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Fourth Circuit Upholds Medicaid Ban, Threatens Trans Rights

3/15/2026

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Story summary
  • The U.S. Court of Appeals for the Fourth Circuit unanimously upheld West Virginia's Medicaid ban on gender-affirming surgeries, citing prior Supreme Court decisions.
  • Legal experts warn the ruling could embolden restrictions on transgender rights across multiple states.
  • Scholars warn this could ultimately worsen conditions for transgender people in the future.