ACLU Sues Indiana Over Ban on Health Care for Transgender Youth
INDIANAPOLIS, Ind. — The American Civil Liberties Union and the ACLU of Indiana today on behalf of four transgender youth and their families, as well as a doctor and health care clinic, challenging an Indiana law that prohibits health care professionals from providing or even referring transgender young people for medically-necessary health care. The lawsuit, filed in federal court, alleges that Senate Bill 480 violates the U.S. Constitution on multiple fronts, including the Equal Protection Clause of the Fourteenth Amendment. In addition, the lawsuit claims that the law violates the federal requirements of the Medicaid Act and the Affordable Care Act, because it prohibits essential medical services that would otherwise be authorized and reimbursed by Medicaid.
“This law would be devastating to trans youth and their families, causing them serious injuries and forcing those who can to uproot their lives and leave the state to access the gender-affirming care they need,” said Ken Falk, ACLU of Indiana legal director. “Gender-affirming care is lifesaving care for our clients, and they’re terrified of what will happen if this law is allowed to take effect. No child should be cut off from the medical care they need or denied their fundamental right to be themselves — but this law would do both. We’re suing to stop this cruel and unconstitutional law from taking effect and inflicting further harm on these children and their families.”
The plaintiff families will be denied the gender-affirming care their children are currently receiving if Senate Bill 480 is allowed to take effect. Under the new law, trans youth already receiving gender-affirming health care as of July 1, 2023 will be forced to lose access to such care after six months. Youth not receiving medical care by July 1, 2023 will be unable to begin receiving care in Indiana.
Two of the parent-plaintiffs, Beth and Nathanial Clawson, note that their plaintiff daughter, currently 10 years old, is fearful about what will happen to her if she cannot get gender-affirming medical care when puberty begins.
“Starting around the age of two years old, our daughter began telling us who she is,” said Beth Clawson. “When she was three-and-a-half years old, after researching gender dysphoria and consulting with both her therapist and pediatrician, she socially transitioned. That means we started using she/her pronouns and letting her dress as a girl. That was seven years ago, and she hasn’t wavered at all in knowing who she is.”
“As her parents, the most important thing to us is that she knows that we love her, trust her, and will do whatever it takes to ensure that she has every opportunity to grow and develop as her true self regardless of her gender identity,” added Nathaniel Clawson. “Laws that ban her ability to access gender-affirming care take that opportunity away from her.”
Dr. Catherine Bast with Mosaic Health and Healing Arts is also challenging the law on behalf of herself and her patients because it impairs her ability to treat transgender patients with gender dysphoria with medically-necessary health care, or even refer them to other providers for treatment. Every major medical association supports treating transgender youth with gender-affirming medical care and opposed Senate Bill 480 because it runs counter to science and medicine, and will cause severe harm to transgender young people, their families, and all those who love them.
“At Mosaic, we know that gender-affirming care saves lives,” said Mixhi Marquis, Executive Director of Mosaic Health and Healing Arts. “Studies show that when gender dysphoria is treated with gender-affirming care, the risk of self-harming behaviors, including suicide, diminishes. When politicians require us to deny essential lifesaving care, they ignore science and instead mandate harm and endanger lives. To our gender diverse community, we see you, we stand with you, and we know the gifts you bring to the world because we experience them every day.”
Today’s lawsuit is one of many legal challenges in response to a record-setting year of legislative attacks on transgender people, particularly transgender youth, across the country.
“We are honored to fight alongside these plaintiff families and medical providers to challenge this unconstitutional and illegal intrusion into the rights of adolescents, their parents, and the medical providers who care for them,” said Chase Strangio, deputy director for transgender justice with the ACLU’s LGBTQ & HIV Project. “As we have seen across the country, these laws do not stand up when tested in court. This care is well-studied and widely accepted. And we know as trans people who have benefited from this treatment that stripping it away from us only causes harm and does nothing to protect children.”
The lawsuit was filed by the ACLU of Indiana and ACLU National.
LGBTQ Rights
K.C. v. Medical Licensing Board of Indiana
LGBTQ Rights
K.C. v. Medical Licensing Board of Indiana
Learn More About the Issues in This Press Release
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Press ReleaseDec 2024
LGBTQ Rights
President Biden Must Veto Defense Bill Attacking Military Families with Transgender YouthPresident Biden Must Veto Defense Bill Attacking Military Families with Transgender Youth
WASHINGTON — The U.S. Senate today passed a version of the National Defense Authorization Act that would ban coverage for gender-affirming care for transgender youth whose parents are active-duty military personnel. The American Civil Liberties Union is opposing final passage of the defense bill over the inclusion of this health care ban and calling on President Joe Biden to veto the bill. Section 708 of the NDAA would prohibit insurance coverage for “medical interventions for the treatment of gender dysphoria” such as hormone therapy and puberty-suppressant medications, which Speaker Mike Johnson says would “permanently ban transgender medical treatment for minors.” The same treatments would be covered by TRICARE for any medical purpose other than treating gender dysphoria, the clinical diagnosis for the psychological distress experienced by transgender people related to their gender identity. “By passing this bill, the House and Senate are forcing thousands of active-duty service members to choose between their careers in the military and the future of their transgender children,” said Mike Zamore, national director of policy & government affairs at the ACLU. “This unconscionable and unjustifiable attack on those families stands in direct contrast to President Joe Biden’s legacy of defending the civil rights of transgender Americans — including when few in his own party showed the courage to do so. President Biden should cement his legacy by vetoing this bill and sending it back to Congress to pass without Speaker Johnson’s last minute health care ban for servicemembers’ kids.” If signed by President Biden, this health care ban would be the first new anti-LGBTQ provision enacted by Congress and signed into law by the president since the enactment of the military’s since-repealed “Don’t Ask, Don’t Tell” policy for LGBTQ servicemembers and the since-repealed federal law barring recognition of same-sex marriages known as the Defense of Marriage Act. It is unknown how many transgender youth are currently enrolled in TRICARE or how many of those enrolled are currently receiving coverage for gender-affirming care. In one 2022 analysis, 2,500 minor patients sought care for gender dysphoria through TRICARE Prime insurance at military or civilian treatment facilities in 2017, and 900 received puberty suppressants or gender-affirming hormones. Earlier this month, the Supreme Court heard oral arguments in a landmark case brought by the ACLU, the ACLU of Tennessee, Lambda Legal, and Akin Gump on behalf of three families and a medical provider challenging a Tennessee ban on gender-affirming hormonal therapies for transgender youth on the grounds the ban violates the Equal Protection Clause of the U.S. Constitution. -
Press ReleaseDec 2024
LGBTQ Rights
Montana Court Blocks State From Refusing to Correct Sex Markers on Transgender People's Birth Certificates and Driver's LicensesMontana Court Blocks State From Refusing to Correct Sex Markers on Transgender People's Birth Certificates and Driver's Licenses
HELENA, Mont. – A Montana court has granted a preliminary injunction preventing the state of Montana from enforcing policies that bar transgender people from obtaining accurate sex designations on their birth certificates and driver’s licenses. After a prior restriction on amendments of birth certificates was struck down by the courts, in early 2024 the state of Montana enacted a new rule that categorically bars transgender Montanans from correcting the sex designation on their birth certificates. Around the same time, the Montana Department of Justice adopted a policy similarly restricting amendment of driver’s licenses. The plaintiffs challenged these policies in state district court, arguing that they violate various constitutional provisions, including the right to equal protection of the law. In a recent Montana Supreme Court decision, two justices concluded that discrimination on the basis of transgender status – as the state is engaging in here – is a form of sex discrimination that violates the Montana Constitution’s equal protection clause. The plaintiffs, two transgender women, are represented by the American Civil Liberties Union, the ACLU of Montana, and Nixon Peabody LLP. Plaintiff Jessica Kalarchik, a veteran who served in the United States Army for 31 years, said: “After finally being able to live my life openly as the woman I know myself to be, I am frustrated that my birth state, Montana, wants me to carry around a birth certificate that incorrectly lists my sex as male. I live my life openly as a woman, I am treated as a woman in my daily life, and there is no reason I should be forced to carry a birth certificate that incorrectly identifies me as male. Fortunately, the court agrees that this ridiculous policy should not be in effect.” “Once again the State of Montana chose to adopt a draconian policy that is clearly intended to marginalize transgender Montanans, only for that discriminatory action to be blocked by the courts,” said Akilah Deernose, executive director for the ACLU of Montana. “Here in Montana we treasure our right to privacy and to live our lives free from governmental intrusion. The State of Montana clearly has not learned any lessons from the past few years, where courts have repeatedly struck down unconstitutional laws targeting transgender Montanans.” “Forcing anyone to carry documents that contradict their identity unjustly violates their rights to privacy, equal treatment, and not being compelled to convey a government message about their sex that they disagree with,” said Malita Picasso, staff attorney for the ACLU’s LGBTQ & HIV Project. “Such a policy marks transgender people for further mistreatment and discrimination, essentially requiring them to carry papers that out them as transgender any time they need to provide identity documents. Fortunately, the court has refused to allow the state of Montana to subvert the freedom of transgender Montanans to control their own identity as this case goes forward.” In granting the plaintiffs’ motion for a preliminary injunction, the court held, “[i]f the challenged state actions discriminate against transgender individuals on the basis of their transgender status, they also necessarily discriminate the basis of sex.” The state has the option of appealing the district court’s ruling to the Montana Supreme Court, but the underlying case will proceed in district court. A trial has not yet been scheduled. -
FloridaDec 2024
LGBTQ Rights
Keohane v. DixonKeohane v. Dixon
On September 30, 2024, the Florida Department of Corrections rescinded its policy regarding treatment of gender dysphoria, which allowed for hormone therapy when deemed medically necessary, as well as access to clothing and grooming standards that accord with one’s gender identity. Under this new policy, grooming and clothing accommodations have been stripped away, and hormone therapy is not permitted unless an exception is deemed constitutionally required. The ACLU brought a class action challenging the policy. -
IdahoDec 2024
LGBTQ Rights
Robinson v. LabradorRobinson v. Labrador
Two incarcerated transgender women have sued the state of Idaho alleging that HB 688, a 2024 law barring state funding for gender-affirming medical care for transgender people, denies them access to the health care their doctors have prescribed for them and is a violation of their Eighth Amendment right to be free from cruel and unusual punishment. They represent a class of all incarcerated folks within the state of Idaho who face the loss of hormone therapy due to HB 668.