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Court: Trans inmate must receive gender reassignment surgery

Panel says denying procedure to prisoner cruel and unusual punishment

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National LGBT Bar Association, Gay News, Washington Blade

The First Circuit Court of Appeals ruled a trans inmate must receive gender reassignment surgery. (Image via wikimedia)

A federal appeals court ruled on Friday that a transgender inmate incarcerated for murdering her spouse must receive taxpayer-funded gender reassignment surgery that was prescribed by her doctors.

In a 2-1 decision, a three-judge panel on the First Circuit Court of Appeals ruled that denying the procedure to Michelle Kosilek, who was sentenced to life in prison for murdering his spouse in 1990, amounts to cruel and unusual punishment under the Eight Amendment to the U.S. Constitution.

The 90-page ruling was written by U.S. Circuit Judge Ojetta Rogeriee Thompson, an Obama appointee, who asserted the Massachusetts Department of Corrections denied Kosilek essential medical care by withholding from her gender reassignment surgery.

“Those findings — that Kosilek has a serious medical need for the surgery, and that the DOC refuses to meet that need for pretextual reasons unsupported by legitimate penological considerations — mean that the DOC has violated Kosilek’s Eighth Amendment rights,” Thompson writes.

The ruling upholds a decision from U.S. District Judge Mark Wolf in 2012 asserting Kosilek has a right to gender reassignment surgery. The decision was controversial — even among progressive leaders. Then-U.S. Senate candidate Elizabeth Warren (D-Mass.) said she didn’t think the surgery was a good use of taxpayer dollars.

Transgender rights groups lauded the decision from the First Circuit on the basis that prisoners — even those who are transgender — have a right to medical care during their incarceration.

Mara Keisling, executive director of the National Center for Transgender Rights, said the ruling “affirms the increasing consensus among the courts” that transgender-related health care is a right protected under the Constitution.

“Prisoner or not, people should have access to the healthcare they need,” Keisling said. “For some of us, that means sex reassignment surgery. While we celebrate today’s ruling, we know there’s more advocacy needed to ensure that all transgender people have access to basic and necessary healthcare.”

Ilona Turner, legal director for the Transgender Law Center, said the First Circuit ruling upholds a constitutional right to essential medical treatment in prison.

“It is well established that the failure to provide essential medical care to people in prison is unconstitutional and amounts to torture,” Turner said. “This decision affirms that we as a society do not allow people to be tortured when they are in government custody.”

Afflicted with drug and alcohol problems at an early age, Kosilek in 1992 was sentenced to life in prison after strangling her spouse Cheryl McCaul, a volunteer counselor at a drug rehabilitation facility. The incident took place after McCaul caught Kosilek wearing her clothing.

Kosilek is serving her sentence in MCI-Norfolk, a medium security male prison, where she legally changed her name from Robert to Michelle. She must receive gender reassignment surgery through taxpayer-provided funds because, as an inmate in prison, she lacks access to her own finances for the procedure.

The estimated cost for male-to-female reassignment is $7,000 to $24,000. A footnote in the First Circuit decision notes that figure “pales in comparison to the amount of money it seems the state will be expending to defend this lawsuit.”

U.S. Circuit Judge Juan Torruella, a Reagan appointee who wrote the dissent in the decision, said he doesn’t find any reason to require Massachusetts to provide gender reassignment surgery to Kosilek when other treatments are available.

“[G]iving due consideration to countervailing security concerns and based on a review of the record that shows the DOC’s proposed care was not outside the realm of professionalism, I cannot say that the DOC has failed to adequately care for Kosilek’s GID or callously ignored her pain,” Torruella writes.

The decision could be appealed to the full First Circuit or the U.S. Supreme Court. The office of Massachusetts Attorney General Martha Coakley declined to comment on the next steps in the lawsuit.

Cara Savelli, a spokesperson for the Massachusetts Department of Correction, said the court ruling is under review.

“We are closely reviewing the lengthy decision issued today by the First Circuit Court of Appeals on this matter to determine next steps,” Savelli said.

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Federal Government

Protesters say SAVE Act targets voters, transgender youth

Bill described as ‘Jim Crow 2.0’

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Protesters show their opposition to the SAVE Act outside the U.S. Capitol on March 18, 2026. (Washington Blade photo by Michael Key)

Members of Congress, advocates, and people from across the country gathered outside the U.S. Capitol on Tuesday to protest proposed federal legislation that voting rights activists have deemed “Jim Crow 2.0.”

The Safeguard American Voter Eligibility (SAVE) Act would amend the National Voter Registration Act of 1993 to require in-person proof of citizenship for anyone seeking to vote in U.S. elections.

President Donald Trump has also pushed for the proposed legislation to include a section that would ban gender-affirming medical care for transgender minors, even with parental consent, and prohibit trans people from participating in school or professional sports consistent with their gender identity rather than their sex assigned at birth.

In addition to changing voter registration requirements, the bill would limit acceptable forms of identification to documents such as a birth certificate or passport — records that the Brennan Center for Justice estimates more than 21 million Americans do not have — effectively restricting access to the ballot. It would also ban online voter registration, DMV voter registration efforts, and mail-in voter registration.

A 2021 investigation by the Associated Press found that fewer than 475 people voted illegally or improperly, a tiny fraction of the estimated 160 million Americans who voted in the 2020 election.

Senate Minority Leader Chuck Schumer (D-N.Y.) spoke at the event.

“It will kick millions of American citizens off the rolls. And they don’t even require you to be told,” the highest-ranking Democrat in the Senate told protesters and reporters outside the Capitol. “If this law passes — and it won’t — you’re gonna show up in November … and they’ll say… sorry, you’re no longer on the voting rolls.”

U.S. Sen. Chuck Schumer (D-N.Y.) speaks at a rally and press conference opposing the SAVE Act held outside of the U.S. Capitol on March 18, 2026. (Washington Blade photo by Michael Key)

He, like many other speakers, emphasized the bill in the context of American history, pointing to what he described as its racist roots and its impact on Black and brown Americans.

“I have called this act, over and over again, Jim Crow 2.0 … because they know it’s the truth.”

U.S. Sen. Alex Padilla (D-Calif.) was one of the lawmakers leading opposition to the legislation and spoke at the rally.

“It’s not just voting rights that are on the line — our democracy is on the line,” the California lawmaker said. “It’s not a voter I.D. bill. It’s a bait and switch bill.”

He added historical context, noting the significance of voting rights legislation passed more than 60 years ago. In 1965, Alabama civil rights activists marched to protest barriers to voter registration. Alabama state troopers violently attacked peaceful demonstrators at the Edmund Pettus Bridge in Selma, using tear gas, clubs, and whips against more than 500 — mostly Black — protesters.

U.S. Sen. Alex Padilla (D-Calif.) speaks at a rally and press conference opposing the SAVE Act held outside of the U.S. Capitol on March 18, 2026. (Washington Blade photo by Michael Key)

“61 years ago — not to the day — but this week, President Lyndon Johnson came to the Capitol and addressed a joint session of Congress in the wake of Bloody Sunday and pushed Congress to pass the Voting Rights Act,” Padilla said. “61 years later, Donald Trump and this Republican majority wants to take us backwards. We’re not gonna let that happen.”

U.S. Sen. Ben Ray Luján (D-N.M.) also spoke, emphasizing that he views the effort as a Republican-led and Trump-backed attempt to restrict voting access, particularly among Black, brown, and predominantly Democratic communities.

“President Trump told Republicans when they were meeting behind closed doors that ‘The SAVE Act will guarantee Republicans win the midterms and ensure they do not lose an election for 50 years,’” Luján said. “The first time I think Donald Trump’s been honest … This voter suppression bill is only that. Taking away vote by mail? I hope my Republican colleagues from states that voted for Donald Trump or where vote by mail is popular have the courage and the backbone to stand up and say no to this nonsense, because their constituents are going to push back.”

U.S. Sen. Lisa Blunt Rochester (D-Del.) also spoke.

“Our Republican colleagues have already cut Medicaid, Medicare, people don’t know how they’re gonna be able to afford energy,” she said, providing context for the broader political moment. “We’re in the middle of a war that they can’t even get straight while we’re in it and don’t have a way to get out of it. And we are now faced with defending our democracy?”

She then showed the crowd something that she said has been with her throughout her political journey in Washington. 

“I brought with me something that I carried on the day that I was sworn into the House of Representatives when I was elected in 2016, and I carried it with me on the day that I was sworn in as United States senator. And I also carried it with me when I was trapped up in the gallery on Jan. 6 and all I could think to do was pray … This document allowed my great great great grandfather, who had been enslaved in Georgia, to have the right to vote. We took this and turned it into a scarf. It is the returns of qualified voters and reconstruction code from 1867. This is my proof of what we’ve been through. This is also our inspiration.”

U.S. Sen. Lisa Blunt Rochester (D-Del.) speaks at a rally and press conference opposing the SAVE Act held outside of the U.S. Capitol on March 18, 2026. (Washington Blade photo by Michael Key)

“I got to travel between the Edmund Pettus Bridge two times. And even as I thought about this moment, I recognized that while we wish we weren’t in it, while we don’t know why we’re in it, I do know we were made for it … So I came today to tell you that, um, just like the leader said, that he calls it Jim Crow 2.0. I call it Jim Crow 2.NO.”

Kelley Robinson, president of the Human Rights Campaign, the largest LGBTQ advocacy organization in the U.S., also spoke, highlighting the impact of the bill’s proposed provisions affecting trans people.

“This bill is not about saving America. This bill is about stealing an election. This bill is about suppressing voters,” Robinson said. “This bill not only tries to disenfranchise voters that deserve their right to vote, it also tries to criminalize trans kids and their families … It tries to criminalize doctors providing medically necessary care for our trans youth.”

Kelley Robinson, president of the Human Rights Campaign, speaks at a rally and press conference opposing the SAVE Act held outside of the U.S. Capitol on March 18, 2026. (Washington Blade photo by Michael Key)

The SAVE Act passed the U.S. House of Representatives on Feb. 11 but has not yet been considered in the U.S. Senate.

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Obituary

Thomas A. Decker of Arlington dies at 73

Active in visiting AIDS patients, urging Congress to fight HIV

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Thomas A. Decker Jr.

Thomas A. Decker Jr, of Arlington, Va., died March 3, 2026 following an extended illness, according to a statement released by his family. He was 73.

Born and raised in Canton, Ohio, Decker attended the University of Akron and earned his bachelor’s degree in political science. He then moved to the Washington, D.C. area and accepted a position with Beaver Press where he worked for 32 years, according to the statement. 

He later worked in the Inova Juniper Program working with HIV/AIDS clients to assist them with support services and was active as a volunteer visiting AIDS patients in the hospital or advocating on Capitol Hill for HIV funding.

Tommy, as he was called by family, is survived by three sisters, a sister-in-law and two brothers-in-law: Carol Decker and Kathryn Kramer of West Newbury, MA, Margaret and Thomas Williams of Bluffton, SC, Mary Sue and Timothy Desiato of New Philadelphia, Ohio, Niece’s Trina and Chad Wedekind of Jacksonville Fl and great niece Isabella, Lindsay and Will Burgette of Dublin, Ohio and great nephews Colin and Luke and Nephews David Williams of Jacksonville, Florida, and Michael and Lucy Desiato of Dublin, Ohio and great nieces Lena and Stella. In accordance with Tom’s wishes, he will be buried at Calvary Cemetery in Massillon, Ohio.

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District of Columbia

Gay candidate running for D.C. congressional delegate seat

Robert Matthews among 19 hoping to replace Eleanor Holmes Norton

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Robert Matthews (Photo courtesy of Matthews’s campaign website)

Robert Matthews, a former director of the D.C. Child and Family Services Agency, is running in the city’s June 16 Democratic primary for the D.C. Congressional Delegate seat as an openly gay candidate, according to a statement released by his campaign to the Washington Blade.

Matthews is one of at least 19 candidates running to replace longtime D.C. Congressional Del. Eleanor Holmes Norton (D), who announced earlier this year that she is not running for re-election.  

Information about the candidates’ campaign financing compiled by the Federal Elections Commission, which oversees elections for federal candidates, shows that Matthews is one of only six of the candidates who have raised any money for their campaigns as of March 17.  

Among those six, who political observers say have a shot at winning compared to the remaining 13, are D.C. Council members Brooke Pinto (D-Ward 2) and Robert White (D-At-Large). Both have longstanding  records of support for LGBTQ rights and the community.

The FEC campaign finance records show Matthews was in fourth place regarding the money raised for his campaign, which was $49,078 as of March 17. The FEC records show Pinto’s campaign in first place with $843,496 raised, and White in third place with $230,399 raised.

The Matthews campaign statement released to the Blade says Matthews’s “commitment to the LGBTQ community is not a campaign position. It is the foundation of his life and his life’s work.”

The statement adds, “As the former director of D.C.’s Child and Family Services Agency, Robert led the District’s child welfare system with an explicit commitment to LGBTQ-affirming care.” It goes on to say, “He ensured that LGBTQ, trans, and nonbinary youth in foster care — among the most vulnerable young people in our city — were served with dignity, cultural humility, and genuine support.”

Among his priorities if elected as Congressional delegate, the statement says, would be “fighting to end homelessness among queer and trans seniors and youth,” opposing “federal roadblocks” to LGBTQ related health services, and defending D.C.’s budget and civil rights laws “from federal interference that directly threatens LGBTQ  residents.”

 The other three candidates who the FEC records show have raised campaign funds and observers say have a shot at winning are:

 • Kinney Zalesne, former deputy national finance chair at the Democratic National Committee and an official at the U.S. Justice Department during the Clinton administration, whose campaign is in second place in fundraising with $593,885 raised.  

 • Gordon Chaffin, a former congressional staffer whose campaign has raised $17,950.

 • Kelly Mikel Williams, a podcast host and candidate for the Congressional Delegate seat in 2022 and 2024, whose 2026 campaign has raised  $3,094 as of March 17.

The Blade reached out to the Zalesne, Chaffin, and Williams campaigns to determine their position on LGBTQ issues. As of late Wednesday, the Zalesne campaign was the only one that responded.    

“Kinney believes LGBTQ  rights are fundamental civil rights and central to what makes Washington, D.C. a strong and vibrant community,” a statement sent by her campaign says. “At a time when LGBTQ people (especially transgender and nonbinary neighbors) are facing escalating political attacks across the country, she believes the District must continue to lead in protecting dignity, safety, and freedom for all,” it says.

The statement adds, “Throughout her career in government, business, and nonprofit leadership, Kinney has worked alongside LGBTQ and queer advocates and leaders. She is committed to maintaining an active partnership with the community to make sure LGBTQ voices remain central to the District’s future.” 

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