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.”
When J. Ahmir "Ricky" Vines was in elementary school, growing up with a single mom, he would get in trouble with his teachers for scribbling lyrics during class. Eventually, realizing that his lyrical prowess could earn him some extra money, he began selling lyrics to local rappers in his town and stashing the extra cash in a shoebox.
"There's a big underground music culture in North Carolina," says the Winston-Salem native. "I would sell these lyrics to these older kids and these young rapper guys around the city."
The U.S. Department of Health and Human Services has released a 400-page report rejecting gender-affirming care for minors and recommending "exploratory psychotherapy" instead as the preferred way to treat transgender youth suffering from gender dysphoria.
Critics say "exploratory psychotherapy" is just conversion therapy by another name.
The report was crafted by unnamed authors in response to a Trump executive order prohibiting gender-affirming care for anyone under age 19 and using federal funds to cover the cost of such procedure.
It claims there's a lack of evidence supporting medical interventions like puberty blockers, hormone therapy, and surgery and warns of the potential negative health consequences of pursuing such treatments.
U.S. Sen. Ruben Gallego (D-Ariz.) is the latest high-profile Democrat to come out in opposition to transgender athletes competing on female-designated sports teams.
In an interview with the right-wing news outlet The Dispatch, Gallego echoed President Donald Trump and a host of Republican lawmakers who have been vocal in their opposition to transgender participation in female-designated sports.
"As a parent of a daughter, I think it's legitimate that parents are worried about the safety of their daughters, and I think it's legitimate for us to be worried also about fair competition," he said.
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