Local
Md. bans gender transition exclusions in insurance
Advocates applaud state entity for changes

Patrick A. Paschall, executive director of FreeState Legal and Equality Maryland, applauded the Maryland Insurance Administration. (Photo courtesy Patrick Paschall)
FreeState Legal and Equality Maryland announced on Wednesday that the Maryland Insurance Administration has issued bulletins prohibiting individual, small-group, and student health insurance plans sold in Maryland from excluding coverage for health care for the purpose of gender transition. This announcement follows longstanding advocacy by FreeState Legal and Equality Maryland, most recently including a request to the federal Center for Consumer Information and Insurance Oversight asking federal regulators to require Maryland to prohibit transition-related care exclusions from appearing in these state-regulated insurance plans that are governed by the federal Affordable Care Act.
“We applaud the Maryland Insurance Administration for prohibiting this discriminatory exclusion that has become a fixture in health insurance plans and that does significant harm to the transgender community,” said Patrick A. Paschall, executive director of FreeState Legal and Equality Maryland.
“Transition-related care exclusions serve no other purpose than to discriminate against transgender people. To deny life-saving medical care to an entire population based solely on the fact that they identify as transgender is not only unconscionable, but we believe a violation of federal law. We are glad that the Maryland Insurance Administration agrees that transition-related care exclusions violate federal law and has taken action to ensure that the individual, small-group, and student plans it regulates no longer discriminate on the basis of gender identity.”
The Maryland Insurance Administration bulletins, issued on Dec. 7 and 10, 2015, inform health insurers that transition-related care exclusions will no longer be permitted as the agency reviews and approves individual and small-group health plans for the 2017 plan year and student health plans for the 2016-17 school year. The bulletins require carriers to update their plans, and clarify that the requirement applies to plans that are sold either through the ACA exchange or off the exchange.
The administration based its decision on an existing federal regulation, 45 CFR § 156.200(e), issued in 2012, that prohibits discrimination in qualified health plans on the basis of personal characteristics such as gender identity. In the recent bulletins, the Maryland Insurance Administration ruled that transition-related care exclusions can no longer appear in small-group, individual, and student plans because “federal guidance has determined that this type of exclusion is a discriminatory benefit design,” prohibited by the federal regulation.
“We hope this sends a clear message to insurers that denial of transition-related health care solely because the patient is transgender is unlawfully discriminatory, and that the federal regulations on which the agency based its decision are currently in effect,” said Paschall. “We believe that discrimination against transgender people in all health insurance plans is against the law, and we at FreeState Legal and Equality Maryland will continue to bring legal action against insurers that discriminate and employers that choose discriminatory plans. We will not stop until all transgender people in Maryland have full and equal access to the health care they need.”
This action has been applauded by advocates for gender identity equality. “Maryland state regulations continue to fall into line with the civil rights code from the Affordable Care Act,” Dana Beyer, executive director of Gender Rights Maryland, told the Blade. “Thanks to Free State Legal and its dogged and skillful pursuit of these benefits for Maryland residents!”
A gay man was murdered in Petersburg, Va., on March 13.
Shyyell Diamond Sanchez-McCray, who was also known as Saamel and Mable, was a drag queen who won the Miss Mayflower EOY pageant in 2015. Reports also indicate Sanchez-McCray, 42, was a well-known community activist in Virginia and in North Carolina.
Local media reports indicate police officers found Sanchez-McCray shot to death inside a home in Petersburg.
Sanchez-McCray’s brother, Jamal Mitchell Diamond, in a public statement the Washington Blade received from Equality Virginia and GLAAD, said Sanchez-McCray was not transgender as initial reports indicated.
“Our family has always embraced the fullness of who he was. He used the names Saamel, Shyyell, and Mable interchangeably, and we honor all of them. There is no division within our family regarding how he is being represented — only a shared commitment to preserving his truth with love and respect,” said Diamond.
“He was also deeply committed to community work through Nationz Foundation, where he worked and completed multiple state-certified programs to support marginalized communities,” added Diamond. “That work meant a great deal to him.”
Authorities have not made any arrests.
The Petersburg Bureau of Police has asked anyone with information about Sanchez-McCray’s murder to call Petersburg-Dinwiddie Crime Solvers at 804-861-1212.
District of Columbia
Trans Day of Visibility events planned
Rally on the National Mall scheduled for Saturday
The Christopher Street Project has a number of events planned for the 2026 Trans Day of Visibility, including a rally on the Mall and an “Empowerment Ball” at the Eaton Hotel. Plenaries, panel discussions and meetings with members of Congress are scheduled in the three days of programming.
Announced speakers include N.H. state Rep. Alice Wade; Commissioner of the Metropolitan Water Reclamation District of Greater Chicago Precious Brady-Davis; activist and performer Miss Peppermint (“RuPaul’s Drag Race”); Lexington, Ky. Councilwoman Emma Curtis; Rabbi Abby Stein; D.C. activist and host Rayceen Pendarvis; Air Force Master Sgt. Logan Ireland; among other leaders, advocates and performers.
Conference programming on Thursday and Friday includes an educational forum and a Capitol Hill policy education day. Registration for the two-day conference has closed.
The “Trans Day of Visibility PAC Reception” is scheduled for Thursday, March 26 from 7:30-9 p.m. at As You Are (500 8th St., S.E.). Special guests include Rep. Dina Titus (D-Nevada) and Rep. Delia Ramirez (D-Ill.). Tickets are available at christopherstreetproject.org starting at $25.
The National Council of Jewish Women and the Christopher Street Project host a “Trans Day of Visibility Shabbat” on Friday, March 27 from 7-8 p.m. at Sixth & I (600 I St., N.W.). The service is to be led by Rabbi Jenna Shaw and Rabbi Abby Stein.
The “Now You See Me: Trans Empowerment Social & Ball” is scheduled for Friday, March 27 from 6-11 p.m. at the Eaton Hotel (1201 K. St., N.W.). The trans-themed drag ball is hosted by the Marsha P. Johnson Institute with support from the D.C. Mayor’s Office of LGBTQ+ Affairs, the Capital Ballroom Council, the Christopher Street Project, the Center for Black Equity, Generation for Common Good, and Parenting is Political. RSVP online at christopherstreetproject.org.
The National Transgender Day of Visibility Rally is scheduled for Saturday, March 28 on the National Mall at 11 a.m. The rally will include speakers and performances. Following the rally, attendees are encouraged to participate in the “No Kings” rally being held at Anacostia Park.

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.”
