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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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Comings & Goings

Lane named senior counsel at Brady United

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Thomas Patrick Lane

The Comings & Goings column is about sharing the professional successes of our community. We want to recognize those landing new jobs, new clients for their business, joining boards of organizations and other achievements. Please share your successes with us at [email protected].

Congratulations to Thomas Patrick Lane the new Senior Litigation Counsel and Director of Affirmative Litigation with Brady United. According to its website, Brady’s mission is, “To unite all Americans against gun violence. We work across Congress, the courts, and our communities with over 90 grassroots chapters, bringing together young and old, red and blue, and every shade of color to find common ground in common sense. In the spirit of our namesakes Jim and Sarah Brady, we have fought for over 45 years to take action, not sides, and we will not stop until this epidemic ends. It’s in our hands.”

Jonathan Lowy, chief counsel and vice president of legal at Brady said, “The whole Brady team is thrilled to welcome Tom’s skills as a trial lawyer and his leadership as a champion for justice and a voice for inclusivity and equal rights. Tom is one of the top litigators in the country, and has been a fighter his whole life who has proven himself undaunted by any challenge, including taking on the gun industry for its role in causing gun violence in America. Tom’s expertise and insights into complex litigation involving emerging technologies, such as 3-D printed guns, “smart” technology, and online commerce, will bolster our fight for industry-wide change by holding companies accountable and forcing reforms that will make all Americans safer.”

Upon accepting the position Lane said, “From my time as a prosecutor to private practice, I have seen the effects of gun violence and the importance of defending victims and survivors and upholding common-sense laws that keep our families and communities safe. I am excited to bring that background to Brady and to continue this important work nationwide.”

Prior to joining Brady, Lane was a partner in the New York office of Winston & Strawn, LLP. Before that he was a partner in Thelen Reid Brown Raysman & Steiner LLP. He is recognized as one of the country’s top intellectual property and new media lawyers. He tried the first Internet music case and the first Digital Millennium Copyright Act safe harbor case before juries. He has also served as a senior trial attorney in the office of the New York Kings County District Attorney.

Lane represented the City of New York in litigation against major gun manufacturers in the early 2000s. LawDragon named him as one of the 500 Leading Lawyers in America.

Lane earned his undergraduate degree from Hamilton College, Clinton, N.Y.; and his J.D. from Tulane University School of Law in New Orleans. He has created an endowed scholarship there for LGBTQ students to help law firms realize the importance of hiring diverse rosters of attorneys, and to honor the courage of his uncles Bernard Lane (an Army Ranger decorated with two Bronze Stars) and Richard Morrison (a recovered alcoholic who devoted his life to counseling others).

Both men were known for their toughness tendered by humor and both lived openly in loving relationships with same-sex partners in the 1970s. Lane is a former board member of the National LGBT Bar Association. He directs all external legal matters for the Tyler Clementi Foundation, whose mission is to end bullying in schools, workplaces, and faith communities.

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100th anniversary celebration of Dupont Circle fountain set for May 17

GWU student creates tribute video

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The iconic Dupont Circle fountain turns 100 this month. (Washington Blade file photo by Michael Key)

LGBTQ residents and longtime visitors to D.C.’s Dupont Circle neighborhood are expected to be among the participants in the 100th anniversary celebration of the installation of the Dupont Circle fountain scheduled to be held at the circle on Monday, May 17.

Aaron DeNu, president of Dupont Festival, a nonprofit arts and cultural programming group that’s organizing the celebration, says it will take place from noon to at least sunset inside Dupont Circle.

The celebration will take place one week after the May 10 release of a YouTube video, “How Dupont Circle Evolved as a Hub for LGBTQ+ Life in the District,” produced by George Washington University student Dante Schulz. Schulz is the video editor for the G.W. student newspaper The Hatchet.

Among those appearing in the documentary video are veteran LGBTQ rights activists Deacon Maccubbin and his husband Jim Bennett, who owned and operated the Dupont Circle LGBTQ bookstore Lambda Rising beginning in the 1970s, which is credited with contributing to Dupont Circle’s reputation as the epicenter of D.C.’s LGBTQ community for many years.

Also appearing in the video is longtime D.C. gay activist and Dupont Circle area resident Craig Howell, a former president of the Gay and Lesbian Activists Alliance.

“At this point in time due to COVID restrictions we’re not going to be doing any particular formal gathering of folks,” DeNu told the Washington Blade in describing the May 17 celebration. “But we’ll have a soundtrack that’s playing throughout the day from that original ceremony – the same songs they used in the original dedication a hundred years ago,” he said.

DeNu said the event will also feature “historic imagery” related to Dupont Circle and the people who have gathered there over the years.

“So, we’re really just inviting people to come and have lunch, stop by the park after work, and just stop and reflect on 100 years of Dupont Circle fountain, take a look at the imagery and see some old friends and hopefully stop by and see the Dupont businesses that are around the area,” DeNu said.

The LGBTQ video produced by Dante Schultz can be accessed here.

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Va. GOP governor nominee opposes transgender-inclusive youth sports

Glenn Youngkin made comment to Arlington voters in March

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Glenn Youngkin (Photo via Twitter)

 

The Republican gubernatorial candidate to succeed Virginia Gov. Ralph Northam has said he does not support allowing transgender children to play on sports teams that are consistent with their gender identity.

“Biological males should not be allowed to play sports in girls sports,” Glenn Youngkin said during a meeting with a group of voters in Arlington on March 25, according to the Washington Examiner. “It’s just not fair.”

The Washington Blade has reached out to Youngkin’s campaign for comment.

Youngkin, the former co-CEO of the Carlyle Group, on Saturday defeated Pete Snyder, former House of Delegates Speaker Kirk Cox (R-Colonial Heights), state Sen. Amanda Chase (R-Chesterfield County), Peter Doran, Sergio de la Peña and Octavia Johnson in the Republican Party of Virginia’s nominating convention. Virginia Republicans nominated Winsome Sears and Jason Miyares as their candidates for lieutenant governor and attorney general respectively.

The Democratic Party of Virginia will hold its primary on June 8. Former Gov. Terry McAuliffe is widely expected to win the vote, and run against Youngkin in the general election.

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