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D.C. requires insurers to cover gender reassignment

Mayor bans insurance discrimination against trans residents

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Vincent Gray, transgender, gay news, Washington Blade
Vincent Gray, transgender, gay news, Washington Blade, gender reassignment

‘Treatment of individuals diagnosed with gender dysphoria is a covered benefit in all individual and group insurance plans in the District of Columbia, including Medicaid,’ said Mayor Vincent Gray. (Washington Blade photo by Michael Key)

D.C. Mayor Vincent Gray announced on Thursday that health insurance companies doing business in the District must provide full coverage for medically recognized treatments to help transgender people change their gender, including gender reassignment surgery.

At a news conference in a meeting room outside his office, Gray said the city’s Department of Insurance, Securities, and Banking issued a bulletin directing insurers to recognize a condition known as gender dysphoria, or gender identity disorder, as a medical condition to be covered by insurance plans.

Transgender advocates note that the American Medical Association and the American Psychiatric Association recognize gender dysphoria as a diagnosable condition through which physicians and other health care professional provide a wide range of approved medical treatments to assist people in transitioning from one gender to another.

“Today, the District takes a major step toward leveling the playing field for individuals diagnosed with gender dysphoria,” Gray said. “These residents should not have to pay exorbitant out-of-pocket expenses for medically necessary treatment when those without gender dysphoria do not,” he said.

“I’m clarifying today that treatment of individuals diagnosed with gender dysphoria is a covered benefit in all individual and group insurance plans in the District of Columbia, including Medicaid,” Gray said.

Gray’s remark drew a prolonged, standing ovation from LGBT activists, including transgender advocates, who gathered in the mayor’s ceremonial bill-signing room where Gray held his news conference.

“Those who know me know how proud I am that the District continues to be on the cutting edge and on the forefront when it relates to equality and fairness for its LGBTQ residents,” Gray said.

The bulletin, which the city sent to insurance companies on the day of Gray’s announcement, cites the D.C. Human Rights Act as among the legal grounds being used to require insurers to cover transgender related treatments. The Human Rights Act, among other categories, bans discrimination based on gender identity and expression as well as sexual orientation.

The bulletin cites the D.C. Unfair Insurance Trade Practices Act of 2001 as further grounds for not allowing insurers to exclude coverage of trans-related treatments from their insurance plans.

Among those speaking at the news conference was Mara Keisling, executive director of the D.C.-based National Center for Transgender Equality, which worked with the mayor’s office and insurance department officials to help draft the four-page bulletin.

Keisling said Gray’s action places D.C. among just five states that have adopted similar policies requiring insurers to cover treatments such as gender reassignment surgery and hormone therapy to assist an individual’s transition to another gender.

Those states are California, Oregon, Colorado, Vermont and Connecticut.

“This is really significant,” Keisling told the Blade after the news conference. “It means that transgender people in D.C. now can make their health care decisions with their doctor rather than with their insurance companies,” she said.

Mara Keisling, NCTE, National Center for Transgender Equality, gay news, Washington Blade

Mara Keisling, executive director of the National Center for Transgender Equality. (Washington Blade photo by Michael Key)

Asked what treatments are involved in a gender transition, Keisling said experts with the World Professional Association for Transgender Health Standards of Care (WPATH) have developed a wide range of treatments that may vary from person to person depending on individual needs.

“It’s a whole range of transition-related care — everything from diagnostic visits to experts in the field,” Keisling said. “It can mean hormone treatments. It can mean lab tests to make sure your hormones are working correctly and not causing any harm. There are various kinds of surgeries that transgender people may need. So it covers a whole range of things.”

D.C. transgender activist Andy Bowen, who recently joined the staff of the NCTE as a policy associate, called the D.C. initiative announced by Gray the most comprehensive among the states that have adopted similar policies.

“If you look at some of the other states they say they’re not going to cover some treatments,” Bowen said. “D.C. has not done that. It just said that if it’s one of the WPATH treatments we’re going to cover it. And that’s amazing to hear a government be that unequivocal about it.”

Philip Barlow, the city’s Associate Commissioner of Insurance, said after the news conference that requiring health insurance companies to cover the medical treatments for transgender people would likely result in a small increase in premiums over a period of time.

“It will just be incorporated into the general cost and utilization that insurers use in coming up with future rate increases,” he said. “But we don’t really anticipate it to have a significant impact on the rates.”

Michael Silverman, executive director of the New York-based Transgender Legal Defense and Education Fund, praised Gray for taking action that he said would “end health care discrimination against transgender residents of Washington, D.C.”

The bulletin issued by the city’s Department of Insurance that directs insurers to provide full coverage for medically approved treatments to transgender individuals in D.C. can be obtained here.

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Rehoboth Beach

Officials raise troubling concerns about Rehoboth mayoral candidate Suzanne Goode

Homophobic emails, ‘aggressive’ behavior cited: ‘It just seems to be getting worse’

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Locals are raising concerns about Suzanne Goode’s behavior. (Photo courtesy Goode)

As Rehoboth Beach voters prepare to elect a new mayor on Aug. 8, some city officials and local residents are raising new concerns about the behavior of City Commissioner and mayoral candidate Suzanne Goode.

In addition to a history of troubling emails in which she has used homophobic language and criticized the city’s rainbow crosswalks, Goode is being accused of inappropriate behavior by a neighbor and a fellow Commissioner related to a dispute on the Nextdoor online platform.

The Blade spoke to City Manager Taylour Tedder, Commissioner Chris Galanty, and others about Goode’s behavior during her time as commissioner.

Goode was elected commissioner in August 2024. Fellow commissioner Susan Stewart, who is also running for mayor, criticized Goode’s behavior in a March 9, 2026 meeting, bringing up emails outlining Goode’s offensive conduct toward city staff. 

In one email, Goode wrote to Rehoboth Beach City Solicitor Lisa Borin Ogden: “I am sorry that I learned from Google when you were first interviewed [in the] spring [of] 2025 that you are Jewish. My opinion of my fellow Jews declined significantly thanks to you since last summer. Actually would have thought you would have more compassion than the average person, based on your late brother. Except you don’t. I am sick of your haughty attitude toward me.”

In other emails, Goode questions why city officials encouraged CAMP Rehoboth and Clear Space Theatre to apply for grant funds. She has denigrated both institutions, referring to CAMP as a “questionable non-profit” and Clear Space as “second rate” with a “woke, drag queen bent” at times. She accuses Rehoboth’s LGBTQ community of displaying “their sex lives in public view” and fears physical violence from LGBTQ activists.

Goode disputed the claims and called for the city to remove Stewart’s remarks from the website.

The following statements were included in the emails sent by Goode:

• “Gays and theatre aficionados can donate as much as they like to these pet causes. Some taxpayers think the theatre is second-rate as community theatres go, and many dislike the RB emphasis on LGBTQ when heterosexuals don’t demand equivalent display of their sex lives in public view.”

• “Just because the LGBTQ community feels oppressed and discriminated against, that doesn’t mean that those who identify as LGBTQ are better able to recognize racial discrimination than someone like myself. It might surprise some of you to learn that I briefly dated an African American fellow college student.”

• “A performing arts and LGBTQ agenda isn’t appropriate for BOC spending when the city faces over $60M in debt.”

• “But there are some folks in town, who ironically have to remain in the closet (conservatives now have to do what gays had to do in the 20th century — ah, the irony) who object to the woke, drag queen bent of Clear Space at times. They have confided this in me, and thanked me for fighting for their tax dollars. Maybe I will regret speaking up, as some LGBTQ activist will attack me physically, even though I am a complete supporter of gay rights, and have as many gay male friends as female friends now that I live in RB with a large gay population.”

In the emails, Goode also referred to City Manager Tedder as “the mayor’s whore.”

Stewart told the Blade that the troubling behavior has since escalated.

Commissioner Chris Galanty spoke to the Blade about Goode’s behavior as commissioner and her issues with the rainbow crosswalks in town.

“Suzanne told me on two separate occasions that she didn’t like the rainbow crosswalks, and she said that she didn’t understand why they had to exist, and she didn’t understand why gay people had to advertise their sexuality, and she said straight people don’t have to do that.”

Galanty said that when he challenged her on this, she “moved very quickly to another topic.” He said that she has now shifted her perspective and is more concerned that the rainbow crosswalks are an issue of labor costs.

Goode told the Blade that, “Unfortunately, the rainbow crosswalks have potentially reduced the upkeep of the conventional crosswalks. But the rainbow crosswalks are attractive in and of themselves, and they do add to our recognition of Rehoboth’s longstanding status as a gay-friendly town.”

Accusations of “aggressive” behavior by Goode aren’t limited to emails. Last summer, Goode came to the home of Diana Jones, a property owner in Rehoboth Beach who is a neighbor of Galanty’s. Jones spoke to the Blade to share her experience with Goode.

Jones is active on Nextdoor, an online social network for neighborhoods. She said that she got involved on the platform during the time of the commissioners election last summer, in which her neighbor, Chris Galanty, was elected as commissioner.

Jones said that she made posts supporting Galanty. She said that someone posted a link of a lawsuit that involved Goode’s husband, Jeffrey Goode, who lost his race for commissioner last summer. Jones said that she reposted the link after it was taken down.

Jones said that the lawsuit was “very relevant to somebody who is running for city commissioner.”

Jones said that Suzanne Goode showed up at her house as a result of the post. Jones was out walking her dog nearby so Goode briefly spoke with Jones’s husband who was home.

“She came over to my house because she was saying I was doxing him,” said Jones. Jones said that Goode then found her as she was walking her dog and tried to talk to her about her Nextdoor posts, saying that she “brought up a very painful time in her life.”

Jones said that she has not had any communication with Goode since.

When asked for comment on the situation with Jones, Goode responded by saying “Diana Jones’s behavior toward me was despicable, and the way she has chosen to give her side of the story to news media says more about her than it will ever say about me.”

Galanty told the Blade that Goode came to his house in late June of this year when he was not home. She then called him about Jones.

“She relayed to me that she was having a disagreement with my neighbor on the Nextdoor platform, and she asked me to intercede with the neighbor,” said Galanty. “She said, ‘Please speak to her because I am frustrated with what she is saying. She needs to stop, and you need to say something to her.'”

Galanty said that Goode called him four times and texted him 32 times in the span of three and a half hours the next day.

Galanty said that he responded the next day, telling her that her behavior was inappropriate.

“Eventually it took a couple of weeks, but she apologized in her own way. She just said we just need to let it go.”

From his perspective as commissioner, Galanty said, “She likes to re-litigate things that have happened, six months ago, nine months ago. She likes to rehash issues that are in the past.”

“She can be really aggressive, and people are just really turned off by her,” said Galanty.

Tedder, who has accused Goode of creating a “hostile work environment,” told the Blade about his experiences working with Goode.

“She does not support the staff, and constantly tells us to resign,” said Tedder.

Tedder said that Goode texted City Solicitor Ogden at 7:45 a.m. on a Saturday, telling her to resign.

“Sometimes she does have good ideas. It’s just it gets so lost in these pages and pages of emails and thousands of emails that she sends,” said Tedder.

In regards to Goode’s behavior, Tedder said it has been going on since the beginning. “It just seems to be getting worse.”

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Maryland

Advocates for trans students urge Md. to fight White House threats

Four school districts under federal investigation

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(Washington Blade photo by Michael Key)

By JESSICA CALEFATI | Allies of transgender children are urging state education officials to fight back against the Trump-Vance administration, which has threatened to punish a growing number of Maryland school districts over local policies that affirm students’ gender identities.

The advocates testified Tuesday morning before the Maryland State Board of Education — one day after the U.S. Education and Justice departments alleged that Anne Arundel County’s school system violated federal student privacy law by withholding a student’s gender identity from their parents. A spokesperson for the district said Monday legal counsel had not yet reviewed the claims and that the district had no further comment.

School districts in Prince George’s, Montgomery, and Frederick Counties were already under investigation for allegedly violating Title IX, the civil rights law that prohibits sex-based discrimination. The federal government last month threatened to revoke funding from the districts because they allow trans students to use restrooms and locker rooms that align with their identities.

The rest of this article can be read on the Baltimore Banner’s website.

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Maryland

White House threatens Anne Arundel schools over gender identity policy

District faces possible legal action or loss of federal funding

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The U.S. Education and Justice Departments together determined Anne Arundel County’s school system violated federal student privacy law by withholding information about a student’s gender identity from the child’s parents. (Photo by Ulysses Muñoz for the Baltimore Banner)

By JESSICA CALEFATI | The Trump-Vance administration on Monday threatened to punish Anne Arundel County’s school system with legal action or the loss of federal funding for allegedly withholding information about a student’s gender identity and transition from the child’s parents.

The U.S. Education and Justice Departments together determined that the suburban Maryland district treats students’ gender identities as confidential medical information that cannot be shared with parents, in violation of federal student privacy law, according to a news release. A federal lawsuit filed against the district earlier this month made similar claims.

“As a mother and a grandmother, it is unconscionable that any school district would hide the most sensitive information about children in their care from their own parents,” U.S. Secretary of Education Linda McMahon said in a statement. “This is not only an affront to basic moral principles, but also to parents’ rights under federal law.”

The rest of this article can be read on the Baltimore Banner’s website.

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