The American Civil Liberties Union of Iowa filed a complaint with the Iowa Civil Rights Commission against The Iowa Department of Corrections for denying a nurse at the facility use of the restrooms and locker rooms that align with his gender identity and necessary medical treatment because he is transgender. The complaint was co-filed with the ACLU and cooperating attorney Melissa Hasso with the Sherinian & Hasso Law Firm in West Des Moines.

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.