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Story perspectives

Court Upholds Insurance Denial for Transgender Surgery Coverage

9/10/2025

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Story summary
  • The 11th Circuit Court of Appeals upheld Houston County's insurance policy, denying coverage for sex change surgeries.
  • The court determined the policy did not discriminate based on sex, but rather on the specific medical treatment requested.
  • The case involved Anna Lange, a transgender deputy seeking coverage for gender reassignment surgery deemed "medically necessary."
  • A previous ruling found discrimination, but this was reversed, citing a 2025 Supreme Court case.
  • The court emphasized the policy's equal application to all, regardless of biological sex, and remanded the case for further review.