News
Medicare to examine ban on gender reassignment surgery
Rationale for policy ‘not complete and adequate’
HHS is set to reconsider the ban on Medicare-provided gender reassignment surgery. (Image public domain)
The Obama administration is set to re-examine the ban that prohibits Medicare from covering gender reassignment surgery, according to a memorandum obtained Tuesday by the Washington Blade.
The document from the Department of Health & Human Services, dated Dec. 2, finds that the reasoning for the ban is “not complete and adequate” to support denying Medicare coverage for transgender people seeking the procedure.
The HHS Department Appeals Board states the ban — which is codified as National Coverage Determination 140.3 — “fails to account for development in the care and treatment” for transgender people over the course of the last 30 years.
The next step, the memo states, is proceeding into a “discovery” phase for the taking of evidence to determine whether the ban can be justified.
Mara Keisling, executive director of the National Center for Transgender Equality, said “there really isn’t that much to say” at this point in the process.
“This is really a preliminary step,” Keisling said. “It’s a good sign, but we have more to go on this.”
Masen Davis, executive director of the Transgender Law Center, was optimistic the ban would be lifted following the discovery process.
“Current Medicare standards are based on science from the 1960s, so it’s about time for a review,” Davis said. “Because the current scientific evidence overwhelmingly shows that sex-reassignment surgeries are effective and medically necessary treatments for some transgender individuals, we are hopeful the board will find the exclusion is not supported.”
The DAB initiated the review of the ban on Medicare-provided gender reassignment surgery in response to a request filed in March by a quartet of LGBT advocates: the National Center for Lesbian Rights, the American Civil Liberties Union, Gay & Lesbian Advocates & Defenders and civil rights attorney Mary Lou Boelcke.
The challenge was filed on behalf of Denee Mallon, a 73-year-old transgender woman in Albuquerque, N.M. A Medicare recipient, Mallon was recommended to have gender reassignment surgery by doctors to treat her gender dysphoria
In a joint statement provided to the Washington Blade in response to the HHS memorandum, the ACLU, NCLR and GLAD expressed optimism that DAB would come to the conclusion after discovery that the ban on Medicare-provided gender reassignment surgery should be lifted.
“Because the current evidence overwhelmingly shows that sex-reassignment surgeries are effective and medically necessary treatments for some individuals with gender dysphoria, we are hopeful the Board will find the exclusion is not supported,” the statement says.
According to the memorandum, the ban was put in place in 1989 as a result of a 1981 report from the National Center for Health Care Technology, an arm of HHS. The report concluded “transsexual surgery not be covered by Medicare at this time” because of the high rate of complications and questions about whether it was effective in treating gender identity disorder.
“Transsexual surgery for sex reassignment of transsexuals is controversial,” the regulation states. “Because of the lack of well controlled, long term studies of the safety and effectiveness of the surgical procedures and attendant therapies for transsexualism, the treatment is considered experimental. Moreover, there is a high rate of serious complications for these surgical procedures. For these reasons, transsexual surgery is not covered.”
Despite the institution of this policy, the American Medical Association and the American Psychological Association support gender reassignment surgery for transgender people as a means to treat gender identity disorder.
Notably, the Centers for Medicare & Medicaid didn’t put up a fight in response to the request from LGBT advocates to lift the ban. According to the memo, CMS notified the board in June that it wouldn’t submit a response to their request to lift the ban.
Neither HHS nor CMS responded to the Blade’s request for comment on the determination or why it declined to defend the ban.
It’s unclear when the discovery period for reevaluating the ban on Medicare-provided gender reassignment surgery will come to an end. Shawn Jain, a spokesperson f0r the ACLU, said his organization doesn’t know when the process will be complete.
Virginia
Virginia General Assembly’s 2026 legislative session ends
Voters in November will consider repealing marriage amendment
The Virginia General Assembly’s 2026 legislative session ended on March 14.
Lawmakers have yet to approve a budget, but they did pass a resolution that paves the way for a referendum on whether to repeal the state’s constitutional amendment that defines marriage as between a man and a woman. Lawmakers also advanced House Bill 60, which would protect PrEP users from insurance discrimination.
Democratic Gov. Abigail Spanberger has until April 13 to decide to pass, amend, or veto legislation before it goes back to the House of Delegates on April 22.
Spanberger on Feb. 6 signed the bill that sets the stage for the marriage amendment referendum. Voters will consider whether to “remove the ban on same-sex marriage; (ii) affirm that two adults may marry regardless of sex, gender, or race; and (iii) require all legally valid marriages to be treated equally under the law?”
Equality Virginia has been working during this legislative cycle to urge lawmakers to allocate funding towards LGBTQ rights. The budget would expand funding for schools, competency training for the 988 suicide hotline, and funding to provide gender affirming care to LGBTQ youth.
“As the budget moves through conference and the Reconvene Session approaches on April 22, Equality Virginia remains focused on ensuring our victories this session translate into durable protections,” Equality Virginia Executive Director Narissa Rahaman told the Washington Blade in a statement. “Progress on marriage equality, nondiscrimination protections, and HIV care funding was essential, but Virginia must do more.”
Poland
Polish court rules country must recognize same-sex marriages from EU states
Poland ‘must comply with European Union law’
Poland’s Supreme Administrative Court on March 20 ruled the country must recognize same-sex marriages legally performed in other European Union states.
The EU Court of Justice in Luxembourg last November ruled in favor of a same-sex couple who challenged Poland’s refusal to recognize their German marriage.
The couple, who lives in Poland, brought their case to Polish courts in 2019. The Supreme Administrative Court referred it to the EU Court of Justice.
“Today’s ruling by the Supreme Administrative Court clearly demonstrates that Poland, as a member state of the European Union, must comply with European Union law,” said Przemek Walas, advocacy manager for the Campaign Against Homophobia, a Polish LGBTQ advocacy group, in a statement. “The Supreme Administrative Court rightly upheld the interpretation of the Court in Luxembourg and indicated that the only way to implement this ruling is to allow the transcription of a foreign marriage certificate.”
“This ruling is a significant step towards marital equality, but certainly not sufficient,” added Walas.
Ireland, Portugal, Spain, France, Luxembourg, Belgium, the Netherlands, Germany, Denmark, Austria, Slovenia, Malta, Greece, Sweden, Finland, and Estonia are the EU countries that have extended full marriage rights to same-sex couples. Poland — along with Romania, Bulgaria, and Slovakia — are the four EU countries with no legal recognition of same-sex couples.
District of Columbia
Capital Stonewall Democrats 50th anniversary gala draws sold out crowd
D.C. elected officials, mayoral candidates praise LGBTQ Democratic group
A sold-out crowd of 186 people, including D.C. elected officials and candidates running for D.C. mayor, turned out Friday, March 20, for the Capital Stonewall Democrats 50th anniversary celebration.
Among those attending the event, held at the Pepco Edison Place Gallery building next to the city’s Chinatown neighborhood, were seven D.C. Council members and four Democratic candidates running for mayor.
But at the request of Capital Stonewall Democrats leaders, the Council members, most of whom are running for re-election, and mayoral contenders did not give campaign speeches. Instead, they mingled with the crowd and focused on the accomplishments of the LGBTQ Democratic group over the past 50 years, with some presenting the group’s special “honor” awards to about a dozen prominent LGBTQ Democratic activists.
D.C. Mayor Muriel Bowser, who was initially expected to attend the event, did not attend.
The mayoral candidates attending included D.C. Council member Janeese Lewis George (D-Ward 4) and former At-Large Council member Kenyan McDuffie, an independent turned Democrat, who are considered the leading mayoral contenders in the city’s June 16 Democratic Primary. Both have strong, longtime records of support for LGBTQ rights issues.
The other two mayoral candidates attending the event were Gary Goodweather, a real estate manager, and Rini Sampath, a cybersecurity consultant. Sampath told the Washington Blade she self-identifies as queer. Both have expressed strong support on LGBTQ-related issues.
The D.C. Council members attending the event included Lewis George; Council Chair Phil Mendelson (D-At-Large); Anita Bonds (D-At-Large); Robert White (D-At-Large); Matt Frumin (D-Ward 3); Zachary Parker (D-Ward 5), the Council’s only gay member; and Charles Allen (D-Ward 6).
“Tonight we celebrate not just 50 years of history but 50 years of showing up,” Howard Garrett, Capital Stonewall Democrats immediate past president, told the gathering in opening remarks. “Showing up when it was easy, showing up when it wasn’t popular,” he said, adding, “This work only continues if we continue to show up.”
He noted that the deadline for joining the organization in time to be eligible to vote on its endorsement of candidates running in D.C.’s 2026 election was midnight that night. He urged attendees who were not members to go to two tables at the event to join.
The group’s current president, Stevie McCarty, thanked the group’s longtime members who he said played a key role in what he called its historic work in building political support for the D.C. LGBTQ community. Among those he thanked was Paul Kuntzler, 84, one of the group’s founding members in January 1976, when it was initially named the Gertrude Stein Democratic Club.
Members voted to rename the group the Capital Stonewall Democrats in 2021.
Among the LGBTQ advocates who were honored at the event was Rayceen Pendarvis, the longtime host of a D.C. LGBTQ online interview show that included interviews of candidates for public office. Pendarvis also served as emcee for the Capital Stonewall Democrats 50th anniversary event.
“Thank you everyone in this room who has done the work to make this world a better place,” Pendarvis said in opening remarks. “To all our prestigious activists in the room, all of our amazing politicians in the room who are doing the work, we love you and we honor you.”
Among the honorees in addition to Pendarvis was Malcolm Kenyatta, the Democratic National Committee’s vice chair who became the first openly LGBTQ person of color to win election to the Pennsylvania General Assembly in 2018.
Other honorees included Parker; Earl Fowlkes, founder of the International Federation of Black Prides; Vita Rangel, a transgender woman who serves as deputy director of the D.C. Mayor’s Office of Talent and Appointments; Heidi Ellis, director of the D.C. LGBTQ Budget Coalition; and Philip Pannell, longtime LGBTQ Democratic activist, Ward 8 civic leader, and longtime Capital Stonewall Democrats member.
The 50th anniversary event included an open bar and refreshments and entertainment by three drag performers.
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