Cosmetic to critical: Blue states help trans health coverage

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Cosmetic to critical: Blue states help trans health coverage
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The wide-ranging bill is part of a wave of legislation this year in Democratic-led states intended to carve out safe havens amid a conservative movement that seeks to ban or limit gender-affirming care elsewhere.

PORTLAND, Ore. — For most of her life in New Mexico, Christina Wood felt like she had to hide her identity as a transgender woman. So six years ago she moved to Oregon, where she had readier access to the gender-affirming health care she needed to live as her authentic self.

The wide-ranging bill is part of a wave of legislation this year in Democratic-led states intended to carve out safe havens amid a conservative movement that seeks to ban or limit gender-affirming care elsewhere, eliminate some rights and protections for transgender people and even bar discussion of their existence in settings such as classrooms.

Oregon’s bill would bar insurers and the state’s Medicaid plan from defining procedures like electrolysis as cosmetic when they are prescribed as medically necessary for treating gender dysphoria. It also would shield providers and patients from lawsuits originating in states where such procedures are restricted.

The bill has sparked fervent debate, with hundreds of people submitting written testimony both for and against it and an emotionally charged public hearing at the Capitol in Salem last month that went on for several hours. The Democratic-controlled House is expected to vote on the bill Monday over Republican opposition before it heads to the Senate, which is also dominated by Democrats.

“They know that this is not a political stunt,” state Sen. Melanie Scheible, the bill’s sponsor and member of Nevada’s newly formed LGBTQ+ Caucus, said of the governor’s office. “I’m not trying to give them a bill to veto just so I can complain about it later.” “These are not aesthetic procedures,” Wang said. “Accessing these services can be absolutely life-saving because we’re preventing future harm.”

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