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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

Maryland Legislative LGBTQ+ Caucus to hold town hall on Eastern Shore

Delmarva Pride Center, DoCoPride to co-host Wednesday event

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(Washington Blade photo by Ernesto Valle)

The Maryland Legislative LGBTQ+ Caucus on Wednesday will hold a town hall with the Delmarva Pride Center and DoCoPride that will focus on legal protections for LGBTQ Marylanders.

The town hall will take place from 6-7:30 p.m. in the Waterfowl Building (40 S. Hanson St.) in Easton. It will also be virtual for those who cannot attend in person.

A press release notes elected officials and ā€œstate and federal legal expertsā€ will talk about ā€œthe current status of protections for LGBTQ+ Marylanders and what the future may hold.ā€

ā€œAs Maryland prepares for the incoming federal administration, the LGBTQ+ Caucus is steadfast in reaffirming Marylandā€™s commitment to supporting all of its residents,ā€ said state Del. Kris Fair (D-Frederick County), who chairs the Maryland Legislative LGBTQ+ Caucus. ā€œCoordination will be critical to building a comprehensive package of legislation that affirms the unique lived experiences of all its residents ā€” especially queer, nonbinary, and transgender people targeted by harmful legislation.ā€

Tina Jones, co-founder and chair of the Delmarva Pride Center in Easton, in the press release notes the LGBTQ community ā€œis facing unprecedented levels of bias and potential harm at this time.ā€

ā€œAs part of our safe spaces initiative, we are honored to have this opportunity to partner with the Maryland Legislative LGBTQ+ Caucus and DoCo Pride to educate folks on their rights and stand together to say hate, bias, and harm have no place on the Eastern Shore or anywhere in Maryland,ā€ said Jones.

Registration for the event is here:

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District of Columbia

Teen gets probation in attack on gay man at 14th & U McDonaldā€™s

16-year-old pleaded guilty to assault, apologized to victim

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Sebastian Thomas Robles Lascarro was attacked on Oct. 27.

A D.C. Superior Court judge on Jan. 10 sentenced a 16-year-old male to a year of probation after he pleaded guilty to a single charge of simple assault related to the Oct. 27 incident in which police said as many as 15 people attacked a gay man at the D.C. McDonaldā€™s restaurant at 14th and U Streets, N.W., with some of the attackers shouting anti-gay slurs.

The Washington Post published an exclusive report of the sentencing after its reporter was allowed to attend a juvenile court hearing that is closed to the public and the press on the condition that the Post would not disclose the name of the juvenile.

The Post story says prosecutors at the court hearing said that a week after the attack, the juvenile, accompanied by his mother, met with D.C. police, admitted to being a part of the attack, and was arrested. ā€œThe youth said he was intoxicated at the time and did not remember many of his actions,ā€ the Post reports.

The victim in the case, Sebastian Thomas Robles Lascarro, 22, told police and the Washington Blade through a statement from his husband, Stuart West, that the attack began inside the McDonaldā€™s about 1 a.m. when one of the attackers, a woman, criticized him for not saying ā€œexcuse meā€ when he walked past her inside the crowded restaurant.

When he walked away from the woman as many as 10 or more people started to assault Lascarro, according Lascarroā€™s account relayed by West. ā€œAnd so, they started punching him all over his face and body, and it eventually moved to the outside of the McDonaldā€™s on the D.C. sidewalk, where more people got involved and started hitting him and assaulting him,ā€ West said.

Lascarro was taken by ambulance to Howard University Hospital, where he was treated and released the next day recovering from multiple bruises and cuts on his face, head and body, his husband said. Police listed the incident as a suspected hate crime.

No immediate arrests were made, but police released to the public and the media photos of seven suspects obtained from video surveillance cameras at McDonaldā€™s, all of whom appeared to be juveniles. In a Nov. 6 statement, police announced they arrested one day earlier a 16-year-old juvenile male in connection with the attack on a charge of Assault With Significant Bodily Injury.

The Post story reports that during the Jan. 11 hearing D.C. prosecutor Gabrielle LoGaglio played two security videos that captured the outdoor part of the Oct. 27 attack against Lascarro at the McDonaldā€™s. ā€œThe youth charged in the attack was clearly identifiable because he was wielding a tiki torch-like pole and was seen striking Lascarro on the head with it, she said,ā€ the Post story reports.

The story reports that through an arrangement with prosecutors, the juvenile pleaded guilty to a single count of simple assault. It says while standing next to his court appointed attorney, the juvenile repeatedly apologized to Lascarro, who was watching the hearing through a video hookup.

ā€œFrom the bottom of my heart, I want to say I am sorry to the victim and his family,ā€ the Post quoted him as saying. ā€œI was not raised by my mother to behave like that,ā€ the Post quote continues. ā€œI am sorry. I am not a criminal. I have shown people love and respect and kindness. I am sorry for the emotional and physical damage I have caused.ā€

The Post story also quoted from a statement that Lascarro submitted to the court and which prosecutors read. West, Lascarroā€™s husband, sent a copy of the statement to the Blade.

Lascarro says in his statement that he moved to D.C. from his home country of Colombia in 2023 after marrying his husband because D.C. ā€œfelt so open and welcoming to people like me ā€” gay and proud.ā€ He added, ā€œHere, I felt safe to be myself, to dress how I wanted, wear makeup, and just live my lifeā€ as he could not feel safe doing in his home country.

ā€œAfter the attack, everything changed,ā€ he says in his statement. ā€œI donā€™t feel safe anymore. I donā€™t feel like I can be myself without looking over my shoulder,ā€ the statement continues. ā€œItā€™s hard to put into words how this has hurt me mentally. The bruises are gone now, but the fear and trauma are still with me every day.ā€

The Post reports that prosecutors said they agreed to a sentence of one yearā€™s probation because the juvenile had no prior arrests. At the request of prosecutors, Judge Charles J. Willoughby Jr. agreed to include in the sentencing that the juvenile be placed on GPS monitoring and be ā€œordered to attend school regularly and take random drug and alcohol tests as needed.ā€

According to the Post, Judge Willoughby described the attack against Lascarro as ā€œvicious and unprovoked,ā€ and told the juvenile ā€œyou need to stay away from those other juvenilesā€ who joined him in the attack on Lascarro.

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Rehoboth Beach

Delaware officials to take questions at CAMP Rehoboth

Panelists to speak at community center

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(Washington Blade file photo by Michael Key)

CAMP Rehoboth will host a community conversation with elected officials on Thursday, Jan. 16 at 10 a.m. at the CAMP Rehoboth Community Center. 

Panelists include Mike Brickner, executive director of ACLU of Delaware; Sen. Russ Huxtable of the 6th Senate district of Delaware; and Rep. Claire Snyder-Hall of the 14th district of Delaware. 

ā€œCAMP Rehoboth looks forward to safeguarding protections of the LGBTQ+ community by bringing awareness to initiatives in place, and partnering with agencies and elected officials to listen to our challenges and concerns. We hope you will join us,ā€ said Kim Leisey, Ph.D., executive director of CAMP Rehoboth. 

Advance registration is required and can be accessed on CAMP Rehobothā€™s website.

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