’s proposed rules have the potential to be life-saving for transgender people,” Mara Keisling, executive director of the National Center for Transgender Equality, remarked in a statement. “These rules will help finally make the promise of the Affordable Care Act real for transgender people — that they can find affordable health insurance that covers the essential care they need and doesn’t exclude care simply because of who they are.”
HHS will be accepting public comments on the proposed rules for 60 days.
A New York City man will spend the next two decades in prison for selling fentanyl-laced heroin that caused the fatal overdose of prominent transgender activist Cecilia Gentili, found dead in her home on February 6, 2024.
The 52-year-old was killed from a mixture of fentanyl, heroin, xylazine (also known as "tranq," a veterinary sedative that is often mixed with other drugs related to overdoses), and cocaine, according to the New York City Medical Examiner's Office.
Police used text messages, along with cell site data, to link two men to Gentili's death, with 53-year-old Antonio Venti of Babylon, N.Y., selling the fentanyl-laced mixture to the veteran LGBTQ activist and 44-year-old Michael Kuilan supplying the drugs to Venti.
The U.S. Supreme Court has upheld a Tennessee law banning doctors from prescribing gender-affirming puberty blockers and hormones to transgender youth with gender dysphoria.
A group of families of transgender youth and a doctor who treats them sued to overturn the law, arguing it was unconstitutional, infringed on parental rights, and violated nondiscrimination protections in the Affordable Care Act. Lower courts ultimately dismissed the parental rights and ACA-based claims.
When J. Ahmir "Ricky" Vines was in elementary school, growing up with a single mom, he would get in trouble with his teachers for scribbling lyrics during class. Eventually, realizing that his lyrical prowess could earn him some extra money, he began selling lyrics to local rappers in his town and stashing the extra cash in a shoebox.
"There's a big underground music culture in North Carolina," says the Winston-Salem native. "I would sell these lyrics to these older kids and these young rapper guys around the city."
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