HomeNewsGeorgia Medicaid will cover gender-affirming surgery under new settlement

Georgia Medicaid will cover gender-affirming surgery under new settlement

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by Rebecca Grapevine | Jul 19, 2022 | Capitol Beat News Service

ATLANTA – Georgia’s Medicaid program will now cover gender-affirming surgery as a result of a new settlement in a lawsuit filed by the American Civil Liberties Union (ACLU). 

Gender-affirming surgery includes procedures that help transgender people transition to their self-identified gender.

Georgia Medicaid had barred insurance coverage for gender-affirming surgery since 1993. The new settlement means that the Medicaid program will now cover the surgeries going forward.  

The lawsuit started last year when two women enrolled in Medicaid sued the state Department of Community Health (DCH) because they were denied coverage for their gender-affirming surgeries – which had been recommended by their physicians and mental-health providers.  

Aided by the ACLU, the women claimed their health had been harmed by their inability to have the procedures covered by Medicaid.  

Now middle-aged, both women were born male but started identifying as female at a young age, according to the complaint they filed with the U.S. District Court for the Northern District of Georgia.  

The complaint states that both women suffered mental health consequences because of their inability to get gender-affirming surgery. 

They claimed that the bar on the procedures amounted to discrimination on the basis of their sex and transgender status.

The complaint pointed out that other insurers, including the federal Medicare program, typically cover gender-affirming surgery.

The resulting settlement, announced Monday, will now require Georgia Medicaid to cover gender-affirming procedures and adopt new clinical guidelines for when the gender-affirming surgery will be approved.  

“Gender-affirming surgeries are safe, effective, and medically necessary,” said Taylor Brown, a staff attorney with the ACLU LGBTQ & HIV Project. “This settlement brings the state of Georgia’s Medicaid program in line with the accepted standards of care and the law. The removal of the exclusion of benefits … will save lives.

DCH officials declined to comment on the settlement.

This story is available through a news partnership with Capitol Beat News Service, a project of the Georgia Press Educational Foundation.

9 COMMENTS

  1. The people who do this should all go to jail for supporting mental illness of people who wish to be a different sex. A man cannot be a woman no matter what surgery you perform, a Woman can’t be a man no matter what surgery you perform, and as evidenced by the trans man in the Womens’ prison getting two Pregeant duh! The mental health providers that suggest surgery should be jailed for that stupid suggestion. The doctors that perform such surgery should have their medical license revoked for performing “Do no harm” surgery just for the money.

  2. So is denial of insurance coverage for cosmetic surgery like liposuction, face lifts, nose jobs, and breast enhancement, and treatments like Botox and chemical face peels, discrimination against overweight, old and wrinkled, ugly, and small-breasted women? My taxes should not be used to pay for raising other people’s children, paying for their abortions, changing their sex, and appeasing their narcissism.

  3. What gives the DCH the right to settle a lawsuit of this magnitude. This not a fender bender in traffic court. The result of this settlement will be a burden on Georgia tax payers for years unless over ruled.

  4. This motion will be a knock in the teeth for those who are pushing hard for Medicaid expansion in Georgia, including Stacy Abrams. Personally, I sympathize with those who are struggling with their sexual identities, and I truly believe these issues are real. However, the taxpayers should have a voice concerning these extravagantly priced surgical procedures.

  5. As a pharmacist I’ve known of scores of medications, some life sustaining or quality of life improving, not covered by Medicaid. Is the ACLU going to now sue on behalf of all patients denied a drug by DCH?

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