Maryland expands gender-affirming care for trans people on Medicaid

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Maryland expands gender-affirming care for trans people on Medicaid
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Democrats say the legislation sends a practical and symbolic message at a time of unprecedented targeting of transgender people by politicians in GOP-leaning states.

In Maryland, Moore pledged to sign the bill expressly allowing it for Medicaid recipients before it had passed, telling the LGBTQ+ Caucus at a private gathering it is a civil rights issue.“We’ve got to keep fighting,” Moore said “We should not be asking any Marylander to validate their humanity.”

Legislative analysts estimated the Maryland law would impact roughly two dozen people per year on Medicaid, which provides taxpayer-funded health care for low-income people. Maryland Republicans had strenuously objected to the legislation during the 90-day session that ended last month, conducting hours of emotional and at times graphic debate.

Their arguments ranged from the mental health concerns of transgender children to the process of attaching a penis from a cadaver to someone who wanted to reverse a gender reassignment surgery. Del. Mark N. Fisher , called gender-affirming care “mutilation” and said it was unfair Medicaid recipients undergoing transition could have their eggs frozen at taxpayer expense when other Medicaid recipients, such as those undergoing cancer treatments, could not.

“Down the road, people in here with a deep conscience will regret how they behaved today,” Del. Lauren R. Arikan said in March, as her colleagues voted down an amendment to weaken the law. “There will be someone in your office crying because of what happened to them asking you, ‘Why didn’t you protect me?’”

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