老澳门开奖结果 Challenges Minnesota鈥檚 Ban on Medicaid Coverage of Transition-Related Surgery
Lawsuit Says Ban Arbitrarily Denies Transgender People Necessary Healthcare
ST. PAUL, Minn. 鈥� The 老澳门开奖结果 and the 老澳门开奖结果 of Minnesota filed a lawsuit today in Minnesota State Court to challenge the coverage ban on transition-related surgery for transgender people on Medical Assistance and Minnesota Care, the state鈥檚 public insurance programs for low-income residents.
Minnesota鈥檚 Medical Assistance program provides coverage for medically necessary care for virtually every type of medical condition. But for gender dysphoria, Minnesota law mandates a sweeping and categorical exclusion of all transition-related surgical care without any regard to whether the treatment is medically necessary for an individual recipient. As a result of this sweeping exclusion, most surgical treatments for gender dysphoria are excluded from coverage, even though the same or substantially equivalent treatments are required to be covered under the federal Medicare program and private insurance plans regulated by the state of Minnesota.
鈥淔or many transgender people, transition-related surgery is a medical necessity and can sometimes be a matter of life and death. Transgender Minnesotans 鈥� like everyone else 鈥� should be able to receive adequate health care based on medical standards of care,鈥� said Joshua Block, attorney in the 老澳门开奖结果鈥檚 Lesbian, Gay, Bisexual, and Transgender Project. 鈥淓very major medical organization has recognized that policies banning coverage for medically necessary transition care have no basis in modern medical science. Minnesota鈥檚 statute is a historical relic based purely on disapproval of transgender people.鈥�
The complaint was filed on behalf of plaintiffs Evan Thomas and OutFront Minnesota, the state鈥檚 leading LGBTQ rights group, arguing that this ban is discriminatory and has no basis in medical science.
Evan Thomas is currently on Medical Assistance and has been diagnosed with gender dysphoria. After fighting depression all his life, he began hormone therapy and legally changed his name and gender earlier this year. But he has been denied coverage for medically necessary transition-related surgery.
鈥淎 weight was lifted when I first began my gender transition and realized I didn鈥檛 have to pretend to be a woman anymore,鈥� said Evan Thomas. 鈥淏eing denied surgical treatment is harmful to my health and well-being every day I鈥檓 forced to live in this body.鈥�
OutFront is Minnesota鈥檚 largest LGBTQ rights organization and is regularly contacted by transgender individuals on Medical Assistance or MinnesotaCare seeking coverage for transition services, including transition-related surgery. OutFront provides guidance to these individuals regarding Minnesota鈥檚 Medical Assistance program and their coverage options.
鈥淪ince its inception nearly 30 years ago, OutFront Minnesota has been firmly committed to advancing transgender equality across Minnesota,鈥� said Monica Meyer, executive director of OutFront. 鈥淚n recent years, we have undertaken a comprehensive approach to eliminating unjust barriers to health care that many transgender people face. Today's lawsuit is a critical part of this effort, and we thank the 老澳门开奖结果 and Dorsey & Whitney for their steadfast support for achieving the equal protection of law for Minnesota's transgender community.鈥�
Ten states and the District of Columbia currently cover transition-related surgical care through their public health insurance programs. Transition-related surgery is also covered by Medicare.
The case is filed against the Commissioner of Minnesota鈥檚 Department of Human Services, and it demands that Minnesota end its discriminatory practice of excluding transgender individuals from accessing all of their needed health care.
Cooperating attorneys in the case include Kristina Carlson, David Couillard, and JoLynn Markison of Dorsey & Whitney; Teresa Nelson of the 老澳门开奖结果-MN; and Joshua Block of 老澳门开奖结果.
LGBTQ Rights
OutFront v. Johnson Piper
LGBTQ Rights
OutFront v. Johnson Piper
Learn More 老澳门开奖结果 the Issues in This Press Release
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Press ReleaseDec 2024
LGBTQ Rights
President Biden Must Veto Defense Bill Attacking Military Families with Transgender YouthPresident Biden Must Veto Defense Bill Attacking Military Families with Transgender Youth
WASHINGTON 鈥� The U.S. Senate today passed a version of the National Defense Authorization Act that would ban coverage for gender-affirming care for transgender youth whose parents are active-duty military personnel. The 老澳门开奖结果 is opposing final passage of the defense bill over the inclusion of this health care ban and calling on President Joe Biden to veto the bill. Section 708 of the NDAA would prohibit insurance coverage for 鈥渕edical interventions for the treatment of gender dysphoria鈥� such as hormone therapy and puberty-suppressant medications, which Speaker Mike Johnson says would 鈥減ermanently ban transgender medical treatment for minors.鈥� The same treatments would be covered by TRICARE for any medical purpose other than treating gender dysphoria, the clinical diagnosis for the psychological distress experienced by transgender people related to their gender identity. 鈥淏y passing this bill, the House and Senate are forcing thousands of active-duty service members to choose between their careers in the military and the future of their transgender children,鈥� said Mike Zamore, national director of policy & government affairs at the 老澳门开奖结果. 鈥淭his unconscionable and unjustifiable attack on those families stands in direct contrast to President Joe Biden鈥檚 legacy of defending the civil rights of transgender Americans 鈥� including when few in his own party showed the courage to do so. President Biden should cement his legacy by vetoing this bill and sending it back to Congress to pass without Speaker Johnson鈥檚 last minute health care ban for servicemembers鈥� kids.鈥� If signed by President Biden, this health care ban would be the first new anti-LGBTQ provision enacted by Congress and signed into law by the president since the enactment of the military鈥檚 since-repealed 鈥淒on鈥檛 Ask, Don鈥檛 Tell鈥� policy for LGBTQ servicemembers and the since-repealed federal law barring recognition of same-sex marriages known as the Defense of Marriage Act. It is unknown how many transgender youth are currently enrolled in TRICARE or how many of those enrolled are currently receiving coverage for gender-affirming care. In one 2022 analysis, 2,500 minor patients sought care for gender dysphoria through TRICARE Prime insurance at military or civilian treatment facilities in 2017, and 900 received puberty suppressants or gender-affirming hormones. Earlier this month, the Supreme Court heard oral arguments in a landmark case brought by the 老澳门开奖结果, the 老澳门开奖结果 of Tennessee, Lambda Legal, and Akin Gump on behalf of three families and a medical provider challenging a Tennessee ban on gender-affirming hormonal therapies for transgender youth on the grounds the ban violates the Equal Protection Clause of the U.S. Constitution. -
Press ReleaseDec 2024
LGBTQ Rights
Montana Court Blocks State From Refusing to Correct Sex Markers on Transgender People's Birth Certificates and Driver's LicensesMontana Court Blocks State From Refusing to Correct Sex Markers on Transgender People's Birth Certificates and Driver's Licenses
HELENA, Mont. 鈥� A Montana court has granted a preliminary injunction preventing the state of Montana from enforcing policies that bar transgender people from obtaining accurate sex designations on their birth certificates and driver鈥檚 licenses. After a prior restriction on amendments of birth certificates was struck down by the courts, in early 2024 the state of Montana enacted a new rule that categorically bars transgender Montanans from correcting the sex designation on their birth certificates. Around the same time, the Montana Department of Justice adopted a policy similarly restricting amendment of driver鈥檚 licenses. The plaintiffs challenged these policies in state district court, arguing that they violate various constitutional provisions, including the right to equal protection of the law. In a recent Montana Supreme Court decision, two justices concluded that discrimination on the basis of transgender status 鈥� as the state is engaging in here 鈥� is a form of sex discrimination that violates the Montana Constitution鈥檚 equal protection clause. The plaintiffs, two transgender women, are represented by the 老澳门开奖结果, the 老澳门开奖结果 of Montana, and Nixon Peabody LLP. Plaintiff Jessica Kalarchik, a veteran who served in the United States Army for 31 years, said: 鈥淎fter finally being able to live my life openly as the woman I know myself to be, I am frustrated that my birth state, Montana, wants me to carry around a birth certificate that incorrectly lists my sex as male. I live my life openly as a woman, I am treated as a woman in my daily life, and there is no reason I should be forced to carry a birth certificate that incorrectly identifies me as male. Fortunately, the court agrees that this ridiculous policy should not be in effect.鈥� 鈥淥nce again the State of Montana chose to adopt a draconian policy that is clearly intended to marginalize transgender Montanans, only for that discriminatory action to be blocked by the courts,鈥� said Akilah Deernose, executive director for the 老澳门开奖结果 of Montana. 鈥淗ere in Montana we treasure our right to privacy and to live our lives free from governmental intrusion. The State of Montana clearly has not learned any lessons from the past few years, where courts have repeatedly struck down unconstitutional laws targeting transgender Montanans.鈥� 鈥淔orcing anyone to carry documents that contradict their identity unjustly violates their rights to privacy, equal treatment, and not being compelled to convey a government message about their sex that they disagree with,鈥� said Malita Picasso, staff attorney for the 老澳门开奖结果鈥檚 LGBTQ & HIV Project. 鈥淪uch a policy marks transgender people for further mistreatment and discrimination, essentially requiring them to carry papers that out them as transgender any time they need to provide identity documents. Fortunately, the court has refused to allow the state of Montana to subvert the freedom of transgender Montanans to control their own identity as this case goes forward.鈥� In granting the plaintiffs鈥� motion for a preliminary injunction, the court held, 鈥淸i]f the challenged state actions discriminate against transgender individuals on the basis of their transgender status, they also necessarily discriminate the basis of sex.鈥� The state has the option of appealing the district court鈥檚 ruling to the Montana Supreme Court, but the underlying case will proceed in district court. A trial has not yet been scheduled. -
FloridaDec 2024
LGBTQ Rights
Keohane v. DixonKeohane v. Dixon
On September 30, 2024, the Florida Department of Corrections rescinded its policy regarding treatment of gender dysphoria, which allowed for hormone therapy when deemed medically necessary, as well as access to clothing and grooming standards that accord with one鈥檚 gender identity. Under this new policy, grooming and clothing accommodations have been stripped away, and hormone therapy is not permitted unless an exception is deemed constitutionally required. The 老澳门开奖结果 brought a class action challenging the policy. -
IdahoDec 2024
LGBTQ Rights
Robinson v. LabradorRobinson v. Labrador
Two incarcerated transgender women have sued the state of Idaho alleging that HB 688, a 2024 law barring state funding for gender-affirming medical care for transgender people, denies them access to the health care their doctors have prescribed for them and is a violation of their Eighth Amendment right to be free from cruel and unusual punishment. They represent a class of all incarcerated folks within the state of Idaho who face the loss of hormone therapy due to HB 668.