4th Circuit: Gender Identity Is A Protected Characteristic, Blocks State Coverage Bans

The 4th U.S. Circuit Court of Appeals ruled that bans on transgender care by Medicaid and state plans are unconstitutional, recognizing transgender people as a protected class and declaring such exclusions as discriminatory based on gender identity and sex. This decision upholds lower court rulings against North Carolina and West Virginia, which had denied gender-affirming care to transgender state employees and Medicaid recipients, dismissing state arguments that the exclusions applied equally to all individuals.

Outside photo of the 4th Circuit US Court of Appeals in Richmond, VA

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