A transgender Iowa man will receive medically necessary surgery under the state’s Medicaid program due to a claims processing error, but other transgender people will continue to be barred from having gender confirmation surgery covered under an existing ban on transition-related procedures.
Andrew Evans, an Iowa resident with coverage under the state’s Medicaid program, was seeking to have surgery to treat his gender dysphoria, and had enlisted the help of the American Civil Liberties Union (ACLU) of Iowa in his fight. In a surprise development on Monday, Amerigroup, one of Iowa’s private Medicaid providers, agreed to cover Evans’ surgery.
But while Evans’ medical providers had concluded that the surgery was medically necessary, Amerigroup never reached that conclusion. Rather, Amerigroup said it would pay for the procedure because it failed to process Evans’ request — which would have been denied — in a timely manner. As a result, Amerigroup said it would cover the surgery “as if it were authorized” in order to “amicably resolve” the situation.
The ACLU has long argued that bans prohibiting Medicaid from covering gender confirmation or transition-related surgery are discriminatory, as the program will cover identical procedures for cisgender people. A similar ban in Minnesota was recently struck down as unconstitutional for exactly that reason.
While the ACLU of Iowa celebrated Evans’ victory, it also slammed the state for continuing to keep the ban on transition-related surgery in place.
“It’s a core Iowa value to treat all people fairly,” Rita Bettis, the legal director of the ACLU of Iowa, said in a statement. “Iowa’s discriminatory ban on Medicaid coverage for the medical care that transgender people need is inconsistent with basic fairness. It needs to go.”
Bettis also encouraged other transgender people on Medicaid who have been denied coverage for medically necessary transition-related surgery to contact the ACLU of Iowa. Because Evans’ case has been resolved, the organization cannot currently pursue a lawsuit challenging the ban until another person can show they were legally “injured” by the denial of coverage.
“We are pleased that Evans’ surgery will be covered,” Donna Red Wing, the executive director of the LGBT organization One Iowa, said in a statement. “However, we continue to be concerned that exclusions for transgender surgery and other trans-related health care continue in Iowa and across the nation. One way to ensure transgender people have access to quality health care is for our insurance companies to remove those exclusions.”
The ACLU is currently suing over another transgender man’s request for medically necessary surgery to treat his gender dysphoria. However, that client, Jesse Vroegh, an employee at the Iowa Department of Corrections, is not on Medicaid, but has been denied coverage for surgery by Wellmark Blue Cross, his employer-sponsored insurance provider.
Vice President JD Vance has become the most-blocked user on Bluesky, just days after joining the social media platform and attempting to provoke its largely left-leaning user base.
According to ClearSky, a data tracker monitoring Bluesky activity, Vance has been blocked by more than 143,000 users -- the highest total since the app publicly launched in February 2024.
The number of users blocking the vice president’s account easily surpassed the previous record-holder, journalist Jesse Singal -- best known for his disparaging reports on gender-affirming care for trans youth -- who currently sits at 81,531 blocks.
D.C. police are searching for three men who allegedly hurled anti-trans slurs at 43-year-old Cayla Calhoun before brutally attacking her and leaving her with serious injuries.
Calhoun, a sommelier and bartender at Annabelle restaurant, left work around midnight on June 29 and stopped at the Golden Age, a nearby bar, for a quick beer, according to The Advocate.
After leaving Golden Age, Calhoun rode a Onewheel electric board through Georgetown and along Rock Creek Parkway. Near the National Mall, three men on scooters emerged and began shouting anti-LGBTQ slurs at her.
Recently released data from a national survey of transgender and nonbinary individuals reveals that detransitioning is not as common as opponents of transgender rights assert, and that the overwhelming reason for detransitioning is rooted in social stigma and lack of support.
Recently released data from a national survey of transgender and nonbinary individuals finds that detransitioning is far less common than anti-trans activists claim. When it does happen, it’s largely due to external pressures like stigma and lack of support, not regret over transitioning.
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