The American Civil Liberties Union (ACLU) and the ACLU of Minnesota filed a lawsuit on Thursday in Minnesota State Court challenging the current ban on using covering transition-related surgery expenses for transgender people.
The ACLU, which filed the lawsuit on behalf of Evan Thomas and the LGBT rights group OutFront Minnesota, is suing Emily Johnson Piper in her role as the Commissioner of Minnesota’s Department of Human Services, and demanding that the state repeal the coverage exclusions in both Medical Assistance, the state’s Medicaid program, and MinnesotaCare, the state’s program for lower-income residents without access to employee-sponsored health insurance. The ACLU argues that not only is the current exclusions are both discriminatory against transgender people, and have no basis in medical science.
“For many transgender people, transition-related surgery is a medical necessity and can sometimes be a matter of life and death,” Joshua Block, an attorney with the ACLU’s Lesbian, Gay, Bisexual, and Transgender Project. “Transgender Minnesotans — like everyone else — should be able to receive adequate health care based on medical standards of care.”
Under current Minnesota law, all transition-related surgical care is denied coverage, regardless of whether it is medically necessary for treating a person’s gender dysphoria. However, the same treatments are required to be covered under the federal Medicare program and under all private health insurance plans regulated by the state of Minnesota.
“Every major medical organization has recognized that policies banning coverage for medically necessary transition care have no basis in modern medical science,” Block continued. “Minnesota’s statute is a historical relic based purely on disapproval of transgender people.”
In addition to Medicare, 10 other states and the District of Columbia currently provide coverage for transition-related surgical care through their public health insurance or Medicaid programs.
Thomas, the lead plaintiff in the case, is currently on Medical Assistance and has been diagnosed with gender dysphoria. After fighting depression, Thomas was able to begin hormone therapy and legally changed his name and gender earlier this year. But he is still being denied coverage for medically necessary transition-related surgery.
“A weight was lifted when I first began my gender transition and realized I didn’t have to pretend to be a woman anymore,” Thomas said in a statement. “Being denied surgical treatment is harmful to my health and well-being every day I’m forced to live in this body.”
Former Olympic gold medalist and reality TV star Caitlyn Jenner expressed support for a conservative New York County's policy banning transgender female athletes from using county-owned facilities.
Nassau County Executive Bruce Blakeman instituted the ban via executive order last month.
Under it, any sports teams designated specifically for female athletes with transgender team members are prevented from competing or practicing at Nassau's 100-plus county facilities. This includes all ballfields, basketball and tennis courts, swimming pools, and ice rinks.
Blakeman argued that allowing trans females to compete against cisgender female athletes is unfair and potentially dangerous, due to the biological and physiological differences that favor transgender athletes in any match-up.
"It really started just as a Twitter joke," recalls filmmaker Vera Drew, of her boldly creative comic book movie spoof The People's Joker, a passion project largely inspired by the Oscar-winning 2019 Joker starring Joaquin Phoenix.
"My friend Bri just commissioned me to re-edit Todd Phillips' Joker, and I started doing that," Drew tells Metro Weekly. "And then over the course of a few months, it grew in scope."
As Drew involved other artists in assembling a kaleidoscopic, mixed media take on Gotham's Clown Prince of Crime, what started as a joke between friends eventually gained unstoppable momentum. "And as that started happening," says Drew, "it was just like, 'Okay, no, let's just make an original movie here. Let's just make a parody.'"
Ohio Republican Attorney General Dave Yost is appealing a judge's decision to block the state from enforcing its ban on gender-affirming care for minors and a ban prohibiting transgender athletes from competing on female-designated sports teams.
Yost filed an emergency motion with the Ohio Supreme Court asking it to overturn a temporary restraining order issued by Franklin County Court of Common Pleas Judge Michael Holbrook, which blocked the law's provisions from taking effect for two weeks.
Holbrook, a Republican appointee, found that two transgender minors and their parents, who sued to challenge the law in court last month, were likely to suffer "immediate" harm, in the form of reduced access to health care providers willing to treat their gender dysphoria, if the law -- which imposes penalties on doctors who prescribe gender-affirming treatments -- were to take effect.
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