AXIOS April 29, 2024
State health care plans must cover gender-affirming surgeries, a federal appeals court in Virginia ruled Monday.
Why it matters: The ruling marks a major victory for transgender rights at a time when many states have cracked down on gender-affirming care for children and adults.
State of play: The U.S. Court of Appeals for the 4th Circuit ruled Monday that North Carolina’s and West Virginia’s denial of some health care services via government insurance for trans people was discriminatory.
- In both cases, the states argued that their policies were not discriminatory but rather rooted in “legitimate government interests,” including costs.
- West Virginia’s Medicaid program has excluded “transexual surgery” since 2004. North Carolina in 2018 excluded treatment for gender dysphoria in...
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