Last Friday, Iowa Gov. Kim Reynolds (R) signed a budget bill containing a provision that allows local governments or state agencies to refuse to use public dollars, including Medicaid funds, for transition-related surgeries for transgender people.
“This narrow provision simply clarified that Iowa’s Civil Rights Act does not require taxpayer dollars to pay for sex reassignment and other similar surgeries. This returns us to what had been the state’s position for years,” Reynolds spokesman Pat Garrett said in a statement.
The provision was added in response to an Iowa Supreme Court decision issued in March that found that the state’s previous ban prohibiting the use of Medicaid dollars for transition-related care was unconstitutional under the section of the Civil Rights Act prohibiting discrimination against people based on sexual orientation or gender identity.
The American Civil Liberties Union of Iowa noted in a statement that the newly passed provision only affects “public accommodations” — which includes Medicaid — under the Civil Rights Act.
“The law did not amend or alter any other section of the Iowa Civil Rights Act or impact other government funding of transgender care, such as that provided to state employees or prisoners,” the ACLU of Iowa said in a statement.
Other LGBTQ rights groups condemned Reynold’s decision not to use a line-item veto to remove the provision, which will now be used to deny care to transgender individuals.
“It’s deeply disappointing that Gov. Kim Reynolds is caving to the pressure from some radical lawmakers in the Iowa Senate, instead of protecting the rights and dignity of transgender Iowans,” JoDee Winterhof, HRC’s senior vice president of policy and political affairs, said in a statement.
“Gov. Reynolds had the option to line-item veto this provision and leave the rest of the funding bill intact, but she did not,” Winterhof added. “This sends a strong message that she is not working for all of her constituents and a craven desire to please Iowa’s most extreme lawmakers. As a native Iowan, Iowa deserves better — and different — leaders.”
Studies of states where gender confirmation surgery is covered by Medicaid funds have not reported significant cost increases, despite claims by conservatives that covering such transition-related procedures are overly expensive.
“We are deeply disappointed that Gov. Reynolds has ignored medical experts, Iowa business leaders, cost analysis data, and the many transgender Iowans and allies who shared their stories with her to sign this bill into law,” Daniel Hoffman-Zinnel, the executive director of LGBTQ rights group One Iowa Action, said in a statement accusing the governor of tarnishing the state’s reputation as a place that values fairness and equality.
“By signing this cruel legislation into law, Gov. Reynolds has told every transgender Iowan that they are second-hand citizens and unwelcome in our state,” Hoffman-Zinnel added. “Make no mistake, this law threatens people’s lives. It also won’t stand up to legal muster, and will stick taxpayers with the bill for ensuing lawsuits. Today is a shameful day to be an Iowan.”
In late November, the University of Oklahoma placed Mel Curth on administrative leave after the transgender graduate teaching assistant gave a student a zero on an essay about gender roles.
The essay cited the Bible to defend traditional gender roles and described transgender people as "demonic." Curth and the course's instructor, Megan Waldron, said the paper failed to meet basic academic standards due to a lack of empirical evidence. Both noted that the paper cited no scholarly sources and failed to offer an evidence-based critique of the assigned article, which argued that children who do not conform to rigid gender stereotypes are more likely to face bullying and negative mental health outcomes.
The U.S. Department of Health and Human Services has launched an investigation into Seattle Children's Hospital over its alleged provision of gender-affirming care to transgender minors, a practice the Trump administration has aggressively sought to end.
In a post on X, the HHS official account said the hospital had been referred to the Office of the Inspector General for "failure to meet professional recognized standards of health care" under a declaration issued on December 18 by HHS Secretary Robert F. Kennedy, Jr., according to The Hill.
The Trump administration has proposed two federal rules that would restrict access to gender-affirming care for transgender minors nationwide.
The proposed regulations, issued by the U.S. Department of Health and Human Services' Centers for Medicare and Medicaid Services (CMS), would bar federal Medicaid funds from covering transition-related care for transgender youth under 19 and threaten to strip federal funding from hospitals that provide gender-affirming treatments to minors.
HHS officials told NBC News that CMS will begin the federal rule-making process with a 60-day public comment period, after which the rules could be finalized.
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