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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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Maryland

Montgomery County police chief discusses arrest of trans student charged with planned school shooting

County executive tells news conference studentā€™s trans identity is irrelevant to criminal charge

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(Photo by jiawangkun/Bigstock)

Montgomery County, Md., Police Chief Marcus Jones joined other county and law enforcement officials at a news conference on Friday, April 19, to provide details of the police investigation and arrest of an 18-year-old high school student charged two days earlier with threats of mass violence based on information that he allegedly planed a mass shooting at the high school and elementary school he attended in Rockville, Md.

In charging documents and in a press released issued on April 18, Montgomery CountyĀ PoliceĀ identified the arrested student as ā€œAndrea Ye, of Rockville, whose preferred name is Alex Ye.ā€

One of the charging documents states that a friend of Ye, who police say came forward as a witness who played a crucial role in alerting authorities to Yeā€™s threats of a school shooting, noted that Ye told the witness that Ye identified as the transgender student he wrote about asĀ aĀ character in a 129-page manifesto outlining plans for a schoolĀ shooting. Police have said Ye told them theĀ manifestoĀ was a fictional story he planned to publish. Ā 

At the news conference on Friday, Police Chief Jones and other law enforcement officials, including an FBI official and Montgomery County Executive Marc Elrich, referred to the student as Alex Ye and Mr. Ye. None of the officials raised the issue of whether Ye identified as a transgender man, seven though one of the police documents identifies Ye as a ā€œbiological female.ā€

County Executive Elrich appeared to express the views of the public officials at the news conference when one of the media reporters, during a question-and-answer period, asked Elrich why he and the others who spoke at the news conferment failed to ā€œadmit that this individual was transgender.ā€

ā€œBecause itā€™s not a lead,ā€ Elrich replied, asking if the press and law enforcement authorities should disclose that someone arrested for murder is ā€œa white Christian male whoā€™s heterosexual.ā€ Elrich stated, ā€œNo, you donā€™t ā€“ You never publish somebodyā€™s sexual orientation when we talk about this. Why you are focusing on this being a transgender is beyond me. Itā€™s not a news story. It is not a crime to  be transgender.ā€

The reporter attempted to respond but was cut off by the press conference moderator, who called on someone else to ask the next question.

In his remarks at the press conference Chief Jones praised the so far unidentified witness who was the first to alert authorities about Yeā€™s manifestoĀ appearingĀ to make threats of a mass school shooting.

ā€œNow, this is a situation that highlights  the critical importance of vigilance and community involvement in preventing potential tragedies,ā€ Jones said. ā€œI commend the collaborative efforts of the Montgomery County Police Department, the Federal Bureau of Investigation,  the Rockville City Police Department, and the Montgomery County Public Schools, as well as Montgomery County Health and Human Services,ā€ he told the gathering.

ā€œThanks to their swift action and cooperation a potentially catastrophic event was prevented,ā€ Jones said.

Jones pointed out that during the current school year, police have received reports of 140 threats to the public schools in Montgomery County. He said after a thorough investigation, none of them rose to the level where an arrest was made. Instead, police and school officials took steps to arrange for the student making the threats and their parents to take remedial action, including providing  mental health services.

ā€œBut this case is different,ā€ Jones said. ā€œThis case is entirely different that takes it to a different level. It was a concerned witness who brought this matter to light by rereporting the suspectā€™sĀ manifestoĀ to the authorities. This underscores the value of community engagement and the ā€˜see something say somethingā€™ approach,ā€ he said.

Jones mentioned at the press conference that Ye was  being held without bond since the time of his arrest but was scheduled to appear in court for a bond hearing on Friday shortly after the press conference took place to determine whether he should be released while awaiting trial or continue to be held.

In his manifesto obtained by police, Ye writes about committing a school shooting, and strategizes how to carry out the act. Ye also contemplates targeting an elementary school and says that he wants to be famous.

In charging documents reported on by WJLA 7 and WBAL 11, the 129-page document, which Ye has referred to as a book of fiction, included writings that said, in part:

“I want to shoot up a school. I’ve been preparing for months. The gun is an AR-15. This gun is going to change lives tomorrow … As I walk through the hallways, I cherry pick the classrooms that are the easiest targets. I need to figure out how to sneak the gun in. I have contemplated making bombs. The instructions to make them are surprisingly available online. I have also considered shooting up my former elementary school because little kids make easier targets. High school’s the best target; I’m the most familiar with the layout. I pace around my room like an evil mastermind. I’ve put so much effort into this. My ultimate goal would be to set the world record for the most amount of kills in a shooting. If I have time, I’ll try to decapitate my victims with a knife to turn the injuries into deaths.”

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Maryland

Rockville teen charged with plotting school shooting after FBI finds ā€˜manifestoā€™

Alex Ye charged with threats of mass violence

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Alex Ye (Photo courtesy of the Montgomery County Police Department)

BY BRETT BARROUQUERE | A Montgomery County high school student is charged with what police describe as plans to commit a school shooting.

Andrea Ye, 18, of Rockville, whose preferred name is Alex Ye, is charged with threats of mass violence. Montgomery County Police and the FBI arrested Ye Wednesday.

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

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District of Columbia

New D.C. LGBTQ+ bar Crush set to open April 19

An ā€˜all-inclusive entertainment haven,ā€™ with dance floor, roof deck

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Crush (Washington Blade photo by Michael Key)

D.C.ā€™s newest LGBTQ+ bar called Crush is scheduled to open for business at 4 p.m. on Friday, April 19, in a spacious, two-story building with a dance floor and roof deck at 2007 14th St., N.W. in one of the cityā€™s bustling nightlife areas.

A statement released by co-owners Stephen Rutgers and Mark Rutstein earlier this year says the new bar will provide an atmosphere that blends ā€œnostalgia with contemporary nightlifeā€ in a building that was home to a popular music store and radio supply shop.

Rutgers said the opening comes one day after Crush received final approval of its liquor license that was transferred from the Owl Room, a bar that operated in the same building before closing Dec. 31 of last year. The official opening also comes three days after Crush hosted a pre-opening reception for family, friends, and community members on Tuesday, April 16.

Among those attending, Rutgers said, were officials with several prominent local LGBTQ organizations, including officials with the DC Center for the LGBTQ Community, which is located across the street from Crush in the cityā€™s Reeves Center municipal building. Also attending were Japer Bowles, director of the Mayorā€™s Office of LGBTQ Affairs, and Salah Czapary, director of the Mayorā€™s Office of Nightlife and Culture.  

Rutgers said Crush plans to hold a grand opening event in a few weeks after he, Rutstein and the barā€™s employees become settled into their newly opened operations.

ā€œStep into a venue where inclusivity isnā€™t just a promise but a vibrant reality,ā€ a statement posted on the Crush website says. ā€œImagine an all-inclusive entertainment haven where diversity isnā€™t just celebrated, itā€™s embraced as the very heartbeat of our venue,ā€ the statement says. ā€œWelcome to a place where love knows no bounds, and the only color or preference that matters is the vibrant tapestry of humanity itself. Welcome to Crush.ā€

The website says Crush will be open Tuesdays and Wednesdays from 4 p.m. to 12 a.m., Thursdays from 4 p.m. to 2 a.m., Fridays from 4 p.m. to 3 a.m., Saturdays from 2 p.m. to 3 a.m., and Sundays from 2 p.m. to 12 a.m. It will be closed on Mondays.

Crush is located less than two blocks from the U Street Metro station.

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