Iowa State University has agreed to settle a discrimination lawsuit brought by a transgender employee for $28,000 after she was denied coverage for transition-related care under her employee health insurance plan.
Elyn Fritz-Waters, a former assistant scientist at the university, was diagnosed with gender dysphoria in 2016, and, on the advice of her primary care provider, was advised to undergo gender confirmation surgery to help treat her dysphoria.
Yet even though the care was deemed medically necessary, Fritz-Waters was still denied coverage due to an insurance exclusion that specifically prohibits coverage for transition-related care.
Fritz-Waters filed a complaint with the Iowa Civil Rights Commission, alleging that the insurance exclusion was discriminatory because it denied her equal access to health care benefits based on her sex and gender identity. She later resigned from her post at the university in February 2017.
The Civil Rights Commission agreed with Fritz-Waters’ claims, and granted her “right-to-sue” status later that year, at which point she filed a lawsuit against the university.
Last Wednesday, the Iowa Appeal Board approved a $27,500 settlement in the case. The university will pay $25,000, and the state government will pick up the remainder of the tab. The state of Iowa did not admit wrongdoing or legal violation as part of the settlement.
After Fritz-Waters filed suit, the Iowa Board of Regents decided to expand insurance coverage to include transition-related care for transgender individuals, Annette Hacker, a university spokeswoman, told the Des Moines Register.
Fights over transgender health care have taken center-stage in recent years. In 2016, an Iowa transgender man was allowed to receive gender confirmation surgery under Medicaid due to a processing error, even though the state continued to refuse to allow other Medicaid recipients to receive coverage for transition-related procedures. Earlier this year, an Iowa jury awarded a transgender man $120,000 for discrimination he faced on the job — including the denial of insurance coverage — due to his gender identity.
In 2017, two transgender women sued the state, arguing that the Medicaid exclusion was discriminatory and unconstitutional. A federal judge ruled in favor of the two women, finding that transition-related procedures deemed medically necessary can be covered by Medicaid. Last week, Gov. Kim Reynolds signed a bill into law containing a provision that allows local governments and agencies to refuse to use public dollars to pay for surgery, hormones, or other treatments.
The Supreme Court of the United Kingdom, Britain's highest court, unanimously found that the terms "woman" and "sex" as used in the country's Equality Act -- the national law prohibiting instances of sex-based discrimination -- refer only to individuals who were biologically female at the time of their birth.
The advocacy group that brought the case, For Women Scotland, sought to clarify that the term "sex" refers only to one's assigned sex at birth, based on their biological or chromosomal makeup.
The group felt that the clarification was necessary after the Scottish government eliminated the requirement that a person must be medically diagnosed with gender dysphoria to legally change one's gender identification, thereby making it easier for people to do so based solely on self-identification.
Thanks to the Trump administration, policing gender is becoming the norm -- and it's about much more than trans women.
By Riki Wilchins
March 29, 2025
A Tucson Walmart called the police on a Black "stud"-identified lesbian last month, claiming a man had entered the women's room.
The two male Pima County sheriff's deputies accosted 19-year-old Kalaya Morton just after she had used a tampon and while she was in the stall still trying to pee.
They demanded that she come out immediately, which she was unable to do. Even after she finished her business and exited the stall, lifting her shirt to show the two men that she was a cisgender woman, one of the male deputies still complained that Kalaya "looked like a man."
The U.S. Air Force is rescinding a ban on including preferred pronouns in email signatures and other communications. The military branch announced the change in a news release.
The reversal was signed by Acting Assistant Secretary of the Air Force for Manpower and Reserve Affairs Gwendolyn DeFilippi.
The earlier directive, signed by Defense Secretary Pete Hegseth, was issued on January 31 to comply with an executive order issued by President Donald Trump stating that the United States government will only recognize two sexes -- male and female -- as legitimate.
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