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.
The White House
Grindr to host first-ever White House Correspondents’ Dinner party
App’s head of global government affairs a long-time GOP-aligned lobbyist
Gay dating and hookup app Grindr will host its first-ever White House Correspondents’ Weekend party on April 24.
The event is scheduled for the night before the White House Correspondents’ Dinner, an annual gathering meant to celebrate the First Amendment, honor journalism, and raise money for scholarships.
The White House Correspondents’ Dinner is organized by the White House Correspondents’ Association, a group of journalists who regularly cover the president and the administration.
An invitation obtained by the Washington Blade’s Joe Reberkenny and Michael K. Lavers reads:
“We’d be thrilled to have you join us at Grindr’s inaugural White House Correspondents’ Dinner Weekend Party, a Friday evening gathering to bring together policymakers, journalists, and LGBTQ community leaders as we toast the First Amendment.”
The Blade requested an interview with Joe Hack, Grindr’s head of global government affairs, but was unable to reach him via phone or Zoom. He did, however, provide a statement shared with other outlets, offering limited explanation for why the company decided 2026 was the year for the app to host this event.
“Grindr represents a global community with real stakes in Washington. The issues being debated here — HIV funding, digital privacy, LGBTQ+ human rights — are daily life for our community. Nobody does connections like Grindr, and WHCD weekend is the most iconic place in the country to make them. We figured it was time to host.”
Hack said the company has been “well received” by lawmakers in both parties and has found “common ground” on issues such as HIV funding and keeping minors off the app. He credited longstanding relationships in Washington and what he described as Grindr’s “respectful” approach to lobbying.
Hack, a longtime Republican-aligned lobbyist, previously worked for several GOP lawmakers, including U.S. Sens. Deb Fischer (R-Neb.), Jon Kyl (R-Ariz.), George Voinovich (R-Ohio), Bill Frist (R-Tenn.), and U.S. Rep. Randy Forbes (R-Va.).
According to congressional disclosure forms compiled by OpenSecrets, Grindr spent $1.3 million on lobbying in 2025— more than Tinder and Hinge’s parent company Match Group.
“This is going to be elevated Grindr,” Hack told TheWrap when describing the invite-only party that has already generated buzz on social media. “This isn’t going to be a bunch of shirtless men walking around. This is going to be very elevated, elegant, but still us.”
He also pointed to the company’s work on HIV-related initiatives, including efforts to maintain federal funding for healthcare partners that distribute HIV self-testing kits through the app.
The event comes at a particularly notable moment for an LGBTQ-focused connection platform to enter the Washington social circuit at a high-profile political weekend, as LGBTQ rights remain under constant attack from conservative lawmakers, particularly around transgender healthcare, sports participation, and public accommodations.
Tennessee
Charlie Kirk Act advances in Tenn.
Bill would limit protests, protects speakers opposing ‘transgender’ identities
The Tennessee legislature has passed Senate Bill 1741 / House Bill 1476, dubbed the “Charlie Kirk Act,” which, if signed by Republican Gov. Bill Lee, would reshape how public colleges and universities regulate speech on campus.
The measure targets all public higher education institutions and requires them to adopt a “free expression” policy modeled on the University of Chicago’s framework. That framework emphasizes that universities should not shield students from controversial or offensive ideas and requires state schools to formally embrace institutional neutrality — meaning they do not publicly take a stance on political or social issues.
Under the legislation, publicly funded schools cannot disinvite or cancel invited speakers based on their viewpoints or in response to protests from students or faculty. Student organizations, however — like Turning Point USA, an American nonprofit that advocates for conservative politics on high school, college, and university campuses, founded by Charlie Kirk, and often lack widely represented liberal counterparts — would retain broad authority to bring speakers to campus regardless of controversy.
The law includes broad protections for individuals and organizations expressing religious or ideological beliefs, including opposition to abortion, homosexuality, or transgender identity, regardless of whether those views are rooted in religious or secular beliefs. It further prohibits public institutions from retaliating against faculty for protected speech or scholarly work.
The bill, which has been hailed by supporters as an effort to “preserve campus free speech,” ironically also limits protest activity. Shouting down speakers, blocking sightlines, staging disruptive walkouts, or physically preventing entry to events are now considered “substantial interference” under the legislation, making those who engage in such actions subject to discipline.
Some of those disciplinary consequences include probation, suspension, and even expulsion for students, while faculty who protest in ways deemed to violate the policy could face unpaid suspensions and termination after repeated violations.
Supporters of the bill argue it strengthens free expression on campus. State Rep. Gino Bulso (R-Brentwood), the bill’s sponsor, said it reinforces a commitment to “civil and robust” debate at public universities.
“The Charlie Kirk Act creates critical safeguards for students and faculty and renews the idea that our higher education institutions should be centers of intellectual debate,” Bulso told Fox 17. “This legislation honors the legacy of Charlie Kirk by promoting thoughtful engagement and defending religious freedom.”
Critics, including Democratic lawmakers, have raised concerns that the legislation effectively elevates certain ideological viewpoints — particularly those tied to religious objections to LGBTQ identities — while exposing students and faculty to punishment for protest or dissent.
“It’s ironic that this body is talking about free speech when we had professors in Tennessee schools expelled and suspended when they did not mourn the death of Charlie Kirk — when they said that his statements were problematic and that the way he died did not redeem the way he lived,” state Rep. Justin Jones (D-Nashville) told WKRN.
Kirk, the right-wing activist and founder of Turning Point USA, for whom the bill is named, was assassinated in September 2025 at a public event at Utah Valley University. His legacy and rhetoric remain deeply polarizing, particularly among LGBTQ advocates, who have cited his history of anti-LGBTQ statements in opposing his campus appearances.
The bill now heads to Lee’s desk for his signature.
Belarus
Belarusian president signs bill to allow LGBTQ rights crackdown
Alexander Lukashenko known as ‘Europe’s last dictator’
Belarusian President Alexander Lukashenko on Wednesday signed a bill that will allow his government to crack down on LGBTQ advocacy.
The measure that Lukashenko, who is known as “Europe’s last dictator” and is a close ally of Russian President Vladimir Putin, signed would punish anyone found guilty of “propaganda of homosexual relations, gender change, refusal to have children, and pedophilia” with fines, community labor, and 15 days in jail.
The House of Representatives, the lower house of the Belarusian National Assembly, last month approved the bill. The Council of the Republic, which is the parliament’s upper chamber, passed it on April 2.
Belarus borders Poland, Ukraine, Russia, Latvia, and Lithuania.
Kazakhstan is among the countries that have enacted Russian-style anti-LGBTQ propaganda laws in recent years.
The European Commission in 2022 sued Hungary, which is a member of the EU, over its anti-LGBTQ propaganda law. Hungarian voters on April 12 ousted Viktor Orbán, a Putin ally who had been their country’s prime minister since 2010.
