On April 8, 2022, Alabama Governor Kay Ivey signed into law SB 184. The law directly targets transgender adolescents and their families by imposing criminal penalties on any individual, including parents and healthcare providers, who facilitate or provide essential medical care to transgender adolescents for the treatment of gender dysphoria.

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.

On September 26, 2016, the mother of a transgender teenaged boy who was admitted into Rady Children’s Hospital-San Diego (RCHSD) for inpatient care filed a lawsuit against the hospital for discrimination against her son, Kyler. One day into his 72-hour stay, and after several failed attempts by his mother to correct the discrimination by the hospital, the hospital’s psychiatrist determined that despite his serious mental health issues, Kyler should be discharged early. About five weeks later, Kyler died by suicide.

NCLR, along with co-counsel Rifkin Law Office, Hadsell Stormer & Renick LLP, and Ferguson Durham, PLLC, represents Adree Edmo, a Native American transgender woman in the custody of the Idaho Department of Correction (IDOC).

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.

On December 2, 2019, NCLR filed an amicus brief in the United States Supreme Court. The case involves a challenge to a law in Louisiana that would force all but one abortion clinic in that state to close, a law that is virtually identical to one in Texas that the Supreme Court struck down as unconstitutional just three years ago in the landmark case <em>Whole Woman’s Health v. Hellerstedt</em>.

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.

In 2019, NCLR and other LGBTQ organizations filed briefs in multiple challenges to the Trump administration’s domestic “gag rule.” The cases concern a set of regulations from the Department of Health and Human Services that require clinics that provide the full range of reproductive health care – family planning and abortion – to create complete physical and financial separation between abortion and family planning services.

NCLR filed an amicus brief in Minton v. Dignity Health, a case brought by Evan Minton, a transgender man whose hysterectomy was suddenly cancelled by a Dignity Health hospital due to religious reasons after the hospital learned Mr. Minton was transgender.