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  • Writer's picturequeerhellth

Case #32

Why Do Our Health Plans Only Benefit Cis Individuals?

Anna Lange, with a distinguished two-decade law enforcement career, told her sheriff in 2017 that going forward she would be her true self at work, use she/her pronouns, and wear a female officer’s uniform.

After meeting with two psychologists, an endocrinologist, and flying to New York City to visit a surgeon, Lange discovered that the county health plan wouldn’t cover the gender-affirming care that her doctors recommended.

Lange paid $6,800 out-of-pocket for a breast augmentation surgery—the only procedure she could afford—and sued the county in federal court, arguing that its health plan discriminates against transgender workers. Her suit is among several ongoing cases that could change how transgender people are treated by states, private employers, and health insurance companies.

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