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 proposed ban on gender-affirming care for transgender youths failed to take effect in Kansas after Republican lawmakers narrowly fell short of the votes needed to override a veto by Democratic Gov. Laura Kelly.
Had the bill passed, it would have banned all gender-affirming surgical and hormonal interventions for minors suffering from gender dysphoria, with penalties, including the loss of their license to practice.
The proposed law also would have allowed former patients, or the parents of former patients, to sue any doctor who prescribed gender-affirming treatments.
A federal appeals court ruled that states can't deny insurance coverage for gender-affirming medical care to transgender individuals.
The full panel of the 4th U.S. Circuit Court of Appeals ruled in favor of transgender plaintiffs in two cases from North Carolina and West Virginia, finding that existing insurance exclusions on gender-affirming care are discriminatory and unconstitutional.
Lawyers for the plaintiffs noted that this most recent ruling sets precedent, not only for North Carolina and West Virginia, but all other states within the 4th Circuit, including South Carolina, where state officials are considering a ban on gender-affirming care for minors -- one of the few Southern states without a ban currently in place.
Pornhub is blocking visitors from Texas in response to an age-verification law that leaves adult websites liable if a minor is found to have accessed the content, even through deceptive means.
Under the law, passed last year, websites offering adult sexual content, or where more than one-third of a website's content may be deemed "harmful to minors," must require users to prove their age by providing government-issued identification to access the site.
Alternatively, a person could use a "commercially reasonable method that relies on public or private transactional data" to verify a visitor's age, whether that means signing up through a digital third-party site that would verify a person's age before granting access or potentially using a camera and facial recognition technology to verify that a user is an adult.
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