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.
Sacramento, California, has been designated a "sanctuary city" for transgender individuals.
Last week, the Sacramento City Council approved a resolution ensuring that city resources -- including law enforcement resources -- are not used to aid in out-of-state prosecutions of people who come to California seeking out gender-affirming mental health care, hormone therapy, or surgery.
The resolution prohibits city funds from being used to cooperate with any individuals or out-of-state agencies who are investigating people for pursuing treatments that are legal in California.
The Metropolitan Government of Nashville and Davidson County settled a lawsuit brought by Lambda Legal alleging that the Metropolitan Nashville Police Department's hiring policies unfairly discriminated against people with HIV.
The lawsuit claimed that the plaintiff, a 45-year-old decorated civil servant going by the pseudonym John Doe, had applied to work for the police department in 2020, and was initially offered a job.
However, the department later rescinded that offer after learning, during the Civil Service Medical Officer's exam process, that Doe is living with HIV.
Two New York men have been charged with drug possession and distribution in connection with the death of Cecilia Gentili, a prominent New York-based transgender activist.
The arrest was announced in an April 1 news release from the office of Breon Peace, the U.S. Attorney for the Eastern District of New York.
"Cecilia Gentili, a prominent activist and leader of the New York transgender community, was tragically poisoned in her Brooklyn home from fentanyl-laced heroin," Peace said in a statement. "Fentanyl is a public health crisis. Our Office will spare no effort in the pursuit of justice for the many New Yorkers who have lost loved ones due to this lethal drug."
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