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The ACLU and the ACLU of South Dakota filed a federal suit on behalf of Terri Bruce against the state of South Dakota because it denies transgender employees health insurance coverage for medically necessary transition-related health care.

In response to efforts by the Montana Family Foundation to push an anti-transgender ballot measure that would bar transgender people from using public facilities like bathrooms or locker rooms that are consistent with their gender identity, the ACLU and the ACLU of Montana filed a petition challenging the legal sufficiency of the description of the proposed anti-trans ballot initiative (I-183) that would go to the voters. The petition argued that the ballot and fiscal impact statements inaccurately characterize the initiative – hiding both its discriminatory effect and its impact on local and state budgets. The Supreme Court of Montana agreed, ordering the Attorney General to revise both statements.

The ACLU and the ACLU of Washington filed a civil rights lawsuit against PeaceHealth, a Catholic healthcare organization, on behalf of Cheryl Enstad and her teenage son, Pax, for denying coverage under its health benefits plan for medically necessary surgery to Pax simply because of who he is. The suit claims that PeaceHealth’s policy of refusing to cover medical care required by transgender people is discrimination and violates federal and state law.

Alina Boyden and Shannon Andrews, two state employees who are transgender filed a lawsuit against the State of Wisconsin. The case challenges the state’s categorical ban on coverage for certain types of necessary medical care for persons who are transgender under federal law and the Constitution.