HHS Secretary Sylvia Burwell – Photo: U.S. Dept. of Health and Human Services
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.
Reports that the person who fatally shot conservative activist Charlie Kirk had left behind bullet casings engraved with phrases espousing "transgender ideology" have been debunked.
The rumor spread quickly after conservative commentator Steven Crowder posted to X on the morning of September 11 -- the day after the shooting -- claiming he had received an email from a Bureau of Alcohol, Tobacco, Firearms, and Explosives officer describing such engravings.
Crowder shared what he said was an email from an ATF officer claiming investigators had recovered the weapon used in Kirk's killing, with one spent cartridge in the chamber and three rounds still in the magazine. The email further alleged the cartridges were engraved with "transgender and anti-fascist ideology."
The Minnesota Supreme Court has ruled that USA Powerlifting discriminated against a transgender woman by barring her from competition, while sending part of the case back to a lower court for further review.
JayCee Cooper, the transgender athlete at the center of the case, was denied entry into two women's competitions in 2018. At the time, she was taking hormone therapy to lower her testosterone levels and applied for a medical exemption, since the drug was banned by the World Anti-Doping Agency. That exemption request revealed her transgender status to USA Powerlifting, which then refused to let her compete.
A federal judge says she plans to issue a preliminary injunction blocking a Trump administration policy that would cut funding for sex education programs, including so-called "gender ideology." The announcement came during a conference call with state attorneys and federal officials.
Earlier this year, President Donald Trump issued an executive order barring schools from engaging in what it calls the "social transition" of transgender youth -- meaning any recognition of gender identity as distinct from biological sex, including using a student’s chosen name or pronouns or making accommodations based on gender identity.
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