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.
A Pennsylvania school board canceled an appearance by Maulik Pancholy at a local middle school's anti-bullying assembly due to concerns over his "lifestyle."
The Cumberland Valley School District school board voted unanimously to cancel the gay actor's scheduled May 22 appearance at Mountain View Middle School in Mechanicsburg, a town of 9,000 people in the state's center, just 10 miles outside Harrisburg.
Pancholy, who played Jonathan on the hit TV show 30 Rock, Sanjay in Weeds, and voiced the character of Baljeet for Disney's Phineas & Ferb, is also an author of novels for young adults, including The Best at It, the story of a gay Indian-American boy and his experience dealing with bullying in a small Midwestern town, and Nikhil Out Loud, about a group of eighth-grade theater kids rising up against homophobia in their community.
Sacramento, California, has been designated a "sanctuary city" for transgender individuals.
Last week, the Sacramento City Council approved a resolution ensuring that city resources -- including law enforcement resources -- are not used to aid in out-of-state prosecutions of people who come to California seeking out gender-affirming mental health care, hormone therapy, or surgery.
The resolution prohibits city funds from being used to cooperate with any individuals or out-of-state agencies who are investigating people for pursuing treatments that are legal in California.
Following her critically acclaimed performance as trans teen Jules Vaughn in Euphoria, Hunter Schafer says she no longer wants to play transgender roles.
Speaking with GQ magazine, the 25-year-old actress, who is herself transgender, noted that she has turned down "tons of trans roles" because she doesn't want to be typecast and prefers her gender identity not define the rest of her career.
"I don’t want to be that, and I find it ultimately demeaning to me and what I want to do," Schafer said. "I worked so hard to get to where I am, past these really hard points in my transition, and now I just want to be a girl and finally move on."
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