Cases & Advocacy


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D.H. v. Snyder

D.H. and John Doe are transgender teenagers who require male chest reconstruction surgery to treat their gender dysphoria. Arizona is refusing to cover this medically necessary treatment because of a categorical exclusion on covering surgical treatments for gender dysphoria in the state’s Medicaid regulations.


Koran v. OPM

Amelie Koran is a federal employee who was denied coverage for transition-related care under the Federal Employees Health Benefits Program (FEHB). The federal Office of Personnel Management is the agency responsible for administering the FEHB, which provides health insurance coverage for millions of current and former federal employees across the country.


Doe v. Trump and Stockman v. Trump

NCLR and GLBTQ Legal Advocates & Defenders (GLAD) represent the plaintiffs in two major lawsuits challenging President Trump’s directive to reinstate a ban on transgender people serving in the military. The suits were filed on behalf of transgender service members with decades of combined military service.


Tingley v. Ferguson

In 2021, an anti-LGBTQ legal group filed a federal lawsuit in Washington to challenge the state’s ban on conversion therapy on behalf of Brian Tingley, a therapist and advocate of conversion therapy. NCLR successfully moved to intervene in the lawsuit on behalf of Equal Rights Washington, the state’s largest LGBTQ civil rights organization and a primary supporter of the law during the legislative process.


Ketcham v. Regence Bluecross Blueshield of Oregon

Christina Ketcham is a 60-year-old transgender woman who started her transition over four years ago and continues to experience significant distress from the incongruence between her typically masculine facial features and her identity as a woman. To alleviate that distress, Christina’s treating healthcare providers determined that certain facial feminization procedures are medically necessary to treat her gender dysphoria. But, the health insurance offered by her employer has a categorical exclusion for all facial feminization procedures.


Kevin Seaman and The Sisters of Perpetual Indulgence — Agreement with Lyft

Kevin Seaman, an interdisciplinary artist, cultural worker, and drag queen whose drag persona is LOL McFiercen, and The Sisters of Perpetual Indulgence, a leading-edge Order of queer and trans nuns devoted to community service and promoting human rights, have reached a collaborative agreement with Lyft to ensure individuals in the queer and drag communities are not discriminated against by drivers using Lyft’s platform.


Krall v. OPM

In May 2017, NCLR and Teresa Renaker of Renaker Hasselman LLP appealed a decision by the federal Office of Personnel Management (OPM) to collect an overpayment of benefits that resulted from decades of discrimination. After 38 years of service, when Ms. Krall notified OPM of her marriage to her loving partner of 21 years, OPM informed the couple that if they elected a survivor pension benefit, the couple would have to first repay hundreds of thousands of dollars of retirement benefits Ms. Krall received as a single life annuity.


Wade v. Starbucks Corp. Amicus

On August 21, NCLR and Lambda Legal led a coalition of LGBTQ advocacy organizations and legal aid groups in submitting a proposed amicus brief urging California’s Fifth Appellate District to reverse a trial court ruling against Maddie Wade, a former employee of Starbucks in Fresno. The case is Wade v. Starbucks Corporation.


Otto v. City of Boca Raton Amicus

In 2017, the City of Boca Raton, Florida, and the County of Palm Beach, Florida, each enacted local ordinances prohibiting state-licensed therapists from trying to change the sexual orientation or gender identity of a patient under 18 years old. Every leading medical and mental health organization in the country has warned that these practices do not work and put young people at risk of serious harm, including depression, substance abuse, and suicide.


New York v. U.S. Department of Health and Human Services and Other Lawsuits Challenging the “Denial of Care” Rule Amicus

In 2019, NCLR filed four amicus briefs in eight federal lawsuits challenging a regulation from the U.S. Department of Health and Human Services called “Protecting Statutory Conscience Rights in Health Care.” The Trump Administration’s regulation, more aptly referred to as the “denial of care” rule, would allow health care professionals to deny certain medical treatments or services to patients based on the provider’s own religious or moral beliefs.


G.G. v. Gloucester County School Board Amicus

Gavin Grimm transitioned in his sophomore year of high school and started using the boys’ restroom. Despite using the restroom for nearly two months without incident, the Gloucester County School Board adopted a policy prohibiting him and other transgender students from using the facilities that match their gender identity. Gavin sued his school district for violating federal law.

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