A retired transgender employee of a county in upstate New York is suing the county for denying him health insurance coverage for his transition-related care.
Sean Simonson, a former case worker for the Oswego Department of Social Services for nearly 30 years, was diagnosed with gender dysphoria in February 2015, after which he began taking steps to transition, including legally changing his name. As part of his doctor-recommended treatment for gender dysphoria, Simsonson was to be placed on hormone replacement therapy and receive a double mastectomy.
However, Simonson was denied coverage because of a discriminatory exclusion in his county-provided health insurance plan that prohibits money from being used for treatments like hormones or gender confirmation surgery. Simonson and his doctor appealed to the insurance company, and eventually filed a complaint with the Equal Employment Opportunity Commission.
The EEOC subsequently issued a determination in June finding reasonable cause to believe that Oswego County and the Oswego Department of Social Services had discriminated against Simonson “due to his sex (transgender status/gender identity) in violation of Title VII.” Lambda Legal, on behalf of Simonson, notified the New York Attorney General’s Civil Rights Bureau, which launched an investigation into the case.
In November, New York Attorney General Eric Schneiderman announced a settlement with Oswego County to ensure that transgender employees and retirees have access to medically necessary health care coverage through their employer-sponsored health plan. As part of that settlement, Oswego County has agreed to eliminate the exclusion of transition-related care from the health plan, extend a new benefit covering transition-related care for county employees and retirees, and provide annual training for county employees and employees of its benefits administrator concerning the new benefit.
Unfortunately, the agreement does not include compensation for current and former employees who have already been denied coverage under the old policy. As a result, Simonson and his lawyers from Lambda Legal filed a lawsuit to recoup some of the out-of-pocket costs he was forced to bear.
The lawsuit, which was filed in federal court, alleges that the county’s policy and the resulting denial of insurance coverage constitutes sex discrimination and violates federal and state laws, including the Fourteenth Amendment to the U.S. Constitution, Title VII of the Civil Rights Act, a portion of the Affordable Care Act, and New York’s nondiscrimination law.
“For years, Oswego County failed to comply with its legal obligation to treat its transgender employees with dignity and without bias. While Oswego County has finally rescinded its discriminatory policy, it simply is not enough to make up for the years of suffering Sean endured and the thousands of dollars he paid out-of-pocket from retirement savings because the County discriminated against him,” Omar Gonzalez-Pagan, a staff attorney and health care strategist at Lambda Legal said in a statement. “Oswego County needs to acknowledge and remedy the damage that has been done.
“Everyone should have access to health insurance that makes medical care affordable and accessible, especially when it has been promised as part of our employment compensation,” Gonzalez-Pagan added. “Unfortunately, transgender employees of Oswego County have been denied this right and instead been consigned to second-class-citizen status. Through this case we look to make it clear that such discriminatory treatment has consequences and can’t be tolerated.”
After a Senate committee attached two amendments to the annual defense bill, the United States is closer to prohibiting coverage for gender-affirming care for transgender military members and transgender dependents of active-duty service members.
During a closed-door markup of the National Defense Authorization Act (NDAA), the Senate Armed Services Committee approved an amendment to "prohibit the use of funds available to the Department of Defense and any Department of Defense facility to perform or facilitate sex change surgeries."
It means that any transgender adult serving in the Armed Forces will not be able to obtain coverage for gender confirmation surgeries under TRICARE, the Department of Defense's health insurance program, and will be forced to pay out of pocket if they wish to pursue surgical interventions.
Lia Thomas, the former University of Pennsylvania swimmer who became the first transgender woman to win an NCAA title, has lost her challenge to overturn a policy banning transgender female athletes from competing as women in elite competitions.
The Court of Arbitration for Sport dismissed Thomas's request for arbitration with World Aquatics, the governing body in swimming and diving events, effectively dashing any hope she had of competing in the Olympics or elite global competitions, reports The New York Times.
The Lausanne, Switzerland-based international body, established to settle disputes related to elite sporting competitions, ruled that Thomas did not have standing to bring the case because she was not a member of its member federation -- USA Swimming -- prior to bringing her challenge.
New Hampshire Republican Gov. Chris Sununu signed a bill preventing transgender girls in grades 5-12 from participating on female-designated sports teams.
He declared that the measure "ensures fairness and safety in women's sports" by prohibiting transgender females from competing against cisgender females, against whom they may have a physiological and competitive advantage.
New Hampshire is the 25th state to impose a restriction on transgender athlete participation.
The American Civil Liberties Union of New Hampshire, along with the national organization GLBTQ Legal Advocates & Defenders (GLAD), criticized the law, which requires student-athletes to show a birth certificate or "other evidence" to prove their gender identity aligns with their assigned sex at birth.
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