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.
A Kansas judge has temporarily blocked the state from enforcing its law banning minors from accessing non-surgical transition-related treatments such as hormones or puberty blockers.
On May 15, Judge Carl Folsom III of the State District Court in Douglas County granted a temporary injunction blocking the state from enforcing the law, finding that it likely violated parents' rights to make decisions about their children's health and wellbeing.
In his 117-page ruling, Folsom -- who was appointed by Democratic Gov. Laura Kelly -- wrote that transgender children were likely to suffer "irreparable harm" if the ban on transition-related hormonal treatments remained in effect. He also cited testimony asserting that gender-affirming, non-surgical treatments for minors are safe, effective, and medically credible.
An 18-year-old man was arrested at Cedar Point, the storied, decades-old amusement park in Sandusky, Ohio, for pulling down the skirt and underwear of a transgender woman.
The incident occurred around 8:30 p.m. on May 26. According to a Sandusky Police Department report, a security officer was flagged down by a Cedar Point guest, a transgender woman, who said she and a transgender friend were preparing to leave the park when a man approached her friend from behind, grabbed her skirt and underwear, and pulled them down, exposing her buttocks and genitals.
A Mississippi high school is facing backlash after a Facebook post celebrating the salutatorian of its 2026 graduating class referred to the transmasculine student by his deadname and appeared to digitally alter his face to make him appear more feminine.
The post, published May 17 by D'Iberville High School in Biloxi, Mississippi, congratulated student Jonas Hole on his achievement. The accompanying photo showed Hole in his U.S. Army Junior ROTC uniform.
"Pride. Tradition. Excellence. Congratulations to our DHS Salutatorian," the post reads, using Hole's deadname.
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