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.
The Daughters of the American Revolution voted against a proposal to ban transgender members during the organization's 135th Continental Congress, held June 26 at DAR Constitution Hall in Washington, D.C. The proposal would have required applicants to be "born female" to qualify for membership.
The organization limits membership to women aged 18 and older who descend from people who aided the American Revolution. An estimated five transgender women have joined DAR chapters in recent years, sparking debate over whether "daughters" should include people assigned male at birth who identify as women.
Editor's note: This article contains graphic descriptions that may upsetting to readers.
The woman described as the "ringleader" in the killing of transgender man Sam Nordquist in upstate New York has pleaded guilty to state charges, agreeing to a maximum sentence of life in prison without the possibility of parole.
Precious Arzuaga, 40, faced 11 charges, including first-degree murder, two counts of first-degree kidnapping, second-degree conspiracy, first-degree aggravated sexual abuse, and concealment of a corpse for her role in holding Nordquist captive, torturing him inside a Hopewell motel room, and disposing of his body in the winter of 2025.
A transgender couple faces criminal charges after being beaten by a mob over their use of a women's restroom at Cypress Black Bayou Park in Benton, Louisiana.
Aurora Rush and Shae Sanders went to Cypress Black Bayou Park on May 31 for a lakeside cookout. Rush, a trans woman, used the women's restroom and returned to the lake without incident. Later, as the couple headed back to their car, Sanders, who is nonbinary and was assigned female at birth, stopped to use the same restroom, according to journalist S. Baum, reporting for Erin Reed's Erin in the Morning Substack.
As Rush waited outside, she says a man began harassing her. He followed her to her car, threatening to harm her if she entered the women's restroom, calling her slurs, and trying to provoke a fight. After leaving some belongings in the car, Rush returned to a pavilion outside the restroom to wait for Sanders.
These are challenging times for news organizations. And yet it’s crucial we stay active and provide vital resources and information to both our local readers and the world. So won’t you please take a moment and consider supporting Metro Weekly with a membership? For as little as $5 a month, you can help ensure Metro Weekly magazine and MetroWeekly.com remain free, viable resources as we provide the best, most diverse, culturally-resonant LGBTQ coverage in both the D.C. region and around the world. Memberships come with exclusive perks and discounts, your own personal digital delivery of each week’s magazine (and an archive), access to our Member's Lounge when it launches this fall, and exclusive members-only items like Metro Weekly Membership Mugs and Tote Bags! Check out all our membership levels here and please join us today!
You must be logged in to post a comment.