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.
Delaware Gov. Matt Meyer has signed an executive order protecting transgender individuals from having their medical or personal information shared with out-of-state authorities seeking to prosecute them for obtaining gender-affirming care.
Meyer signed the order last Friday at the CAMP Rehoboth Community Center, surrounded by LGBTQ advocates and activists.
The order prohibits Delaware state agencies from cooperating with out-of-state investigations targeting anyone who provides, receives, or assists others in obtaining legal gender-affirming care, such as hormone therapy or puberty blockers. It also bars agencies from sharing medical records, billing data, or personal information about anyone involved in such care.
U.S. Sen. Ruben Gallego (D-Ariz.) is the latest high-profile Democrat to come out in opposition to transgender athletes competing on female-designated sports teams.
In an interview with the right-wing news outlet The Dispatch, Gallego echoed President Donald Trump and a host of Republican lawmakers who have been vocal in their opposition to transgender participation in female-designated sports.
"As a parent of a daughter, I think it's legitimate that parents are worried about the safety of their daughters, and I think it's legitimate for us to be worried also about fair competition," he said.
"Right now, more than ever, we need global solidarity. And WorldPride is probably the closest thing we have to a visible manifestation of the unity we have across borders," says Ymania Brown, one of the co-presidents of InterPride, the international umbrella organization of Pride organizers.
"The goal for us at InterPride and for WorldPride is for our members and everyone who comes to WorldPride in Washington, to walk away knowing that we are not alone," she continues. "That our struggles, while unique in different countries and different regions, are shared. And as a result of that shared struggle, our victories, and the successes we have in changing laws for our people, are collective."
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