Idaho Republican Gov. Brad Little signed a bill into law prohibiting Medicaid and state employee health plans from covering the cost of gender-affirming medications and procedures for low-income transgender adults and minors.
House Bill 668 declares that public funds “shall not reimburse or provide coverage for any surgical operation or medical intervention…for purposes of altering the appearance of an individual in order to affirm the individual’s perception of the individual’s sex in a way that is inconsistent with the individual’s biological sex.”
The bill contains exemptions for certain types of surgical operations or medical interventions, such as those deemed medically necessary; those meant to force intersex people or those with “a medically verifiable genetic disorder of sex development” to conform to binary bodily stereotypes; and those used to help a person “de-transition” or to treat an “infection, injury, disease or disorder that has been caused or exacerbated by” gender-affirming surgery.
It also declares that any transition-related procedures performed to alter a person’s appearance to align with their gender identity, rather than their assigned sex at birth, does not qualify as “medically necessary.”
Because the bill prohibits “public funds,” state employees, like teachers or government workers, are barred from using their employer-sponsored health plan to cover the cost of gender-affirming treatments for themselves or their dependents, reports the Idaho Capital Sun.
The measure’s backers argue that it is necessary to prevent taxpayer dollars from being wasted on efforts to affirm a person’s gender identity.
A sponsor of a nearly identical measure argued that the bill does not completely ban transgender people from obtaining coverage for medical procedures or medications — just as long as those aren’t related to their transition.
“While I have great compassion for those who struggle with these issues [of gender dysphoria], I also understand that the idea of actually creating the function of the opposite sex is a scientific impossibility,” State Rep. Julianne Young (R-Blackfoot), the sponsor of the similar-in-scope House Bill 520 said during debate.
House Bill 668 ultimately passed the Idaho House of Representatives by a 58-11 vote, and the Idaho Senate by a 26-8 vote. If no legal challenge is mounted against the law, it will take effect on July 1.
A Texas court blocked Republican State Attorney General Ken Paxton's office from demanding information and documents from PFLAG that might reveal the identities of families seeking out gender-affirming care for transgender children.
Last week, Travis County District Court Judge Amy Clark Meachum issued a temporary injunction blocking Paxton's office from demanding the information, writing that "immediate and irreparable injury, loss, or damage will result to PFLAG and its members" if Paxton's office is able to obtain information about the group's members, which number close to 600 in Texas alone.
The state of Wyoming has barred transgender minors from accessing gender-affirming treatments to help them socially and medically transition.
The bill, passed by the overwhelmingly Republican legislature and signed into effect by GOP Gov. Mark Gordon, penalizes any healthcare professionals who prescribe puberty blockers, hormone therapy, or surgical interventions to minors.
Doctors, pharmacists, and other healthcare providers who defy the law can have their licenses suspended or revoked.
Unlike some other Republican-led states, the bill does not have a "grandfather clause" that allows children to continue receiving treatment if they have already begun.
Kansas Democratic Gov. Laura Kelly vetoed a bill seeking to block the ability of transgender youth to access gender-affirming treatments.
The bill, passed largely along party lines by both chambers of the Republican-led Legislature, prohibits any entity receiving state funds from providing or subsidizing gender-affirming treatments for minors.
It also prohibits individuals or entities receiving state funds, or state employees in their official capacity, from encouraging youth who are suffering from gender dysphoria to pursue either medical or social transition.
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