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EerieAnna Good and Carol Beal are two women whose medical providers determined that surgery was medically necessary to treat their gender dysphoria, but the Iowa Department of Human Services denied them Medicaid coverage for the surgery. In March 2019, the Iowa Supreme Court ruled that the Department’s ban on coverage violated the Iowa Civil Rights Act and affirmed the district court’s ruling that EerieAnna and Carol are entitled to coverage for the gender affirming surgery they need.