DES MOINES, Iowa (AP) — An Iowa law that prohibits Medicaid coverage for sex reassignment surgeries for transgender residents violates state law and the state constitution, a judge ruled in a decision made public Monday.
Judge William Kelly ordered the Iowa Department of Human Services to provide coverage for sex reassignment surgeries when ordered to treat gender dysphoria, a psychological distress that results from an incongruence between one’s sex assigned at birth and one’s gender identity. The American Psychiatric Association states that it can often begin in childhood. However, some individuals may experience it later or even after puberty.
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Around 12 states do not cover surgeries under Medicaid. 18 include specific gender affirming care, while others…