A transgender Iowa man will receive medically necessary surgery under the state’s Medicaid program due to a claims processing error, but other transgender people will continue to be barred from having gender confirmation surgery covered under an existing ban on transition-related procedures.
Andrew Evans, an Iowa resident with coverage under the state’s Medicaid program, was seeking to have surgery to treat his gender dysphoria, and had enlisted the help of the American Civil Liberties Union (ACLU) of Iowa in his fight. In a surprise development on Monday, Amerigroup, one of Iowa’s private Medicaid providers, agreed to cover Evans’ surgery.
But while Evans’ medical providers had concluded that the surgery was medically necessary, Amerigroup never reached that conclusion. Rather, Amerigroup said it would pay for the procedure because it failed to process Evans’ request — which would have been denied — in a timely manner. As a result, Amerigroup said it would cover the surgery “as if it were authorized” in order to “amicably resolve” the situation.
The ACLU has long argued that bans prohibiting Medicaid from covering gender confirmation or transition-related surgery are discriminatory, as the program will cover identical procedures for cisgender people. A similar ban in Minnesota was recently struck down as unconstitutional for exactly that reason.
While the ACLU of Iowa celebrated Evans’ victory, it also slammed the state for continuing to keep the ban on transition-related surgery in place.
“It’s a core Iowa value to treat all people fairly,” Rita Bettis, the legal director of the ACLU of Iowa, said in a statement. “Iowa’s discriminatory ban on Medicaid coverage for the medical care that transgender people need is inconsistent with basic fairness. It needs to go.”
Bettis also encouraged other transgender people on Medicaid who have been denied coverage for medically necessary transition-related surgery to contact the ACLU of Iowa. Because Evans’ case has been resolved, the organization cannot currently pursue a lawsuit challenging the ban until another person can show they were legally “injured” by the denial of coverage.
“We are pleased that Evans’ surgery will be covered,” Donna Red Wing, the executive director of the LGBT organization One Iowa, said in a statement. “However, we continue to be concerned that exclusions for transgender surgery and other trans-related health care continue in Iowa and across the nation. One way to ensure transgender people have access to quality health care is for our insurance companies to remove those exclusions.”
The ACLU is currently suing over another transgender man’s request for medically necessary surgery to treat his gender dysphoria. However, that client, Jesse Vroegh, an employee at the Iowa Department of Corrections, is not on Medicaid, but has been denied coverage for surgery by Wellmark Blue Cross, his employer-sponsored insurance provider.
Austin police are investigating whether an assault on a transgender woman and a male bystander at Barton Springs, a popular Austin swimming spot, was a hate crime. The incident occurred on July 26, when three men began flirting with the woman’s friends and then allegedly harassed her after she approached them.
"They said something along the lines of 'I don't support that lifestyle,' while pointing at me, which upset all three of us," said the transgender woman, whose name is being withheld for safety and privacy reasons, in an interview with the Houston Chronicle.
Gun rights groups are blasting the Trump administration after CNN reported that senior Justice Department officials have been discussing the possibility of restricting transgender U.S. citizens from owning firearms, following the recent mass shooting at a Catholic church in Minneapolis. Although officials described the talks as "preliminary," critics warn that even floating such a proposal scapegoats transgender people and threatens their constitutional rights.
The internal talks appeared to draw on a theory promoted by conservative influencers and media outlets: that transgender people are mentally ill, and that transition-related hormones negatively affect mental health, making them more prone to violence.
For the second time, a federal judge has dismissed a lawsuit from University of Wyoming sorority members who challenged the admission of a transgender woman, arguing that she did not meet the definition of the word "woman."
"Having considered the issues presented (again), we find that the majority of the claims must be dismissed on the grounds that this Court still may not interfere with the sorority's contractually valid interpretation of its own bylaws," U.S. District Judge Alan Johnson wrote in his ruling.
The case began in 2023, when six members of the University of Wyoming’s Kappa Kappa Gamma chapter sued the sorority for admitting Artemis Langford, a transgender woman, and allowing her to use the campus house’s common areas -- though not live there -- according to Wyoming Public Media.
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