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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

‘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,’ 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 city’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.

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

“I’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,” Gray said.

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

“Those 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,” Gray said.

The bulletin, which the city sent to insurance companies on the day of Gray’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 mayor’s office and insurance department officials to help draft the four-page bulletin.

Keisling said Gray’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 individual’s transition to another gender.

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

“This is really significant,” Keisling told the Blade after the news conference. “It means that transgender people in D.C. now can make their health care decisions with their doctor rather than with their insurance companies,” 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.

“It’s a whole range of transition-related care — everything from diagnostic visits to experts in the field,” Keisling said. “It 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.”

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.

“If you look at some of the other states they say they’re not going to cover some treatments,” Bowen said. “D.C. has not done that. It just said that if it’s one of the WPATH treatments we’re going to cover it. And that’s amazing to hear a government be that unequivocal about it.”

Philip Barlow, the city’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.

“It will just be incorporated into the general cost and utilization that insurers use in coming up with future rate increases,” he said. “But we don’t really anticipate it to have a significant impact on the rates.”

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

The bulletin issued by the city’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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District of Columbia

D.C. Council budget bill includes $8.5 million in LGBTQ provisions

Measure also changes Mayor’s Office of LGBTQ Affairs

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Mayor Muriel Bowser’s budget proposal calls for $5.25 million in funding for World Pride 2025. (Washington Blade photo by Michael Key)

The D.C. Council on June 12 gave final approval for a $21 billion fiscal year 2025 budget for the District of Columbia that includes more than $8.5 million in funding for LGBTQ-related programs, including $5.25 million in support of the June 2025 World Pride celebration that D.C. will be hosting.

Also included in the budget is $1.7 million in funds for the Mayor’s Office of LGBTQ Affairs, which includes an increase of $132,000 over the office’s funding for the current fiscal year, and a one-time funding of $1 million for the completion of the renovation of the D.C. Center for the LGBTQ Community’s new building in the city’s Shaw neighborhood.

The D.C. LGBTQ+ Budget Coalition earlier this year asked both the D.C. Council and Mayor Muriel Bowser to approve $1.5 million for the D.C. Center’s building renovation and an additional $300,000 in “recurring” funding for the LGBTQ Center in subsequent years “to support ongoing operational costs and programmatic initiatives.” In its final budget measure, the Council approved $1 million for the renovation work and did not approve the proposed $600,000 in annual operational funding for the center.

The mayor’s budget proposal, which called for the $5.25 million in funding for World Pride 2025, did not include funding for the D.C. LGBTQ Center or for several other funding requests by the LGBTQ+ Budget Coalition.

At the request of D.C. Council member Zachary Parker (D-Ward 5), the Council’s only gay member, the Council approved at least two other funding requests by the LGBTQ+ Budget Coalition in addition to the funding for the LGBTQ Center. One is $595,000 for 20 additional dedicated housing vouchers for LGBTQ residents who face housing insecurity or homelessness. The LGBTQ housing vouchers are administered by the Office of LGBTQ Affairs.

The other funding allocation pushed by Parker is $250,000 in funds to support a Black LGBTQ+ History Commission and Black LGBTQIA+ history program that Parker proposed that will also be administered by the LGBTQ Affairs office.

Also at Parker’s request, the Council included in its budget bill a proposal by Parker to change the Mayor’s Office of LGBTQ Affairs to become a “stand-alone entity” outside the Executive Office of the Mayor. Parker told the Washington Blade this change would “allow for greater transparency and accountability that reflects its evolution over the years.”

He said the change would also give the person serving as the office’s director, who is currently LGBTQ rights advocate Japer Bowles, “greater flexibility to advocate for the interest of LGBTQ residents” and give the Council greater oversight of the office. Parker noted that other community constituent offices under the mayor’s office, including the Office of Latino Affairs and the Office of Veterans Affairs, are stand-alone offices.

The budget bill includes another LGBTQ funding provision introduced by D.C. Council member Charles Allen (D-Ward 6) that allocates $100,000 in grants to support LGBTQ supportive businesses in Ward 6 that would be awarded and administered by the Office of LGBTQ Affairs. Allen spokesperson Eric Salmi said Allen had in mind two potential businesses on 8th Street, S.E. in the Barracks Row section of Capitol Hill as potential applicants for the grants.

One is the LGBTQ café and bar As You Are, which had to close temporarily earlier this year due to structural problems in the building it rents. The other potential applicant, Salmi said, is Little District Books, D.C.’s only LGBTQ bookstore that’s located on 8th Street across the street from the U.S. Marine Barracks.

“It’s kind of recognizing Barrack’s Row has a long history of creating spaces that are intended for and safe for the LGBTQ community and wanting to continue that history,” Salmi said  “So, that was his kind of intent behind the language in that funding.”

The mayor’s budget proposal also called for continuing an annual funding of $600,000 to provide workforce development services for transgender and gender non-conforming city residents experiencing homelessness and housing instability.

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Virginia

Suhas Subramanyam wins Democratic primary in Va. 10th Congressional District

Former Obama advisor vows to champion LGBTQ rights in Congress

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Virginia state Sen. Suhas Subramanyam (D-Fairfax County) (Photo courtesy of Subramanyam's campaign)

Virginia state Sen. Suhas Subramanyam (D-Loudoun County) on Tuesday won the Democratic primary in the race to succeed retiring U.S. Rep. Jennifer Wexton (D-Va.) in Congress.

Subramanyam won the Democratic primary in Virginia’s 10th Congressional District with 30.4 percent of the votes. The Loudoun County Democrat who was an advisor to former President Barack Obama will face Republican Mike Clancy in November’s general election.

“I’m thrilled to be the Democratic nominee in Virginia’s 10th, and to have won this election during Pride Month,” Subramanyam told the Washington Blade on Wednesday in an emailed statement. “As I have done in the state legislature and as an Obama White House policy advisor, I will always stand as an ally with the LGBTQ+ community.”

Wexton, who is a vocal LGBTQ rights champion, last September announced she will not seek re-election after doctors diagnosed her with progressive supranuclear palsy, a neurological disorder she has described as “Parkinson’s on steroids.” Wexton is a vice chair of the Congressional Equality Caucus and a previous co-chair of its Transgender Equality Task Force.

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Baltimore

Police say they didn’t spray a chemical agent at Baltimore Pride. Why don’t those who attended believe it?

Attendees allege city failed to adequately respond to emergency

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A parade participant is photographed clutching on to a rainbow flag at Baltimore’s Pride Parade held on June 15, 2024. (Photo by Ronica Edwards/Baltimore Banner)

BY BRENNA SMITH and JOHN-JOHN WILLIAMS IV | A chemical agent that disrupted Pride Parade festivities last weekend continues to cause confusion and raise suspicion among many in the Baltimore LGBTQIA+ community, who question the police account of what happened.

The Baltimore Police Department said Tuesday that they had determined the released substance was Mace, but did not say how they came to that conclusion. A BPD spokesperson said that the chemical was released after two groups of people got into an altercation. Three people were treated and released from a nearby hospital because of injuries from the spray.

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

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