Fourth Circuit Rules NC Can Be Sued for Violating ACA Over Anti-Trans State Employee Health Care Plan
Q Notes Carolinas reports that The U.S. Court of Appeals for the Fourth Circuit upheld a district court ruling September 1, determining that the North Carolina State Health Plan for Teachers and Employees, a state entity, could be sued under the nondiscrimination provision of the Affordable Care Act for denying comprehensive gender-affirming health care coverage. Lambda Legal and Transgender Legal Defense & Education Fund (TLDEF) filed the case, Kadel v. Folwell, in 2019 against North Carolina officials for discrimination in the state employee health care plan, which covers around 720,000 employees and retirees and has a categorical exclusion of treatment for gender dysphoria.
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