Court Cases

We filed suit on behalf of two transgender women and one transgender man who were state employees denied coverage for gender-affirming care in their state healthcare plans. All of the state healthcare plans, including those provided to the Plaintiffs, explicitly exclude coverage of “gender reassignment or modification services or supplies.” These plans single out transgender employees for unequal treatment by categorically depriving them of coverage for gender-affirming care through their exclusions. Other state employees who are not transgender do not face categorical exclusions barring coverage for medically necessary health care. We filed the case in January 2020 with claims arising under Title VII of the Civil Rights Act and the Fourteenth Amendment to the U.S. Constitution. We amended our complaint in April 2020. Summary-judgment briefing was completed in March 2021. In August 2024, the judge granted partial summary judgment for plaintiffs, holding that the categorical exclusions violate Title VII. Supplemental briefs were ordered on the effect of a related decision pending in the Eleventh Circuit (Lange v. Houston County, Georgia). On November 3, 2025, the Defendants filed a motion to reconsider the partial summary judgment in light of the full Eleventh Circuit’s en banc decision in Lange.