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Transgender Pride flag in the shape of a heart.

U.S. Court of Appeals for the Fourth Circuit Rules for Coverage of Gender Affirming Care

April 29, 2024

WASHINGTON—Today, the U.S. Court of Appeals for the Fourth Circuit reaffirmed that gender affirming care is necessary medical care, and transgender and nonbinary North Carolinians and West Virginians can rely on government-provided insurance, including Medicaid, for their vital health coverage, like every other American.

PFLAG National applauds today’s decision by the U.S. Court of Appeals for the Fourth Circuit to reaffirm that laws that discriminate in healthcare, that ban certain vulnerable neighbors from accessing care covered for others, are unconstitutional. Health care works best when you can get the care you need when you need it, whether you’re transgender or not.

Transgender and nonbinary people belong—in our families, our communities, our workplaces, our schools, and our country—and PFLAG will not rest until every LGBTQ+ person is safe, celebrated, affirmed and loved.

Brian K. Bond (he/him), CEO of PFLAG National


About PFLAG

PFLAG is an organization of LGBTQ+ people, parents, families, and allies who work together to create an equitable and inclusive world. We are hundreds of thousands of people and hundreds of chapters from coast to coast who are leading with love to support families, educate allies, and advocate for just, equitable, and inclusive legislation and policies. Since our founding in 1973, PFLAG works every day to ensure LGBTQ+ people everywhere are safe, celebrated, empowered and loved. Learn more, find support, donate, and take action at PFLAG.org.

Media Contact

Laura McGinnis (she/her),
Sr. Manager, Press and Public Relations

[email protected]  |  (202) 864-2247