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Transgender health care bill passes in Md. House committee

Trans Health Equity Act of 2022 passed by 14-8 vote margin

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(Photo by Chad Zajdowicz by Flickr)

A bill that would require Maryland’s Medicaid program to provide coverage for gender-affirming treatment for transgender people passed in a Maryland House of Delegates committee on Friday.

The House Health and Government Operations Committee passed the Trans Health Equity Act of 2022 by a 14-8 vote margin. It will proceed to the House floor next week for consideration.

Legislators who sponsored the bill include state Sen. Mary Washington (D-Baltimore City), who believes that the committee vote is “a promising step in the right direction.”

“It’s been eight years since we passed legal protections outlawing discrimination against trans people in the areas of employment, housing, public accommodations and credit,” she said in an email statement to the Washington Blade. “We are one step closer to enhancing these basic economic civil rights with the passage of a bill that protects the public health and safety of all LGBTQ people.”

Washington also added that the bill will remove barriers within the Medicaid program to cover the full range of gender affirming treatment and procedures for low-income people. 

According to the bill’s revised fiscal and policy note, Medicaid would be required to cover individual procedures that range from less than $800 for voice therapy to more than $25,000 for facial feminization or masculinization surgeries. 

This would increase Medicaid expenditures by $52,743 for individuals who are transitioning from male to female and $52,493 for individuals who are transitioning from female to male. The bill would also increase the number of Medicaid enrollees seeking treatment to 25 people a year, according to the Maryland Department of Health. 

Prior to the vote, the Blade spoke to activists who attended a rally on Thursday in Annapolis in support of the Trans Health Equity Act. 

Trans Maryland, Annapolis Pride and Baltimore Safe Haven, among other advocacy groups, organized the rally.

“It was a beautiful expression of trans resilience and pride at a time when so many states are attacking trans rights,” said Sam Williamson, a Skadden Fellow for Homeless Persons Representation Project, which provides free legal services for low-income persons who are homeless or at risk of homelessness.

“This bill will save lives and bring Maryland Medicaid up-to-date with the leading medical standards for gender-affirming care,” they said. 

Other activists also expressed faith in the bill’s future, given its prior success in the Senate. 

“I feel good about it having passed the Senate, which is usually the more difficult chamber to get things out of,” said CP Hoffman, policy director at FreeState Justice, an organization that provides legal services and policy advocacy to trans individuals in the state. 

Hoffman is also a practicing lawyer and member of the Maryland State Bar Association. 

“Usually, I try to stay cautiously optimistic with all bills until they’ve passed every chamber,” they added. 

Optimism among advocacy groups in the state isn’t blind. 

Legal action will be imminent if Republican Gov. Larry Hogan doesn’t sign the bill into law.

“We are considering filing a complaint with the U.S. Department of Health and Human Services and bringing a federal discrimination action under Section 1557 of the Affordable Care Act,” said Hoffman.

FreeState Justice in the past has helped pass comprehensive non-discrimination state laws in favor of LGBTQ healthcare provisions.

In 2020, it helped overturn an archaic state law that prohibited nursing homes and hospitals from discriminating on the basis of race or national identity, but not sexuality. It also had health insurance non-discrimination rules, under the Affordable Care Act, written into state law so health insurers can’t discriminate on the basis of sexual orientation, gender identity, race, national origin and sex, among other identity markers.

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Maryland

Advocates for trans students urge Md. to fight White House threats

Four school districts under federal investigation

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(Washington Blade photo by Michael Key)

By JESSICA CALEFATI | Allies of transgender children are urging state education officials to fight back against the Trump-Vance administration, which has threatened to punish a growing number of Maryland school districts over local policies that affirm students’ gender identities.

The advocates testified Tuesday morning before the Maryland State Board of Education — one day after the U.S. Education and Justice departments alleged that Anne Arundel County’s school system violated federal student privacy law by withholding a student’s gender identity from their parents. A spokesperson for the district said Monday legal counsel had not yet reviewed the claims and that the district had no further comment.

School districts in Prince George’s, Montgomery, and Frederick Counties were already under investigation for allegedly violating Title IX, the civil rights law that prohibits sex-based discrimination. The federal government last month threatened to revoke funding from the districts because they allow trans students to use restrooms and locker rooms that align with their identities.

The rest of this article can be read on the Baltimore Banner’s website.

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Maryland

White House threatens Anne Arundel schools over gender identity policy

District faces possible legal action or loss of federal funding

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The U.S. Education and Justice Departments together determined Anne Arundel County’s school system violated federal student privacy law by withholding information about a student’s gender identity from the child’s parents. (Photo by Ulysses Muñoz for the Baltimore Banner)

By JESSICA CALEFATI | The Trump-Vance administration on Monday threatened to punish Anne Arundel County’s school system with legal action or the loss of federal funding for allegedly withholding information about a student’s gender identity and transition from the child’s parents.

The U.S. Education and Justice Departments together determined that the suburban Maryland district treats students’ gender identities as confidential medical information that cannot be shared with parents, in violation of federal student privacy law, according to a news release. A federal lawsuit filed against the district earlier this month made similar claims.

“As a mother and a grandmother, it is unconscionable that any school district would hide the most sensitive information about children in their care from their own parents,” U.S. Secretary of Education Linda McMahon said in a statement. “This is not only an affront to basic moral principles, but also to parents’ rights under federal law.”

The rest of this article can be read on the Baltimore Banner’s website.

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Maryland

Christa Tichy hopes to preserve LGBTQ representation in Md. House of Delegates

Queer Democrat running to succeed retiring state Del. Bonnie Cullison

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Christa Tichy on the campaign trail. She is running to succeed retiring Maryland state Del. Bonnie Cullison (D-Montgomery County). (Photo courtesy of Tichy's campaign)

When longtime Maryland state Del. Bonnie Cullison (D-Montgomery County) announced she would retire, Christa Tichy immediately saw an opportunity.

The queer Democrat advanced from the June primary and will appear on the November ballot, hoping to succeed one of Maryland’s first openly LGBTQ legislators and preserve LGBTQ representation in Annapolis.

“But when Bonnie made that announcement, I knew right away that that’s what I was supposed to do,” Tichy told the Washington Blade during a recent interview. She always felt connected to Cullison’s background, which she said is very similar to her own.

Some of these shared traits include a background in teaching and a strong connection to Leisure World of Maryland. Cullison has inspired her in the past and feels motivated to take her place. She had always hoped to be her successor.

Besides their shared background, she also understands how important it is under the Trump-Vance administration to advocate for LGBTQ rights, as Cullison had in the past.

“I think there’s a lot of fears with the present administration of losing certain rights. And you know, Bonnie was a big advocate for marriage equality. I want to continue that, and you know, make sure that legislation that protects that is in place,” Tichy said.

Beyond specific policy priorities, Tichy said preserving LGBTQ representation in the General Assembly was equally important.

“I mean, of all the candidates that ran, I was the only female. […] I thought we needed that voice. We could not just let that voice be forgotten,” Tichy said.

Tichy said she believes serving in the Maryland General Assembly is where she can have the greatest impact on the issues she cares most about; including education, labor, and working families.

“I knew that this was my passion, and I felt this is where I could be most effective on a state level when it came to education, labor, for working with families,” Tichy said.

Throughout the campaign, Tichy said one unexpected source of enthusiasm came from her personal life. She and her now-wife, Jodie Bekman, were married during the campaign, and constituents closely followed their journey.

“A lot of my constituents knew that I was engaged in getting married, and they met my now wife, and our marriage was like part of the campaign,” Tichy said. “So, like our ring, the date, […], Jodie would come along with me just about at every event, so people got to know her and couldn’t help but like her.”

She believes that openness helped voters connect with her campaign on a personal level.

“I think there was an energy and an excitement to seeing two people that much in love that actually could win. I think that all contributed to it,” Tichy said.

From left: Christa Tichy and her wife, Jodie Bekman (Photo courtesy of Tichy’s campaign)

Tichy also credited support from other LGBTQ elected officials, including state Del. Kris Fair (D-Frederick County), who chairs Maryland’s LGBTQ+ Caucus, and Montgomery County Councilmember Evan Glass. She said Fair was among the first elected officials to publicly endorse her campaign.

She also praised the volunteers who helped propel her through the primary election, from canvassing neighborhoods to enduring rainy weather on Election Day.

“When I think of how they stood out […] in the rain on election day with raincoats and umbrellas pouring down, holding walk cards that were like just folding over. They were so wet and damp. That’s the type of dedication that we had,” Tichy said.

Outside of politics, Tichy has built a career breaking barriers in the skilled trades. She became Maryland’s first female licensed Master Electrician and now teaches electrical trade courses, helping students prepare for careers in the field.

She said many of her students come from underserved communities and that helping them find stable careers has reinforced her commitment to workforce development.

A lot of her policies focus on workforce development and encouraging more women to join career trades. 

Her experiences in the electrical trade also shaped many of her policy priorities. Tichy said she has advocated for better workplace conditions, including properly fitting equipment for women and paid time off for workers who were often reluctant to take leave.

Working in a male-dominated profession, she said, was not always easy.

“I remember how many times I wanted to say, ‘I’m going to give up. I’m not going to do this. It’s too hard,’ and I always thought — I’m a mom. I have, you know, four boys now, but they needed me, and I was all they had, right?” Tichy said.

Looking ahead to November, Tichy said she hopes to continue the success of her campaign thus far and to keep reaching out to her community for support.

“Our diversity is our greatest strength, and by working together, there is no challenge we cannot overcome,” she said in a statement after winning the Democratic primary.

Other LGBTQ candidates also advanced to the general election, which can be found here.

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