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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

ā€˜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,ā€™ 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 cityā€™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.

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

ā€œIā€™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,ā€ Gray said.

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

ā€œThose 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,ā€ Gray said.

The bulletin, which the city sent to insurance companies on the day of Grayā€™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 mayorā€™s office andĀ insurance department officials to help draft the four-page bulletin.

Keisling said Grayā€™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 individualā€™s transition to another gender.

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

ā€œThis is really significant,ā€ Keisling told the Blade after the news conference. ā€œIt means that transgender people in D.C. now can make their health care decisions with their doctor rather than with their insurance companies,ā€ 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.

ā€œItā€™s a whole range of transition-related care ā€” everything from diagnostic visits to experts in the field,ā€ Keisling said. ā€œIt 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.ā€

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.

ā€œIf you look at some of the other states they say theyā€™re not going to cover some treatments,ā€ Bowen said. ā€œD.C. has not done that. It just said that if itā€™s one of the WPATH treatments weā€™re going to cover it. And thatā€™s amazing to hear a government be that unequivocal about it.ā€

Philip Barlow, the cityā€™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.

ā€œIt will just be incorporated into the general cost and utilization that insurers use in coming up with future rate increases,ā€ he said. ā€œBut we donā€™t really anticipate it to have a significant impact on the rates.ā€

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

The bulletin issued by the cityā€™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

Former CAMP Rehoboth official sentenced to nine months in prison

Salvator Seeley pleaded guilty to felony theft charge for embezzlement

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Salvator Seeley (Photo courtesy CAMP Rehoboth)

Salvator ā€œSalā€ Seeley, who served as an official with the Rehoboth Beach, Del., CAMP Rehoboth LGBTQ community center for 20 years, was sentenced on April 5 by a Sussex County Superior Court judge to nine months in prison and to pay $176,000 in restitution to the organization.

The sentencing took place about five weeks after Seeley pleaded guilty to a charge of Theft in Excess of $50,000 for allegedly embezzling funds from CAMP Rehoboth, a spokesperson for the Delaware Department of Justice told the Washington Blade.

Seeley’s guilty plea came shortly after a grand jury, at the request of prosecutors, indicted him on the felony theft charge following an investigation that found he had embezzled at least $176,000 from the nonprofit LGBTQ organization.

ā€œSalvatore C. Seeley, between the 27th day of February 2019 and the 7th day of September 2021, in the County of Sussex, State of Delaware, did take property belonging to CAMP Rehoboth, Inc., consisting of United States currency and other miscellaneous property valued at more than $50,000, intending to appropriate the same,ā€ the indictment states.

ā€œThe State recommended a sentence of two years of incarceration based on the large-scale theft and the impact to the non-profit organization,ā€ Delaware Department of Justice spokesperson Caroline Harrison told the Blade in a statement.

ā€œThe defense cited Seeleyā€™s lack of a record and gambling addiction in arguing for a probationary sentence,ā€ the statement says. ā€œSeeley was sentenced in Superior Court to a nine-month prison term and to pay a total of $176,000 in restitution for the stolen funds,ā€ Harrison says in the statement.

Neither Seeley nor his attorney could immediately be reached for comment.

At the time of Seeleyā€™s indictment in February, CAMP Rehoboth released a statement saying it first discovered ā€œfinancial irregularitiesā€ within the organization on Sept. 7, 2021, ā€œand took immediate action and notified state authorities.ā€ The statement says this resulted in the investigation of Seeley by the state Department of Justice as well as an internal investigation by CAMP Rehoboth to review its ā€œfinancial control policiesā€ that led to an updating of those policies.

ā€œAs we have communicated from day one, CAMP Rehoboth has fully cooperated with law enforcement,ā€ the statement continues. ā€œAt its request, we did not speak publicly about the investigation while it was ongoing for fear it would jeopardize its integrity,ā€ according to the statement. ā€œThis was extremely difficult given our commitment to transparency with the community about day-to-day operations during the recent leadership transition.ā€

The statement was referring to Kim Leisey, who began her job as CAMP Rehobothā€™s new executive director in July of 2023, while the Seeley investigation had yet to be completed, following the organizationā€™s process of searching for a new director. It says Seeley left his job as Health and Wellness Director of CAMP Rehoboth in September of 2021 after working for the organization for more than 20 years.

ā€œMr. Seeleyā€™s actions are a deep betrayal to not only CAMP Rehoboth but also the entire community we serve,ā€ the statement says.

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Maryland

Christian Siriano to serve as grand marshal of Annapolis Pride Parade

Fashion designer is an Annapolis native

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Christian Siriano, an Annapolis native, won the fourth season of ā€œProject Runway,ā€ and has become one of the reality showā€™s most successful and visible stars. (Ā© Leandro Justen/Leandro Justen)

BY JOHN-JOHN WILLIAMS IV | Heā€™s conquered fashion week. His designs have slayed the red carpet during award season. And now Christian Siriano is coming home.

The Annapolis native will serve as grand marshal and keynote speaker June 1 for the annual Annapolis Pride Parade and Festival,Ā which is a major coup as the event enters its fourth year.

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

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District of Columbia

As You Are bar closes temporarily, citing problems with building

Shutdown comes two months after fundraising appeal brought in $170,000

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As You Are is temporarily closed. (Washington Blade file photo by Michael Key)

As You Are, the LGBTQ cafĆ© and bar located in the Barracks Row section of Capitol Hill near the Eastern Market Metro station, has announced on its Instagram page that problems associated with its building at 500 8th St., S.E., forced it to ā€œtemporarilyā€ close on April 8.

ā€œAs you may be aware, As You Areā€™s location in Eastern Market has been closed since April 8, when we began to have concerns about the physical condition of the building,ā€ the Instagram message states. ā€œWe worked quickly to alert our landlord, and they have assessed the building with their engineers,ā€ the message says.

ā€œWe understand that certain repairs need to be made to ensure the safety of our staff, patrons, and community,ā€ the message concludes.

In one of two more recent videos posted on Instagram on April 17 and 26, As You Are co-owners Jo McDaniel and Rachel Pike said they did not have any update on when they can reopen. ā€œThe engineers and contractors have all come into the space, and weā€™re just waiting on a plan and a timeline from our landlord,ā€ McDaniel said in the video.

Pike mentioned in one of the videos that As You Are has a Venmo app set up, and said they appreciate the support they have been receiving from the community. McDaniel added, ā€œWeā€™re really interested in supporting our team through this, as this is an unexpected loss of income for all of us.ā€

McDaniel didnā€™t immediately respond to a request from the Washington Blade for a further update on where things stand with the building repair project and the specific nature of the problems with the building. An earlier message posted on the As You Are website said, ā€œHeavy rain damaged the back wall of our building, and we are closed to assess and repair.ā€

The message added, ā€œRegular updates and ways to support can be found on our Instagram page @asyouaredc.ā€

The April 8 shutdown came a little over two months after As You Are issued a GoFundMe appeal on Feb. 5 seeking emergency financial support to prevent it from closing in February due to a $150,000 debt. In a display of strong community support, its $150,000 fundraising goal was reached in less than a week. By the following week, the GoFundMe appeal had pulled in more than $170,000 from more than 3,000 individual donations.

Many of the donors left messages on the GoFundMe page for As You Are expressing their strong support for the bar and cafƩ, saying it served as a uniquely supportive space for all members of the LGBTQ community.

In the GoFundMe message, McDaniel and Pike said their goal in opening their business in March 2022 was to offer community center type programming beyond just a bar and cafƩ.

ā€œAYA is a cafĆ©, bar and dance floor that hosts diverse programming nearly every night of the week, including social sport leagues, Queer youth socials, weekly karaoke, book clubs, open mics, Queer author events, dance parties, and much more,ā€ the two said in their message. 

The buildingā€™s owner and the As You Are landlord, Rueben Bajaj, who is the principal operator of the Bethesda, Md., based real estate firm White Star Investments, couldnā€™t immediately be reached for comment. The Washington Post reported that he contributed $500 to the As You Are GoFundMe appeal, saying, ā€œI personally want to see As You Are succeed.ā€

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