Local
D.C. requires insurers to cover gender reassignment
Mayor bans insurance discrimination against trans residents

‘Treatment of individuals diagnosed with gender dysphoria is a covered benefit in all individual and group insurance plans in the District of Columbia, including Medicaid,’ said Mayor Vincent Gray. (Washington Blade photo by Michael Key)
D.C. Mayor Vincent Gray announced on Thursday that health insurance companies doing business in the District must provide full coverage for medically recognized treatments to help transgender people change their gender, including gender reassignment surgery.
At a news conference in a meeting room outside his office, Gray said the city’s Department of Insurance, Securities, and Banking issued a bulletin directing insurers to recognize a condition known as gender dysphoria, or gender identity disorder, as a medical condition to be covered by insurance plans.
Transgender advocates note that the American Medical Association and the American Psychiatric Association recognize gender dysphoria as a diagnosable condition through which physicians and other health care professional provide a wide range of approved medical treatments to assist people in transitioning from one gender to another.
“Today, the District takes a major step toward leveling the playing field for individuals diagnosed with gender dysphoria,” Gray said. “These residents should not have to pay exorbitant out-of-pocket expenses for medically necessary treatment when those without gender dysphoria do not,” he said.
“I’m clarifying today that treatment of individuals diagnosed with gender dysphoria is a covered benefit in all individual and group insurance plans in the District of Columbia, including Medicaid,” Gray said.
Gray’s remark drew a prolonged, standing ovation from LGBT activists, including transgender advocates, who gathered in the mayor’s ceremonial bill-signing room where Gray held his news conference.
“Those who know me know how proud I am that the District continues to be on the cutting edge and on the forefront when it relates to equality and fairness for its LGBTQ residents,” Gray said.
The bulletin, which the city sent to insurance companies on the day of Gray’s announcement, cites the D.C. Human Rights Act as among the legal grounds being used to require insurers to cover transgender related treatments. The Human Rights Act, among other categories, bans discrimination based on gender identity and expression as well as sexual orientation.
The bulletin cites the D.C. Unfair Insurance Trade Practices Act of 2001 as further grounds for not allowing insurers to exclude coverage of trans-related treatments from their insurance plans.
Among those speaking at the news conference was Mara Keisling, executive director of the D.C.-based National Center for Transgender Equality, which worked with the mayor’s office and insurance department officials to help draft the four-page bulletin.
Keisling said Gray’s action places D.C. among just five states that have adopted similar policies requiring insurers to cover treatments such as gender reassignment surgery and hormone therapy to assist an individual’s transition to another gender.
Those states are California, Oregon, Colorado, Vermont and Connecticut.
“This is really significant,” Keisling told the Blade after the news conference. “It means that transgender people in D.C. now can make their health care decisions with their doctor rather than with their insurance companies,” she said.

Mara Keisling, executive director of the National Center for Transgender Equality. (Washington Blade photo by Michael Key)
Asked what treatments are involved in a gender transition, Keisling said experts with the World Professional Association for Transgender Health Standards of Care (WPATH) have developed a wide range of treatments that may vary from person to person depending on individual needs.
“It’s a whole range of transition-related care — everything from diagnostic visits to experts in the field,” Keisling said. “It can mean hormone treatments. It can mean lab tests to make sure your hormones are working correctly and not causing any harm. There are various kinds of surgeries that transgender people may need. So it covers a whole range of things.”
D.C. transgender activist Andy Bowen, who recently joined the staff of the NCTE as a policy associate, called the D.C. initiative announced by Gray the most comprehensive among the states that have adopted similar policies.
“If you look at some of the other states they say they’re not going to cover some treatments,” Bowen said. “D.C. has not done that. It just said that if it’s one of the WPATH treatments we’re going to cover it. And that’s amazing to hear a government be that unequivocal about it.”
Philip Barlow, the city’s Associate Commissioner of Insurance, said after the news conference that requiring health insurance companies to cover the medical treatments for transgender people would likely result in a small increase in premiums over a period of time.
“It will just be incorporated into the general cost and utilization that insurers use in coming up with future rate increases,” he said. “But we don’t really anticipate it to have a significant impact on the rates.”
Michael Silverman, executive director of the New York-based Transgender Legal Defense and Education Fund, praised Gray for taking action that he said would “end health care discrimination against transgender residents of Washington, D.C.”
The bulletin issued by the city’s Department of Insurance that directs insurers to provide full coverage for medically approved treatments to transgender individuals in D.C. can be obtained here.
Virginia
DOJ seeks to join lawsuit against Loudoun County over trans student in locker room
Three male high school students suspended after complaining about classmate
The Justice Department has asked to join a federal lawsuit against Loudoun County Public Schools over the way it handled the case of three male high school students who complained about a transgender student in a boys’ locker room.
The Washington Blade earlier this year reported Loudoun County public schools suspended the three boys and launched a Title IX investigation into whether they sexually harassed the student after they said they felt uncomfortable with their classmate in the locker room at Stone Bridge High School in Ashburn.
The parents of two of the boys filed a lawsuit against Loudoun County public schools in U.S. District Court for the Eastern District of Virginia in Alexandria. The Richmond-based Founding Freedoms Law Center and America First Legal, which White House deputy chief of staff Stephen Miller co-founded, represent them.
The Justice Department in a Dec. 8 press release announced that “it filed legal action against the Loudoun County (Va.) School Board (Loudoun County) for its denial of equal protection based on religion.”
“The suit alleges that Loudoun County applied Policy 8040, which requires students and faculty to accept and promote gender ideology, to two Christian, male students in violation of the Equal Protection Clause of the 14th Amendment to the U.S. Constitution,” reads the press release.
Assistant Attorney General Harmeet K. Dhillon of the Justice Department’s Civil Rights Division in the press release said “students do not shed their First Amendment rights at the schoolhouse gate.”
“Loudoun County’s decision to advance and promote gender ideology tramples on the rights of religious students who cannot embrace ideas that deny biological reality,” said Dhillon.
Outgoing Virginia Gov. Glenn Youngkin and outgoing Virginia Attorney General Jason Miyares in May announced an investigation into the case.
The Virginia Department of Education in 2023 announced the new guidelines for trans and nonbinary students for which Youngkin asked. Equality Virginia and other advocacy groups claim they, among other things, forcibly out trans and nonbinary students.
The U.S. Department of Education’s Office of Civil Rights in February launched an investigation into whether Loudoun County and four other Northern Virginia school districts’ policies in support of trans and nonbinary students violate Title IX and President Donald Trump’s executive order that prohibits federally funded educational institutions from promoting “gender ideology.”
District of Columbia
Capital Pride announces change in date for 2026 D.C. Pride parade and festival
Events related to U.S. 250th anniversary and Trump birthday cited as reasons for change
The Capital Pride Alliance, the D.C. based group that organizes the city’s annual LGBTQ Pride events, has announced it is changing the dates for the 2026 Capital Pride Parade and Festival from the second weekend in June to the third weekend.
“For over a decade, Capital Pride has taken place during the second weekend in June, but in 2026, we are shifting our dates in response to the city’s capacity due to major events and preparations for the 250th anniversary of the United States,” according to a Dec. 9 statement released by Capital Pride Alliance.
The statement says the parade will take place on Saturday, June 20, 2026, with the festival and related concert taking place on June 21.
“This change ensures our community can gather safely and without unnecessary barriers,” the statement says. “By moving the celebration, we are protecting our space and preserving Pride as a powerful act of visibility, solidarity, and resistance,” it says.
Ryan Bos, the Capital Pride Alliance CEO and President, told the Washington Blade the change in dates came after the group conferred with D.C. government officials regarding plans for a number of events in the city on the second weekend in June. Among them, he noted, is a planned White House celebration of President Donald Trump’s 80th birthday and other events related to the U.S. 250th anniversary, which are expected to take place from early June through Independence Day on July 4.
The White House has announced plans for a large June 14, 2026 celebration on the White House south lawn of Trump’s 80th birthday that will include a large-scale Ultimate Fighting Championship (UFC) event involving boxing and wrestling competition.
Bos said the Capital Pride Parade will take place along the same route it has in the past number of years, starting at 14th and T Streets, N.W. and traveling along 14th Street to Pennsylvania Ave., where it will end. He said the festival set for the following day will also take place at its usual location on Pennsylvania Avenue, N.W., between 2nd Street near the U.S. Capitol, to around 7th Street, N.W.
“Our Pride events thrive because of the passion and support of the community,” Capital Pride Board Chair Anna Jinkerson said in the statement. “In 2026, your involvement is more important than ever,” she said.
District of Columbia
Three women elected leaders of Capital Pride Alliance board
Restructured body includes chair rather than president as top leader
The Capital Pride Alliance, the D.C.-based group that organizes the city’s annual LGBTQ Pride events, announced it has restructured its board of directors and elected for the first time three women to serve as leaders of the board’s Executive Committee.
“Congratulations to our newly elected Executive Officers, making history as Capital Pride Alliance’s first all-women Board leadership,” the group said in a statement.
“As we head into 2026 with a bold new leadership structure, we’re proud to welcome Anna Jinkerson as Board Chair, Kim Baker as Board Treasurer, and Taylor Lianne Chandler as Board Secretary,” the statement says.
In a separate statement released on Nov. 20, Capital Pride Alliance says the restructured Board now includes the top leadership posts of Chair, Treasurer, and Secretary, replacing the previous structure of President and Vice President as the top board leaders.
It says an additional update to the leadership structure includes a change in title for longtime Capital Pride official Ryan Bos from executive director to chief executive officer and president.
According to the statement, June Crenshaw, who served as acting deputy director during the time the group organized WorldPride 2025 in D.C., will now continue in that role as permanent deputy director.
The statement provides background information on the three newly elected women Board leaders.
• Anna Jinkerson (chair), who joined the Capital Pride Alliance board in 2022, previously served as the group’s vice president for operations and acting president. “A seasoned non-profit executive, she currently serves as Assistant to the President and CEO and Chief of Staff at Living Cities, a national member collaborative of leading philanthropic foundations and financial institutions committed to closing income and wealth gaps in the United States and building an economy that works for everyone.”
• Kim Baker (treasurer) is a “biracial Filipino American and queer leader,” a “retired, disabled U.S. Army veteran with more than 20 years of service and extensive experience in finance, security, and risk management.” She has served on the Capital Pride Board since 2018, “bringing a proven track record of steady, principled leadership and unwavering dedication to the LGBTQ+ community.”
• Taylor Lianne Chandler (Secretary) is a former sign language interpreter and crisis management consultant. She “takes office as the first intersex and trans-identifying member of the Executive Committee.” She joined the Capital Pride Board in 2019 and previously served as executive producer from 2016 to 2018.
Bos told the Washington Blade in a Dec. 2 interview that the Capital Pride board currently has 12 members, and is in the process of interviewing additional potential board members.
“In January we will be announcing in another likely press release the full board,” Bos said. “We are finishing the interview process of new board members this month,” he said. “And they will take office to join the board in January.”
Bos said the organization’s rules set a cap of 25 total board members, but the board, which elects its members, has not yet decided how many additional members it will select and a full 25-member board is not required.
The Nov. 20 Capital Pride statement says the new board executive members will succeed the organization’s previous leadership team, which included Ashley Smith, who served as president for eight years before he resigned earlier this year; Anthony Musa, who served for seven years as vice president of board engagement; Natalie Thompson, who served eight years on the executive committee; and Vince Micone, who served for eight years as vice president of operations.
“I am grateful for the leadership, dedication, and commitment shown by our former executive officers — Ashley, Natalie, Anthony, and Vince — who have been instrumental in CPA’s growth and the exceptional success of WorldPride 2025,” Bos said in the statement.
“I look forward to collaborating with Anna in her new role, as well as Kim and Taylor in theirs, as we take on the important work ahead, prepare for Capital Pride 2026, and expand our platform and voice through Pride365,” Bos said.
