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Md. bans gender transition exclusions in insurance

Advocates applaud state entity for changes

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Patrick Paschall, gay news, Washington Blade
Patrick Paschall, gay news, Washington Blade

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!”

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Comings & Goings

Pierce named to Virginia Governor’s LGBTQ+ Advisory Board

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Jaime Christopher Pierce

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]

The Comings & Goings column also invites LGBTQ+ college students to share their successes with us. If you have been elected to a student government position, landed an exciting internship, or are graduating and beginning your career with a new job, let us know so we can share your success.

Congratulations to Jaime Christopher Pierce on their appointment to serve as a member of the Virginia Governor’s LGBTQ+ Advisory Board. Pierce was sworn in on Sept. 3 by Greg Parks, clerk of the Alexandria Circuit Court.  

Pierce currently serves as vice chair of the Alexandria City LGBTQIA+ Task Force and as a member of the Alexandria Pride planning committee. They previously served on the board of directors of Equality Virginia.

Upon being sworn in, Pierce said, “Public service has been a central part of my life for more than 30 years, and this appointment gives me an opportunity to serve the Commonwealth in a different and very personal way. My career has allowed me to work with people and communities throughout Virginia, and I hope to bring that experience, along with my own lived experience and my involvement in the LGBTQ+ community, to the work of the Board.” They added, “Having Greg administer the oath makes the occasion even more meaningful because of his own historic role as Virginia’s first openly gay elected circuit court clerk.”

Pierce also serves as Circuit Court Services Manager for the Department of Judicial Services, at the Office of the Executive Secretary of the Supreme Court of Virginia. They began their career in Virginia’s judiciary in 1994 as a deputy clerk with the Virginia Beach Circuit Court and have since held several professional and leadership positions within the court system. Pierce is a member of the National Association for Court Management (NACM) and the Mid-Atlantic Association for Court Management. At the national level, Pierce participated in the workgroup that developed the National Association for Court Management’s Diversity, Equity, and Inclusion Guide, a resource designed to help court professionals advance inclusive practices and strengthen access, fairness and belonging within the justice system.

Pierce earned a degree in Criminal Justice from Liberty University, and a certificate in Paralegal Studies from Norfolk State University. 

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Maryland

Md. groups receive state grants to fight hate crimes

Pride Center of Maryland among recipients

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Maryland Gov. Wes Moore speaks at the Human Rights Campaign's National Dinner in D.C. on Sept. 13, 2025. His administration in the 2027 fiscal year will give $10 million in grants to the Pride Center of Maryland and other groups that work to prevent hate crimes in Maryland. (Washington Blade photo by Michael Key)

Maryland Gov. Wes Moore and the Governor’s Office of Crime Prevention and Policy are awarding a total of $10 million in grants in the 2027 fiscal year to nonprofit organizations that work to prevent hate crimes in the state.

The funds will be used to support those who feel targeted or discriminated against because of their race, religion, sexual orientation, gender identity, or disability status.

The Pride Center of Maryland is among the recipients. Churches, synagogues, mosques, and LGBTQ organizations are all eligible to receive grants

“The safety and security of all Marylanders is my top priority, so we are drawing a hard line because we have no tolerance for hate,” said Moore, according to media reports. “We are committed to protecting and ensuring safe and sacred spaces stay that way by investing in non-profit organizations, houses of worship, and community centers to protect and honor every community that makes our state so diverse and special.” 

“Protection Against Hate Crime funding has strengthened the Pride Center of Maryland’s ability to protect, educate, and support the communities we serve … at a time of heightened concern associated with the Trump administration’s anti-LGBTQ/SGL (same-gender-loving) policies and pressures,” Pride Center of Maryland CEO Cleo Manago said. “PAHC funding helps us do more than improve physical security — it strengthens our community’s knowledge, preparedness, connection to resources, and ability to respond to hate with greater awareness and support.”

Maryland’s hate crimes law includes both sexual orientation and gender identity. The state’s nondiscrimination statute is also LGBTQ-inclusive.

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District of Columbia

Blade welcomes fall intern

Alexis McLean is student at University of North Florida

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Alexis McLean (Washington Blade photo by Michael K. Lavers)

The Washington Blade this week welcomed Alexis McLean as its fall intern.

Alexis is studying political science at the University of North Florida in Jacksonville, Fla. She is interning with the Blade as part of a continued partnership with the Washington Center.

“I am looking forward to spending my time in the fall with the Washington Blade, as this is a new experience for me,” said Alexis. “I have not experienced any journalist jobs in the past so this would be my first time, and I am excited to better my writing and communications skills with this internship.”

Alexis’s internship with the Blade ends in early December.

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