News
Court: Trans inmate must receive gender reassignment surgery
Panel says denying procedure to prisoner cruel and unusual punishment

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.
Virginia
Virginia General Assembly’s 2026 legislative session ends
Voters in November will consider repealing marriage amendment
The Virginia General Assembly’s 2026 legislative session ended on March 14.
Lawmakers have yet to approve a budget, but they did pass a resolution that paves the way for a referendum on whether to repeal the state’s constitutional amendment that defines marriage as between a man and a woman. Lawmakers also advanced House Bill 60, which would protect PrEP users from insurance discrimination.
Democratic Gov. Abigail Spanberger has until April 13 to decide to pass, amend, or veto legislation before it goes back to the House of Delegates on April 22.
Spanberger on Feb. 6 signed the bill that sets the stage for the marriage amendment referendum. Voters will consider whether to “remove the ban on same-sex marriage; (ii) affirm that two adults may marry regardless of sex, gender, or race; and (iii) require all legally valid marriages to be treated equally under the law?”
Equality Virginia has been working during this legislative cycle to urge lawmakers to allocate funding towards LGBTQ rights. The budget would expand funding for schools, competency training for the 988 suicide hotline, and funding to provide gender affirming care to LGBTQ youth.
“As the budget moves through conference and the Reconvene Session approaches on April 22, Equality Virginia remains focused on ensuring our victories this session translate into durable protections,” Equality Virginia Executive Director Narissa Rahaman told the Washington Blade in a statement. “Progress on marriage equality, nondiscrimination protections, and HIV care funding was essential, but Virginia must do more.”
Poland
Polish court rules country must recognize same-sex marriages from EU states
Poland ‘must comply with European Union law’
Poland’s Supreme Administrative Court on March 20 ruled the country must recognize same-sex marriages legally performed in other European Union states.
The EU Court of Justice in Luxembourg last November ruled in favor of a same-sex couple who challenged Poland’s refusal to recognize their German marriage.
The couple, who lives in Poland, brought their case to Polish courts in 2019. The Supreme Administrative Court referred it to the EU Court of Justice.
“Today’s ruling by the Supreme Administrative Court clearly demonstrates that Poland, as a member state of the European Union, must comply with European Union law,” said Przemek Walas, advocacy manager for the Campaign Against Homophobia, a Polish LGBTQ advocacy group, in a statement. “The Supreme Administrative Court rightly upheld the interpretation of the Court in Luxembourg and indicated that the only way to implement this ruling is to allow the transcription of a foreign marriage certificate.”
“This ruling is a significant step towards marital equality, but certainly not sufficient,” added Walas.
Ireland, Portugal, Spain, France, Luxembourg, Belgium, the Netherlands, Germany, Denmark, Austria, Slovenia, Malta, Greece, Sweden, Finland, and Estonia are the EU countries that have extended full marriage rights to same-sex couples. Poland — along with Romania, Bulgaria, and Slovakia — are the four EU countries with no legal recognition of same-sex couples.
District of Columbia
Capital Stonewall Democrats 50th anniversary gala draws sold out crowd
D.C. elected officials, mayoral candidates praise LGBTQ Democratic group
A sold-out crowd of 186 people, including D.C. elected officials and candidates running for D.C. mayor, turned out Friday, March 20, for the Capital Stonewall Democrats 50th anniversary celebration.
Among those attending the event, held at the Pepco Edison Place Gallery building next to the city’s Chinatown neighborhood, were seven D.C. Council members and four Democratic candidates running for mayor.
But at the request of Capital Stonewall Democrats leaders, the Council members, most of whom are running for re-election, and mayoral contenders did not give campaign speeches. Instead, they mingled with the crowd and focused on the accomplishments of the LGBTQ Democratic group over the past 50 years, with some presenting the group’s special “honor” awards to about a dozen prominent LGBTQ Democratic activists.
D.C. Mayor Muriel Bowser, who was initially expected to attend the event, did not attend.
The mayoral candidates attending included D.C. Council member Janeese Lewis George (D-Ward 4) and former At-Large Council member Kenyan McDuffie, an independent turned Democrat, who are considered the leading mayoral contenders in the city’s June 16 Democratic Primary. Both have strong, longtime records of support for LGBTQ rights issues.
The other two mayoral candidates attending the event were Gary Goodweather, a real estate manager, and Rini Sampath, a cybersecurity consultant. Sampath told the Washington Blade she self-identifies as queer. Both have expressed strong support on LGBTQ-related issues.
The D.C. Council members attending the event included Lewis George; Council Chair Phil Mendelson (D-At-Large); Anita Bonds (D-At-Large); Robert White (D-At-Large); Matt Frumin (D-Ward 3); Zachary Parker (D-Ward 5), the Council’s only gay member; and Charles Allen (D-Ward 6).
“Tonight we celebrate not just 50 years of history but 50 years of showing up,” Howard Garrett, Capital Stonewall Democrats immediate past president, told the gathering in opening remarks. “Showing up when it was easy, showing up when it wasn’t popular,” he said, adding, “This work only continues if we continue to show up.”
He noted that the deadline for joining the organization in time to be eligible to vote on its endorsement of candidates running in D.C.’s 2026 election was midnight that night. He urged attendees who were not members to go to two tables at the event to join.
The group’s current president, Stevie McCarty, thanked the group’s longtime members who he said played a key role in what he called its historic work in building political support for the D.C. LGBTQ community. Among those he thanked was Paul Kuntzler, 84, one of the group’s founding members in January 1976, when it was initially named the Gertrude Stein Democratic Club.
Members voted to rename the group the Capital Stonewall Democrats in 2021.
Among the LGBTQ advocates who were honored at the event was Rayceen Pendarvis, the longtime host of a D.C. LGBTQ online interview show that included interviews of candidates for public office. Pendarvis also served as emcee for the Capital Stonewall Democrats 50th anniversary event.
“Thank you everyone in this room who has done the work to make this world a better place,” Pendarvis said in opening remarks. “To all our prestigious activists in the room, all of our amazing politicians in the room who are doing the work, we love you and we honor you.”
Among the honorees in addition to Pendarvis was Malcolm Kenyatta, the Democratic National Committee’s vice chair who became the first openly LGBTQ person of color to win election to the Pennsylvania General Assembly in 2018.
Other honorees included Parker; Earl Fowlkes, founder of the International Federation of Black Prides; Vita Rangel, a transgender woman who serves as deputy director of the D.C. Mayor’s Office of Talent and Appointments; Heidi Ellis, director of the D.C. LGBTQ Budget Coalition; and Philip Pannell, longtime LGBTQ Democratic activist, Ward 8 civic leader, and longtime Capital Stonewall Democrats member.
The 50th anniversary event included an open bar and refreshments and entertainment by three drag performers.
