Transgender Beneficiaries Sue Florida Over Medicaid Limit

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Transgender Beneficiaries Sue Florida Over Medicaid Limit
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Medicaid insurance coverage for genderaffirming care for transgender people has been restricted in FL impacting established treatment plans for many patients.

ORLANDO, Fla. — Until this month, Medicaid paid for August Dekker's testosterone treatments which allowed the transgender man from Florida's Gulf Coast to feel like he was living in his own skin. But now he is scrambling to figure out how to pay for future treatments since Florida last month started restricting Medicaid insurance coverage for gender affirming care for transgender people.

The lawsuit filed in federal court in Tallahassee says the rule change will have dire emotional, physical and psychological consequences for transgender Medicaid beneficiaries in Florida if it's allowed to stand. The rule change violates the equal protection clause of the Fourteenth Amendment, the patient protection section of the Affordable Care Act and the Medicaid Act, said the lawsuit which seeks an injunction to stop its continued implementation.

"Under our rules, only treatments that are found to be safe, effective, and that meet medical necessity criteria may be covered," Juarez said. "This is a 180 for Florida and this is particularly troubling because they have been covering this for Medicaid for years," Charles said.

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