The American Civil Liberties Union filed a federal lawsuit against the fifth largest health care system in the U.S., Dignity Health, because it denies transgender employees health insurance coverage for medically necessary transition-related health care.

The American Civil Liberties Union and the ACLU of Minnesota filed a lawsuit in Minnesota State Court to challenge the coverage ban on transition-related surgery for transgender people on Medical Assistance and MinnesotaCare, the state’s public insurance programs for low-income residents.