Supreme Court Upholds Decision That Medicaid Must Cover Women’s Sex Reassignment Surgery

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The Iowa Supreme Court ruled that the argument that the policy’s explicit exclusion of gender-reassignment surgeries was merely a specified example within the broader category of “cosmetic, reconstructive, and plastic surgeries” that were excluded from coverage was invalid. “The [department] expressly denied Good and Beal coverage for their surgical procedures because they were ‘related to transsexualism … (or) gender identity disorders’ and ‘for the purpose of sex reassignment,'” Justice Susan Christensen wrote, citing segments of the policy.