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Court rules state health care plans cannot deny coverage for gender-affirming surgery

A federal appellate court in Richmond ruled that state health-care plans must cover gender-affirming surgeries, a significant victory for transgender rights amidst anti-trans activism nationwide. The U.S. Court of Appeals for the 4th Circuit rejected arguments that limitations were based on cost, stating they discriminated against trans individuals. This marks the second ruling in favor of trans rights by the court. The decision, based on ideological differences, may be appealed to the Supreme Court. Other states have restricted care for trans minors and adults. Advocates argue that denying coverage for gender-affirming procedures is unjust and discriminatory towards a vulnerable minority group.


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