Metro Weekly

Iowa trans man will get surgery, but Medicaid ban on surgery remains

Surgical coverage was approved because of a claims processing error, not out of principle

Andrew Evans - Photo: ACLU of Iowa.

Andrew Evans – Photo: ACLU of Iowa.

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.


Please Support LGBTQ Journalism

As a free LGBTQ publication, Metro Weekly relies on advertising in order to bring you unique, high quality journalism, both online and in our weekly edition. The ongoing coronavirus pandemic has forced many of our incredible advertisers to temporarily close their doors to protect staff and customers, and so we’re asking you, our readers, to help support Metro Weekly during this trying period. We appreciate anything you can do, and please keep reading us on the website and our new Digital Edition, released every Thursday and available for online reading or download.

John Riley is the local news reporter for Metro Weekly. He can be reached at jriley@metroweekly.com

Leave a Comment:

Drink

To

 Pride!

Get Your Favorite

Pride Cover on a Mug!

15% OFF!

FREE SHIPPING!

LIMITED TIME ONLY!

2004-2019

The Latest Edition of Metro Weekly is Out!

 

Read It for Free Now!