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 proposed bill in Missouri would imprison teachers and force them to register as sex offenders if they affirm the gender identities of transgender students.
Sponsored by State Rep. Jamie Ray Gragg (R-Ozark), House Bill 2885 would charge teachers with a class E felony -- punishable by a $10,000 fine and up to four years in prison -- if they are believed to have supported a transgender student's social transition.
Other examples of class E felonies include involuntary manslaughter, third-degree, domestic assault, harassment, stalking, and child molestation.
President Joe Biden offered words of support during his State of the Union address on Thursday, March 7, telling transgender Americans -- many of whom feel increasingly under attack by efforts to restrict visible expressions of identity or gender-nonconformity -- "I have your back."
In a speech characterized by many pundits as "fiery," "energetic," "impassioned," and combative, Biden verbally parried with some Republican members of Congress who sought to heckle or "troll" him, especially on the issue of immigration and border security, as reported by CNN.
The president also denounced book-banning -- which conservatives have espoused, ostensibly in order to protect children from sexually-tinged or LGBTQ content -- as attempts to erase history.
The state of South Dakota has issued an apology letter and paid $300,000 to a transgender advocacy group for abruptly canceling a state Department of Health contract with the group.
The payment and apology are part of an agreement reached between South Dakota and The Transformation Project to settle a federal lawsuit alleging that the state discriminated against the organization in violation of provisions contained in the Affordable Care Act prohibiting anti-LGBTQ discrimination.
The Transformation Project had signed a $136,000 contract with the state, paid for with federal funds, to provide community health worker services to the LGBTQ community from its Sioux Falls headquarters.
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