The Iowa Supreme Court unanimously ruled in favor of two transgender women, effectively striking down the state’s ban on Medicaid coverage for sex reassignment surgery. - NBCOUT
“This decision will, quite literally, save lives," said Daniel Hoffman-Zinnel, the executive director of One Iowa.
The case involved EerieAnna Good and Carol Anne Beal, two women whose medical providers determined that sex reassignment surgery was necessary to treat their gender dysphoria. Yet when Good and Beal — who have identified as female since childhood — sought to have surgery under the state’s Medicaid program, they were denied. They appealed to the state agency, which oversees the program, but were rejected again.
In its appeal, the agency argued that its policy wasn’t discriminatory because neither transgender nor non-transgender individuals were able to use Medicaid benefits for gender-reassignment surgery, which it said is performed “primarily for psychological purposes.” It also argued that the policy’s explicit exclusion of gender-reassignment surgeries was an example of “cosmetic, reconstructive, and plastic surgeries” that are excluded from coverage.
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