Appeals court takes up transgender health coverage case likely headed to Supreme Court

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A federal appeals court is considering cases out of North Carolina and West Virginia that could have significant implications on whether individual states are required to cover health care for transgender people with government-sponsored insurance.

“The exclusion here is actually quite targeted, it’s quite specific,” Borelli said in court, arguing that a faithful interpretation of the U.S. Constitution and the equal protection clause ensures transgender people coverage.

Knepper said North Carolina’s insurance plan does not discriminate because it does not allow people to use state health insurance to “detransition,” either.to confirm gender dysphoria before starting any treatment.issued last year, the World Professional Association for Transgender Health said evidence of later regret is scant, but that patients should be told about the possibility during psychological counseling.

“West Virginia is entitled to deference where they’re going to take their limited resources,” he said. “They believe that they need to provide more resources towards heart disease, diabetes, drug addiction, cancer, which are all rampant in the West Virginia population.” In August 2022, a federal judge ruled that West Virginia’s Medicaid program must provide coverage for gender-affirming care for transgender residents.

 

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