EerieAnna Good and Carol Beal are two women whose medical providers determined that surgery was medically necessary to treat their gender dysphoria, but the Iowa Department of Human Services denied them Medicaid coverage for the surgery. In March 2019, the Iowa Supreme Court ruled that the Department’s ban on coverage violated the Iowa Civil Rights Act and affirmed the district court’s ruling that EerieAnna and Carol are entitled to coverage for the gender affirming surgery they need.

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.

The American Civil Liberties Union and the American Civil Liberties Union of Colorado filed a discrimination charge against InnoSource Inc. on behalf of Dashir Moore, a 32-year-old transgender man who was denied health care coverage for treatment of gender dysphoria and subsequent transition-related care. Insurance carve-outs for transition-related care are illegal, yet two days after his surgery Mr. Moore was informed that his insurance company had denied the claim and he began receiving bills from the hospital, which eventually totaled nearly $30,000.

Following the U.S. Supreme Court’s historic marriage equality ruling in 2015, Rowan County Clerk Kim Davis refused to issue any marriage licenses because of her personal, religious opposition to marriage for same-sex couples. The ACLU and the ACLU of Kentucky won a preliminary injunction on behalf of Rowan County couples enabling them to marry.