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Trans inmate sues Va. corrections department over denial of surgery

Lawsuit says refusal of medical care is ‘cruel and unusual punishment’

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The LGBTQ litigation group Lambda Legal on Aug. 26 filed a lawsuit in federal court against the Virginia Department of Corrections on behalf of a transgender man incarcerated at a state prison on grounds that he was illegally denied “medically necessary” care, including breast removal surgery.

The lawsuit charges that the denial of surgery for Jason Yoakam, 42, who has been assigned to the Fluvanna Correctional Center for Women in Troy, Va., since 2004, violates the Eighth Amendment of the U.S. Constitution, which prohibits “cruel and unusual punishment.”

According to the lawsuit, prison officials also denied Yoakam treatment from qualified mental healthcare providers for gender dysphoria, a medical condition experienced by transgender people widely recognized by professional associations representing the medical and mental health professions, including the American Psychiatric Association.

A statement released by Lambda Legal points out that gender dysphoria is listed as a medical condition that some transgender people experience as significant distress when their gender identity is not congruent with their sex assigned at birth.  

“Mr. Yoakam is not seeking special treatment, just access to medically necessary health care and reasonable accommodations,” said Richard Saenz, a senior attorney for Lambda Legal and one of a team of attorneys representing Yoakam in the lawsuit. “Every incarcerated person has a right to basic health care based on their medical needs and should not face discrimination because of their sex,” Saenz said in the Lambda Legal statement.

“The only thing I am asking is to be treated fairly and have access to the same standard of healthcare that other incarcerated people receive,” Yoakam said in the statement. “It has been traumatizing, isolating, and stigmatizing to be denied health care services to treat the gender dysphoria that VDOC’s own providers have diagnosed,” he said.

The lawsuit says that from an early age Yoakam has believed his female body was a “mistake” and he finds his breasts an image of “shame and disgust.” It says prison officials did provide him with a “chest binder” that compresses his breasts, but which also causes pain and skin irritation and cannot provide the necessary treatment and remedy that only surgery can bring about.

By denying him surgery and other needed medical or mental health care, the lawsuit charges, prison authorities have also violated the Equal Protection Clause of the Constitution’s 14th Amendment as well as nondiscrimination provisions under the Americans with Disability Act and the Affordable Care Act.

A spokesperson for the Department of Corrections and the facility where Yoakam is being held could not immediately be reached for comment on the lawsuit

Lambda Legal says in its statement that prison officials told Yoakam he could not be approved for the bilateral mastectomy or chest surgery he requested because it considered the surgery an “elective” procedure that was not medically necessary for treatment of gender dysphoria.

The Washington Post reports that a Department of Corrections official told the Post in an email message that its internal guidelines for medical care for inmates calls for deciding on treatment and care requests on a case-by-case basis.

“All medically necessary treatment is available,” the spokesperson told the Post. “We follow the community standard of care.”

Court records show that Yoakam pleaded guilty in 2004 to a charge of first-degree murder and was sentenced by a Virginia judge to 30 years in prison, with nine years suspended for a total of 21 years of incarceration. An inmate information page on the Fluvanna Correctional Center’s website shows that Yoakam is scheduled to complete his sentence and to be released on May 23, 2022, after serving just over 18 years.

A corrections department spokesperson couldn’t immediately be reached about Yoakam’s release schedule, but correctional systems often reduce the time served for inmates based on a number of factors, including good behavior.

Court records and all official references to Yoakam at the Fluvanna Correctional Center for Women refer to him by his legal female birth name. Saenz of Lambda Legal said Yoakam is in the process of legally changing his name to Jason Yoakam.

The court records and news media reports show that Yoakam, at age 24, was arrested on a first-degree murder charge and other related charges, including illegal firearms possession, on March 3, 2004, just over four months after he allegedly shot and killed James “Jamie” Lane, 39, on Oct. 15, 2003.

The incident occurred in Lee County, Va., located in the southwestern corner of the state near the Kentucky and Tennessee borders. The Kingsport, Tenn., Times-News reported in a Dec. 3, 2003, story that Yoakam was identified at that time as a lesbian woman who became enraged when his girlfriend left him to begin a relationship with Lane.

“Testimony from a number of witnesses indicated that the shooting may have stemmed from a love triangle with a twist,” the Times-News reported.

The newspaper reported that Lane’s ex-wife, Tonya Garrett Lane, 30, who is Yoakam’s half-sister, was charged with allegedly conspiring to murder the ex-girlfriend of Yoakam who reportedly left Yoakam to begin a relationship with her ex-husband.

“The ex-Mrs. Lane was apparently involved because she didn’t want her children ‘being raised by a (expletives deleted) lesbian,’” the Times-News reported based on testimony in court.

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Federal Government

US Census Bureau testing survey on LGBTQ households

Agency proposing questions about sexual orientation and gender identity

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The U.S. Census Bureau headquarters in Suitland, Md. (Photo courtesy of the U.S. Census Bureau)

The U.S. Census Bureau is seeking public comment on a proposed test of sexual orientation and gender identity questions on the American Community Survey. The test would begin this summer and continue into next year.

The Census Bureau published the request as a Federal Register notice. In its press release the agency noted that the ACS is an ongoing survey that collects detailed housing and socioeconomic data. It allows the Census Bureau to provide timely and relevant housing and socioeconomic statistics, even for low levels of geography.

As part of the process for adding new questions to the ACS, the Census Bureau tests potential questions to evaluate the quality of the data collected.

The Census Bureau proposes testing questions about sexual orientation and gender identity to meet the needs of other federal agencies that have expressed interest in or have identified legal uses for the information, such as enforcing civil rights and equal employment measures.

The test would follow the protocols of the actual ACS — with one person asked to respond to the survey on behalf of the entire household. These particular questions are asked about people 15 years of age or older. Households are invited to respond to the survey online, by paper questionnaire or by phone.

The current Federal Register notice gives the public a final opportunity to provide feedback before the Census Bureau submits its recommendations to the Office of Management and Budget for approval. The public may provide feedback through May 30 online.

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The White House

Judy Shepard to receive Presidential Medal of Freedom

Nancy Pelosi is also among this year’s honorees

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Activists Judy and Dennis Shepard speak at the NGLCC National Dinner at the National Building Museum on Friday, Nov. 18. (Washington Blade photo by Michael Key)

Beloved LGBTQ advocate Judy Shepard is among the 19 honorees who will receive the Presidential Medal of Freedom, the highest civilian award in the U.S., the White House announced on Friday.

The mother of Matthew Shepard, who was killed in 1998 in the country’s most notorious anti-gay hate crime, she co-founded the Matthew Shepard Foundation with her husband Dennis to raise awareness about anti-LGBTQ violence.

The organization runs education, outreach, and advocacy programs, many focused on schools.

In a statement shared via the Human Rights Campaign, Shepard said, “This unexpected honor has been very humbling for me, Dennis, and our family. What makes us proud is knowing our President and our nation share our lifelong commitment to making this world a safer, more loving, more respectful, and more peaceful place for everyone.

“I am grateful to everyone whose love and support for our work through the years has sustained me.

“If I had the power to change one thing, I can only dream of the example that Matt’s life and purpose would have shown, had he lived. This honor reminds the world that his life, and every life, is precious.”

Shepard was instrumental in working with then-President Barack Obama for passage of the landmark Matthew Shepard and James Byrd Jr. Hate Crimes Prevention Act in 2009, which was led in the House by then-Speaker Nancy Pelosi (D-Calif.), who will also be honored with a Presidential Medal of Freedom during the ceremony on Friday.

Also in 2009, Shepard published a memoir, “The Meaning of Matthew: My Son’s Murder in Laramie, and a World Transformed,” and was honored with the Black Tie Dinner Elizabeth Birch Equality Award.

“Judy Shepard has been a champion for equality and President Biden’s choice to honor her with the Presidential Medal of Freedom is a testament to what she’s done to be a force of good in the world,” HRC President Kelley Robinson said in a statement.

“A mother who turned unspeakable grief over the loss of her son into a decades-long fight against anti-LGBTQ+ hatred and violence, Judy continues to make a lasting impact in the lives of the LGBTQ+ community,” she said.  

“It is because of her advocacy that the first federal hate crimes legislation became law and that countless life-saving trainings, resources and conversations about equality and acceptance are provided each year by the Matthew Shepard Foundation,” Robinson said. “We are honored that Judy is a member of the HRC family and know that her work to create a more inclusive and just world will only continue.”

Other awardees who will be honored by the White House this year are: Actor Michelle Yeoh, entrepreneur and former New York Mayor Michael Bloomberg, Jesuit Catholic priest Gregory Boyle, Assistant House Democratic Leader Jim Clyburn (D-S.C.), former Labor and Education Secretary and former U.S. Sen. Elizabeth Dole (R-N.C.), journalist and former daytime talkshow host Phil Donahue, World War II veteran and civil rights activist Medgar Evers (posthumous), former Vice President Al Gore, civil rights activist and lawyer Clarence B. Jones, former Secretary of State and U.S. Sen. John Kerry (D-Mass.), former U.S. Sen. Frank Lautenberg (D-N.J.) (posthumous), Olympic swimmer Katie Ledecky, educator and activist Opal Lee, astronaut and former director of NASA’s Johnson Space Center Ellen Ochoa, astronomer Jane Rigby, United Farm Workers President Teresa Romero, and Olympic athlete Jim Thorpe (posthumous).

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National

United Methodist Church removes 40-year ban on gay clergy

Delegates also voted for other LGBTQ-inclusive measures

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Underground Railroad, Black History Month, gay news, Washington Blade
Mount Zion United Methodist Church is the oldest African-American church in Washington. (Washington Blade photo by Michael Key)

The United Methodist Church on Wednesday removed a ban on gay clergy that was in place for more than 40 years, voting to also allow LGBTQ weddings and end prohibitions on the use of United Methodist funds to “promote acceptance of homosexuality.” 

Overturning the policy forbidding the church from ordaining “self-avowed practicing homosexuals” effectively formalized a practice that had caused an estimated quarter of U.S. congregations to leave the church.

The New York Times notes additional votes “affirming L.G.B.T.Q. inclusion in the church are expected before the meeting adjourns on Friday.” Wednesday’s measures were passed overwhelmingly and without debate. Delegates met in Charlotte, N.C.

According to the church’s General Council on Finance and Administration, there were 5,424,175 members in the U.S. in 2022 with an estimated global membership approaching 10 million.

The Times notes that other matters of business last week included a “regionalization” plan, which gave autonomy to different regions such that they can establish their own rules on matters including issues of sexuality — about which international factions are likelier to have more conservative views.

Rev. Kipp Nelson of St. Johns’s on the Lake Methodist Church in Miami shared a statement praising the new developments:

“It is a glorious day in the United Methodist Church. As a worldwide denomination, we have now publicly proclaimed the boundless love of God and finally slung open the doors of our church so that all people, no matter their identities or orientations, may pursue the calling of their hearts.

“Truly, all are loved and belong here among us. I am honored to serve as a pastor in the United Methodist Church for such a time as this, for our future is bright and filled with hope. Praise be, praise be.”

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