“Gender identity is real. The record makes this clear,” U.S. District Judge Robert Hinkle said.
estimated that up to 9,000 Medicaid enrollees in Florida are transgender.
Hinkle ruled that the ban on Medicaid paying for hormone therapy or “puberty blockers” was an equal protection violation and went against federal Medicaid law as well as the Affordable Care Act. He called the restrictions “purposeful” discrimination against transgender individuals and not a “legitimate state interest.” The lawsuit was brought against the state on behalf of two transgender adult men and the families of two transgender minors.
The DeSantis administration last year began pushing for limits on gender-affirming care, which included both the prohibition on Medicaid spending as well as a ban on treatments for minors. The Florida Legislature this past spring codified both into state law with some legislators calling the treatments for minors “evil” and “child abuse.”
The American Academy of Pediatrics and the American Medical Association support gender-affirming care for adults and adolescents. But medical experts said gender-affirming care for children rarely, if ever, includes surgery. Instead, doctors are more likely to recommend counseling, social transitioning and hormone replacement therapy.
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