Court ruling limiting adult gender-affirming Medicaid coverage could have national impacts

By: Nada Hassanein

Outlets: Stateline

Published: April 24, 2026

Words: 1,360

Last Updated: 3 months, 1 week ago

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A U.S. appeals court ruling last month that upheld West Virginia’s ban on Medicaid coverage for adult gender-affirming surgeries could embolden other states seeking to impose similar restrictions.

The 4th U.S. Circuit Court of Appeals in March overturned a lower court decision in Anderson v. Crouch that had reversed West Virginia’s ban on Medicaid coverage for adult gender-affirming surgeries. The lower court ruled that the ban was discriminatory.

The decision came after the Supreme Court …

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