MAXWELL KADEL; JASON FLECK; CONNOR THONEN-FLECK; JULIA MCKEOWN; MICHAEL D. BUNTING, JR.; C.B., by his next friends and parents; SAM SILVAINE; DANA CARAWAY, Plaintiffs - Appellees, v. DALE FOLWELL, in his official capacity as State Treasurer of North Carolina; EXECUTIVE ADMINISTRATOR OF THE NORTH CAROLINA STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES, Defendants – Appellants, and NORTH CAROLINA STATE HEALTH PLAN FOR TEACHERS AND STATE EMPLOYEES; STATE OF NORTH CAROLINA DEPARTMENT OF PUBLIC SAFETY, Defendants.
No. 22-1721
UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT
April 29, 2024
Certiorari granted by Supreme Court, June 30, 2025; Vacated and remanded by Supreme Court, June 30, 2025; PUBLISHED
Amicus Supporting Appellants.
NEW YORK; CALIFORNIA; COLORADO; DELAWARE; HAWAI’I; ILLINOIS; MAINE; MARYLAND; MASSACHUSETTS; MINNESOTA; NEVADA; NEW JERSEY; NEW MEXICO; OREGON; RHODE ISLAND; VERMONT;
Amici Supporting Appellees.
Appeal from the United States District Court for the Middle District of North Carolina, at Greensboro. Loretta C. Biggs, District Judge. (1:19-cv-00272-LCB-LPA)
SHAUNTAE ANDERSON, individually and on behalf of all others similarly situated, Plaintiffs - Appellees, v. WILLIAM CROUCH, in his official capacity as Cabinet Secretary of the West Virginia Department of Health and Human Resources; CYNTHIA BEANE, in her official capacity as Commissioner for the West Virginia Bureau for Medical Services; WEST VIRGINIA DEPARTMENT OF HEALTH AND HUMAN RESOURCES, Bureau for Medical Services, Defendants – Appellants.
No. 22-1927
UNITED STATES COURT OF APPEALS FOR THE FOURTH CIRCUIT
April 29, 2024
STATE OF WEST VIRGINIA; COMMONWEALTH OF KENTUCKY; COMMONWEALTH OF VIRGINIA; STATE OF ALABAMA; STATE OF ALASKA; STATE OF ARKANSAS; STATE OF FLORIDA; STATE OF GEORGIA; STATE OF INDIANA; STATE OF IOWA; STATE OF KANSAS; STATE OF LOUISIANA; STATE OF MISSISSIPPI; STATE OF MISSOURI; STATE OF MONTANA; STATE OF NEBRASKA; STATE OF NORTH DAKOTA; STATE OF OHIO; STATE OF OKLAHOMA; STATE OF SOUTH CAROLINA; STATE OF TEXAS; STATE OF UTAH,
Amicus Supporting Appellants,
Amici Supporting Appellees.
Appeal from the United States District Court for the Southern District of West Virginia, at Huntington. Robert C. Chambers, District Judge. (3:20-cv-00740)
Argued: September 21, 2023 Decided: April 29, 2024
Before DIAZ, Chief Judge, WILKINSON, NIEMEYER, KING, GREGORY, AGEE, WYNN, THACKER, HARRIS, RICHARDSON, QUATTLEBAUM, RUSHING, HEYTENS, and BENJAMIN, Circuit Judges.
Affirmed by published opinion. Judge Gregory wrote the opinion, in which Chief Judge Diaz, Judge King, Judge Wynn, Judge Thacker, Judge Harris, Judge Heytens, and Judge Benjamin joined. Judge Richardson wrote a dissenting opinion, in which Judge Wilkinson, Judge Niemeyer, Judge Quattlebaum joined, and in which Judge Agee and Judge Rushing joined except for part II.A.3. Judge Wilkinson wrote a dissenting opinion. Judge Quattlebaum wrote a dissenting opinion, in which Judge Agee, Judge Richardson, and Judge Rushing joined.
No. 22-1721. ARGUED: John Guyton Knepper, LAW OFFICE OF JOHN G. KNEPPER, LLC, Cheyenne, Wyoming, for Appellants. Tara Lynn Borelli, LAMBDA LEGAL DEFENSE & EDUCATION FUND, INC., Decatur, Georgia, for Appellees. ON BRIEF: Kevin G. Williams, Mark A. Jones, BELL, DAVIS & PITT, P.A., Winston-Salem, North Carolina, for Appellants. Amy E. Richardson, Lauren E. Snyder, HWG LLP, Washington, D.C.; Michael W. Weaver, Chicago, Illinois, Dmitriy G. Tishyevich, Warren Haskel, MCDERMOTT WILL & EMERY, New York, New York; Carl S. Charles, Decatur, Georgia, Omar Gonzalez-Pagan, LAMBDA LEGAL DEFENSE AND EDUCATION FUND, INC., New York, New York; David P. Brown, Ezra Cukor, TRANSGENDER LEGAL DEFENSE & EDUCATION FUND, INC., New York, New York, for Appellees. Howard S. Suskin, Chicago, Illinois, Matthew D. Cipolla, New York, New York, Illyana A. Green,
No. 22-1927. ARGUED: Michael Ray Williams, OFFICE OF THE ATTORNEY GENERAL OF WEST VIRGINIA, Charleston, West Virginia, for Amicus Curiae. Caleb David, SHUMAN MCCUSKEY SLICER PLLC, Charleston, West Virginia, for Appellants. Tara Lynn Borelli, LAMBDA LEGAL DEFENSE & EDUCATION FUND, INC., Decatur, Georgia; Anna Purna Prakash, NICHOLAS KASTER, LLP, Minneapolis, Minnesota, for Appellees. ON BRIEF: Kimberly M. Bandy, Lou Ann S. Cyrus, Roberta F. Green, SHUMAN MCCUSKEY SLICER PLLC, Charleston, West Virginia, for Appellants. Avatara Smith-Carrington, Washington, D.C., Carl Charles, Decatur, Georgia, Nora Huppert,
These two cases present the same question: Do healthcare plans that cover medically necessary treatments for certain diagnoses but bar coverage of those same medically necessary treatments for a diagnosis unique to transgender patients violate either the Equal Protection Clause or other provisions of federal law? We hold that they do, and therefore affirm the judgments of the district courts.
***
North Carolina provides healthcare coverage to state employees and their dependents through its state-operated insurance plan, the North Carolina State Health Plan for Teachers and State Employees (“the Plan“). Though all healthcare covered by the Plan is medically necessary, the Plan does not cover all medically necessary healthcare. At issue here is the Plan‘s coverage exclusion of “[t]reatment or studies leading to or in connection with sex changes or modifications and related care.” Kadel, J.A. 181.
West Virginia‘s Medicaid Program (“the Program“) covers some gender-affirming care, but not gender-affirming surgery, or, as the Program calls it, “[t]ranssexual surgery.” Anderson, J.A. 934–35. The Program does, however, cover the same surgical procedures when conducted to treat non-gender dysphoria diagnoses. For example, the Program covers mastectomies to treat cancer, but not to treat gender dysphoria; breast-reduction surgery to treat excess breast tissue in cisgender men, but not to treat gender dysphoria in transgender men; and chest-reconstruction surgery for cisgender women post-mastectomy, but not for gender dysphoria in transgender women. Anderson, J.A. 304, 2385–96, 2403–08, 2412–15.
The district courts in both cases agreed with Appellees. They granted summary judgment in Appellees’ favor and enjoined Appellants from enforcing the coverage exclusions. Both sets of Appellants appealed those decisions. The North Carolina Appellants also appealed certain evidentiary rulings underlying the district court‘s judgment, and the West Virginia Appellants appealed the district court‘s denial of their motion for summary judgment, as well as the district court‘s certification of Appellees’ proposed class pursuant to
A. North Carolina‘s Health Plan
The North Carolina State Health Plan is part of the compensation package provided to state employees and the largest purchaser of healthcare and pharmaceuticals in North Carolina. J.A. 154.1 It funds healthcare for more than 740,000 teachers, legislators, state and local government employees, retirees, and their dependents. J.A. 160, 167. The Plan is administered by two third parties: BlueCross BlueShield North Carolina and CVS/Caremark. J.A. 156, 183. As third-party administrators, BlueCross and CVS process reimbursement claims from medical providers on behalf of Plan members. J.A. 184. The administrators do not, however, decide what benefits to cover. The State Health Plan alone does that. Id.
Each year, the State Health Plan publishes Plan Benefit Booklets that list the covered healthcare, as well as the coverage exclusions for healthcare it will not reimburse. J.A. 186. No procedural or diagnostic codes are assigned to the treatments listed in the booklet.2 But to receive reimbursement, a healthcare provider must submit a claim with
both of these codes, J.A. 185, so BlueCross, in consultation with Plan staff, assigns codes
At issue is a coverage exclusion for “[t]reatment or studies leading to or in connection with sex changes or modifications and related care.” J.A. 181. Except for the 2017 calendar year, this exclusion has been in effect and administered by BlueCross each year since the 1990s.4 Based on the exclusion, four procedures are not covered by the State Health Plan
“regardless of the diagnostic code“: “Intersex Surgery, Male to Female,” “Intersex Surgery,
North Carolina Appellees are members of the State Health Care Plan or their dependents. With the exception of next-friend Appellees, all Appellees are among the approximately 1.4 million people in the United States who identify as transgender. See generally J.A. 324–28, 342–46, 376–79, 389–93, 403–06; see also Brief of Amici Curiae the American Medical Association, et al., (Br. of Medical Amici) at 6. This means that their gender identity—that is, their deeply felt, inherent sense of their gender—is not aligned with their sex assigned at birth. This is in contrast to cisgender people‘s gender identity, which does align with their sex assigned at birth. Id. at 9. Each Appellee (with the exception of next friends) has also been diagnosed with gender dysphoria, J.A. 324–448, a condition characterized by clinically significant distress and anxiety resulting from the incongruence between an individual‘s gender identity and birth-assigned sex, see Am. Psychiatric Ass‘n, Diagnostic and Statistical Manual of Mental Disorders 451 (5th ed. 2013) (DSM-5).5 “If untreated, gender dysphoria can cause debilitating distress,
depression, impairment of function, self-mutilation to alter one‘s genitals or secondary sex
B. Kadel Procedural History
The North Carolina Appellees sued the Executive Administrator of the State Health Plan and State Treasurer Dale Folwell for their roles in the administration of the Plan. Appellees also sued the Plan itself.7 J.A. 47, 51, 53. They alleged violations of the Equal Protection Clause and
The parties then cross-moved for summary judgment. Appellees also moved to exclude Appellants’ expert testimony. As relevant to this appeal, the district court granted Appellees’ motion for summary judgment on their Equal Protection Claim and granted partial relief to Appellees on their motions to exclude evidence. J.A. 3701–13, 3674–99.8 The district court reserved judgment on the
On the Equal Protection claim, the district court concluded that the Plan‘s coverage exclusion facially discriminates based on sex and transgender status and, therefore, must
withstand intermediate scrutiny. It found no real dispute that the Plan‘s exclusion is not
The district court also granted in part and denied in part Appellees’ motions to exclude Appellants’ expert testimony. As a general matter, the district court excluded all of Appellants’ expert evidence that appeared to be based on unreliable methodology. J.A. 3685–86. The district court also rejected theories about the “Transgender Treatment Industry” as “speculation designed to distract or inflame the jury.” J.A. 3694. It also excluded testimony from Appellants’ experts opining on areas of medicine and science in which they had no specific experience or expertise. J.A. 3690–92.
At the same time, the district court held that testimony about issues directly within the experts’ professional purviews was admissible. For instance, the court found that Dr. Patrick Lappert, a surgeon, was qualified to opine on the risks associated with surgery used to treat gender dysphoria. J.A. 3692–93. It also found that Dr. Stephen Levine, a physician and professor of psychiatry, was qualified as a mental health provider and
Of Appellants’ five proposed experts, four were allowed to testify. Proposed testimony from the fifth expert, Dr. Peter Robie, was excluded because half of it was not expert testimony and the other half was irrelevant, the district court said. J.A. 3678–79.
C. West Virginia‘s Medicaid Program
Medicaid is a federal-state program that provides health insurance for low-income people. J.A. 2562–63;
For “categorically needy” populations,10 states must cover certain basic categories of services and may cover other optional categories of services.
(listing mandatory services). Some mandatory categories of services are inpatient hospital
The West Virginia Department of Health and Human Resources, Bureau of Medical Services, administers the state‘s Medicaid Program and receives funding from the U.S. Department of Health and Human Services. J.A. 2564. The Department‘s Cabinet Secretary and the Bureau‘s Commissioner, both of whom are named defendants, are responsible for ensuring that the Program complies with federal law. J.A. 2564–65. The Bureau Commissioner is also responsible for administering the Program. J.A. 2565.
Like the North Carolina State Health Plan, West Virginia‘s Medicaid Program does not cover every medically necessary procedure, but every procedure it covers is medically necessary. J.A. 458. To determine what is medically necessary, the state contracts with a company called Kepro. J.A. 2567. Kepro, in turn, relies on InterQual, which establishes nationally accredited criteria that insurers use to make coverage decisions. J.A. 2567.
InterQual criteria are derived from the “systematic continuous review and critical appraisal of the most current evidence based literature” and include input from an independent panel of experts. J.A. 573. To develop its guidance on treatments for gender dysphoria, InterQual relies on guidelines from the World Professional Association for Transgender Health (WPATH) and the Endocrine Society. J.A. 2567.
The state‘s Medicaid Program covers some gender-affirming care, including counseling, office visits, hormones, and lab work. J.A. 1136–37; Opening Br. at 3; Resp. Br. at 8.11 It does not, however, cover gender-affirming surgery. Specifically, Medicaid‘s Policy Manual lists twenty-one services it does not cover, including “transsexual surgery.” J.A. 934–35. Such surgery is excluded “regardless of medical necessity,” J.A. 459—a relevant caveat because, under InterQual‘s criteria, surgery to treat gender dysphoria is medically necessary for certain individuals. J.A. 2143–58; see also J.A. 459 (Deposition of BMS Commissioner Cynthia Beane) (testifying that the Program does not cover gender-affirming surgery “regardless of whether or not there‘s a physician or a review team saying it‘s medically necessary“). The coverage exclusion was adopted around 2004 and has been maintained since without review. J.A. 473–74, 2564. Appellants admit they do not know why it was adopted, nor are they aware of what information, if any, the Program relied on in adopting the exclusion. See J.A. 1127, 2212.
Medicaid contracts with three managed care organizations to provide coverage. J.A.
Plaintiff Shauntae Anderson is a transgender Medicaid patient who has been diagnosed with gender dysphoria. J.A. 289–90, 294–96. She is seeking gender-affirming surgery, specifically breast augmentation and vaginoplasty. J.A. 296. Before she was on Medicaid, she began medically transitioning through self-treatment: taking birth control pills for estrogen. J.A. 294. Once she was on Medicaid, her doctors recommended hormone replacement therapy. J.A. 295. She began the therapy in 2019. Id. Still, she struggles with her body. Id. at 295–96. She also worries about her safety in public, where strangers have mocked her for being transgender. J.A. 296. She is concerned that future interactions will escalate to violence. J.A. 296–97.
Doctors have not yet recommended her for surgery; to the extent they have discussed it with her, they have simply said that Medicaid does not cover the surgeries, so “there is nothing that they can do about it.” Id.
Anderson sued in the Southern District of West Virginia on behalf of herself and others similarly situated.13 She argued that the coverage exclusion discriminates against transgender people in violation of the
II.
The central dispute in this case is about the fate of the coverage exclusions.15 Appellants in both cases ask us to reverse the district courts’ summary judgment rulings that the exclusions violate the
The Equal Protection Clause of the
Appellants argue that the district courts’ equal-protection analyses were flawed because, they say, the exclusions distinguish on the basis of diagnosis. The exclusions therefore only have to withstand rational-basis review. We disagree. In this case, discriminating on the basis of diagnosis is discriminating on the basis of gender identity and sex. The coverage exclusions are therefore subject to intermediate scrutiny. They cannot meet that heightened standard.
1.
We start by determining the proper level of scrutiny with which to review the coverage exclusions. When a state law regulates on the basis of something other than a protected characteristic, we apply rational-basis review and will uphold the law if it rationally relates to a legitimate government objective. City of Cleburne v. Cleburne Living Ctr., 473 U.S. 432, 440 (1985). When the state draws distinctions based on a protected classification, however, a more searching review is required. Classifications along racial
The distinction between rational basis and intermediate scrutiny is significant. We have described rational-basis review as a “deferential” standard under which “the plaintiff bears the burden to negate every conceivable basis which might support” the differential treatment. Giarratano v. Johnson, 521 F.3d 298, 303 (4th Cir. 2008) (citation and quotations omitted). By contrast, an intermediate-scrutiny analysis requires the proponent of the policy to produce an “exceedingly persuasive justification” for treating individuals differently based on quasi-suspect characteristics. Miss. Univ. for Women v. Hogan, 458 U.S. 718, 724 (1982) (citation and quotations omitted). The district courts considered the coverage exclusions under intermediate scrutiny because they viewed the exclusions as facially discriminating on the basis of sex and gender identity. Because Appellants dispute that conclusion, we consider the question anew.
The central disagreement between the parties is whether the exclusion discriminates on the basis of diagnosis and procedure (Appellants’ view) or on the basis of sex and transgender identity (Appellees’ view). As a reminder, the exclusions respectively bar coverage of “[t]reatment or studies leading to or in connection with sex changes or modifications and related care,” Kadel, J.A. 181 (North Carolina), and “transsexual surgery,” Anderson, J.A. 2566 (West Virginia). Appellants argue that this language is facially neutral because it simply excludes treatments for gender dysphoria; it does not bar transgender patients from receiving the same treatments as cisgender patients. In fact,
The parties spend much of their briefs arguing over the meanings of “surgery,” “procedure,” and “treatment.” Is a procedure defined by the diagnosis it treats or simply by what happens in the operating room? Is removing a patient‘s breasts to treat cancer the same procedure as removing a patient‘s breasts to treat gender dysphoria? Is testosterone therapy to address “hypogonadotropic hypogonadism” (“a lack of sex hormones, . . . prevent[ing] normal sexual maturity in children and normal function of the testicles or ovaries in adults”16) the same treatment as testosterone therapy to address gender dysphoria? There is no caselaw to ground this discussion nor obvious first principles to work from.
Instead, we answer the following questions, starting from the premise that gender identity is a protected characteristic, see Grimm, 972 F.3d at 610: (1) Is gender dysphoria a proxy for transgender identity?, (2) Can proxy discrimination be facial discrimination?,
a.
We begin by reiterating our holding in Grimm v. Gloucester County School Board that gender identity is a protected characteristic under the Equal Protection Clause. The school board in that case passed a policy limiting the use of boys’ and girls’ restrooms to students with “the corresponding biological genders.” 972 F.3d at 599. Because of that policy, Gavin Grimm, a transgender boy, was barred from using the boys’ restroom. Grimm sued on Equal Protection grounds, as well as Title IX grounds, claiming that the policy discriminated on the basis of sex and gender identity. Id. at 593. In addressing Grimm‘s gender-identity argument, this Court had to decide whether gender identity is a protected characteristic subject to heightened scrutiny. The Court applied the Supreme Court‘s four factors for determining whether a group of people constitutes a suspect or quasi-suspect class. Id. at 611. It found that transgender people have historically been subjected to discrimination, transgender status “bears [no] relation to ability to perform or contribute to society,” transgender people are a discrete group with immutable characteristics, and transgender people are a minority lacking political power. Id. at 611–13 (quotations and citation omitted). Because transgender people constitute a quasi-suspect class, the Grimm Court held, discrimination on the basis of gender identity is subject to heightened scrutiny. Id. at 613. If the coverage exclusions here discriminate
b.
The coverage exclusions do not explicitly mention transgender people. Instead, they mention the types of treatments that are not covered: “[t]reatment or studies leading to or in connection with sex changes or modifications and related care,” Kadel, J.A. 181 (North Carolina), and “transsexual surgery,” Anderson, J.A. 2566 (West Virginia). In other words, treatments for gender dysphoria. Appellees argue that targeting gender dysphoria is targeting the people with gender dysphoria, all of whom are, by definition, transgender. Appellants argue that gender dysphoria is not a proxy for transgender identity. They make two arguments: (1) not all transgender people have gender dysphoria, and (2) the policies apply to everyone, not just transgender people. We address these arguments in turn.
i.
Not all transgender people are diagnosed with gender dysphoria.17 And not all people with gender dysphoria seek gender-affirming surgery, as the West Virginia Appellants note. Anderson, Opening Br. at 7–8. But “a law is not immune to an equal protection challenge if it discriminates only against some members of a protected class but not others.” Hecox v. Little, 79 F.4th 1009, 1025 (9th Cir. 2023). In Rice v. Cayetano, for instance, the Supreme Court struck down a Hawaiian constitutional provision that allowed
Indeed, the Court has consistently taken the view that discrimination within a certain class does not mean there is no discrimination between classes. See Mathews v. Lucas, 427 U.S. 495, 504 n.11 (1976) (“That the statutory classifications challenged here discriminate among illegitimate children does not mean, of course, that they are not also properly described as discriminating between legitimate and illegitimate children.“) (emphasis added); Weber v. Aetna Cas. & Sur. Co., 406 U.S. 164, 167–68 (1972) (striking down workers’ compensation law that allowed recovery for, among others, children born to married parents, as well as children born to unmarried parents and acknowledged by their biological fathers, but did not allow recovery for children born to unmarried parents and unacknowledged by their biological fathers); Frontiero v. Richardson, 411 U.S. 677, 678–
Geduldig v. Aiello, on which Appellants heavily rely, does not alter the meaning of these cases. 417 U.S. 484 (1974). Nor could it—both Mathews and Nyquist were decided after Geduldig. The Court in Geduldig dealt with a California disability insurance system that compensated workers for “disability stemming from a substantial number of mental or physical illness(es) and mental or physical injur(ies).” Id. at 488. Certain disabilities were not covered:
The California insurance program does not exclude anyone from benefit eligibility because of gender but merely removes one physical condition—pregnancy—from the list of compensable disabilities. While it is true that only women can become pregnant[,] it does not follow that every legislative classification concerning pregnancy is a sex-based classification . . . . Normal pregnancy is an objectively identifiable physical condition with unique characteristics. Absent a showing that distinctions involving pregnancy are mere pretexts designed to effect an invidious discrimination against the members of one sex or the other, lawmakers are constitutionally free to include or exclude pregnancy from the coverage of legislation such as this on any reasonable basis, just as with respect to any other physical condition.
The lack of identity between the excluded disability and gender as such under this insurance program becomes clear upon the most cursory analysis. The program divides potential recipients into two groups—pregnant women and nonpregnant persons. While the first group is exclusively female, the second includes members of both sexes. The fiscal and actuarial benefits of the program thus accrue to members of both sexes.
The West Virginia Appellants say that, like in Geduldig, Medicaid‘s policy “does not create a sex-based classification, because it divides members into two groups—those who seek gender-confirming surgery, and all other persons. While the first group may be exclusively comprised of transgender individuals, the second group includes all other
Appellants’ argument—that Geduldig compels us to find in their favor because not all transgender individuals seek treatment for gender dysphoria—might be correct if we read Geduldig as broadly as possible. But Geduldig must be read in light of Mathews, Weber, Frontiero, Nyquist, Graham, and Rice, all of which say that a state cannot immunize itself from violating the Equal Protection Clause by discriminating against only a subset of a protected group. Appellants’ reading of Geduldig cannot be squared with these cases. Read in conjunction with these cases, Geduldig is best understood as standing for the simple proposition that pregnancy is an insufficiently close proxy for sex. The same cannot be said for the inextricable categories of gender dysphoria and transgender status.
Three facts support this conclusion. First, the Supreme Court has only relied on Geduldig to reject proxy-based arguments in cases where pregnancy was at issue. See Gen. Elec. Co. v. Gilbert, 429 U.S. 125, 136 (1976) (holding that a similar benefits exclusion for pregnancy-related disability did not violate Title VII and reiterating that “exclusion of pregnancy from a disability-benefits plan providing general coverage is not a gender-based discrimination at all“), superseded by statute,
Second, gender dysphoria is so intimately related to transgender status as to be virtually indistinguishable from it. The excluded treatments aim at addressing incongruity between sex assigned at birth and gender identity, the very heart of transgender status. In contrast to pregnancy—which is a condition that can be described entirely separately from a person‘s sex—gender dysphoria is simply the medical term relied on to refer to the clinical distress that can result from transgender status.
Finally, the exclusions cannot function without relying on direct—not just proxy-based—discrimination. Determining whether someone requires pregnancy-related treatment—the issue in Geduldig—does not turn on or require inquiry into a protected characteristic. True, when a doctor determines a person is pregnant, they will generally, as a consequence, also have reached a conclusion about the person‘s sex assigned at birth. But that is true only because, as Geduldig recognized, pregnancy is often a reliable indicator of a person‘s sex. In contrast, determining whether a treatment like reduction mammoplasty
For those reasons, Appellants’ arguments that Geduldig requires us to find in their favor is unpersuasive.
ii.
A.
Appellants next argue that gender dysphoria is not being used as a proxy for transgender identity here because treatment for that diagnosis is not covered for anyone, transgender or cisgender. This argument elides common sense and is inconsistent with Supreme Court precedent about how to approach equal-protection analyses. “The proper focus of constitutional inquiry is the group for whom the law is a restriction, not the group for whom the law is irrelevant.” City of Los Angeles v. Patel, 576 U.S. 409, 418 (2015) (quotations omitted).
The argument is also tautological, akin to saying that the law “applies equally to all to whom it applies.” See Joseph Tussman & Jacobus tenBroek, The Equal Protection of the Laws, 37 Calif. L. Rev. 341, 345 (1949); see also Giovanna Shay, Similarly Situated, 18 Geo. Mason L. Rev. 581, 587 (2011). The Supreme Court explicitly rejected this line of reasoning in McLaughlin v. Florida, where it struck down a ban on interracial couples living together. 379 U.S. 184 (1964). In doing so, it overturned a prior case, Pace v. Alabama. Id. at 188–91. In Pace, it held that people convicted of violating two separate
The [Pace v. Alabama] opinion acknowledged that the purpose of the Equal Protection Clause “was to prevent hostile and discriminating state legislation against any person or class of persons” and that equality of protection under the laws implies that any person, “whatever his race . . . shall not be subjected, for the same offense, to any greater or different punishment.” But taking quite literally its own words, “for the same offense,” the Court pointed out that Alabama had designated as a separate offense the commission by a white person and a Negro of the identical acts forbidden by the general provisions. There was, therefore, no impermissible discrimination because the difference in punishment was “directed against the offence designated” and because in the case of each offense all who committed it, white and Negro, were treated alike . . . . Because each of the Alabama laws applied equally to those to whom it was applicable, the different treatment accorded interracial and intraracial couples was irrelevant.
Id. at 188–90 (emphasis added) (quoting Pace, 106 U.S. at 584–85).
This “narrow view” of the Equal Protection Clause—that a law does not discriminate if it applies equally to all—made no sense, the Court said. Id.; see also Loving v. Virginia, 388 U.S. 1, 10 (1967) (noting rejection of Pace). Indeed, the analysis collapses in on itself. Take other examples. A tax on wearing kippot would apply to non-Jews and Jews alike, but would affect only Jews. See Bray, 506 U.S. at 270. A ban on same-sex marriage would apply to straight, gay, lesbian, and bisexual people equally, but would affect only gay, lesbian, and bisexual people—straight people would not choose to marry someone of the same sex. Finally, a literacy test only required of people whose ancestors were not allowed to vote before 1866 would apply to everyone, but would affect only Black
B.
Just as both Appellants claim that they do not provide certain types of gender-dysphoria treatment to anyone, the West Virginia Appellants claim that they do not provide gender-affirming treatment to anyone. Anderson, Opening Br. at 21–24. This argument fails for two reasons: (1) for many procedures, it is not true, and (2) for those procedures of which it is true, the coverage ban only affects transgender people.
Second, the gender-affirming surgeries that are not covered for anyone are surgeries that only transgender people would get; they are either not physically possible for other groups or would not be gender-affirming for them. Specifically, any surgeries involving removing genitals or internal parts of the body are not covered when performed for gender-affirming purposes. So neither a cisgender woman nor cisgender man would be entitled to a hysterectomy, oophorectomy, vaginectomy, orchiectomy, or penectomy for gender-affirming purposes. Appellants argue that this fact shows that the Program does not discriminate against transgender people.
This is just another version of Appellants’ “applies equally to all to whom it applies” argument. Anderson, Opening Br. at 6, 21; Reply Br. at 6–7; Kadel, Opening Br. at 23; Reply Br. at 16. Just as cisgender people would not seek any treatment for gender dysphoria, they would not seek certain surgeries for gender-affirming purposes. For instance, a cisgender woman would never seek a hysterectomy, oophorectomy, or vaginectomy for gender-affirming reasons because, for her, those surgeries are not gender-affirming. Nor would a cisgender man ever seek an orchiectomy or penectomy for gender-affirming reasons because, for him, those surgeries are not gender-affirming. Again, while the exclusion may apply to everyone, for many treatments, it is only relevant to transgender individuals.
c.
We next address whether proxy discrimination can be a form of facial discrimination. At oral argument, the North Carolina Appellants argued that we only ask whether a trait is being used as a proxy once we have found that a law does not facially discriminate. Oral Arg. at 1:31:30–1:31:40, 1:32:48–1:36:48. In other words, they say, we would have to look beyond the face of the exclusions to find that gender dysphoria was being used as a proxy for gender identity. Id. at 1:35:50–1:36:08. Because Appellees only advance a facial-discrimination theory, and not an invidious-intent theory, proxy discrimination does not enter our analysis, Appellants say.
This argument about how to approach proxy discrimination has significant practical implications. If a plaintiff needs discovery about extratextual factors—say, a legislator‘s intent—to argue that a statute is using a proxy to discriminate, that plaintiff will rarely make it past a motion to dismiss.21 Government officials who pass discriminatory policies
This approach also cannot be squared with Supreme Court precedent. The Court has consistently found the text of statutes and constitutions, coupled with basic facts, enough to find facial discrimination, even when the text does not explicitly name a protected group. In Guinn v. United States, for example, the Court invalidated an Oklahoma law that required all voters to pass a literacy test, except those whose ancestors were eligible to vote in or before 1866 (i.e., before the
The first difference between our approaches is where in the analysis we ask about proxy discrimination.24 As stated above, usually, if we have determined that something is facially neutral, we cannot find discriminatory intent without first conducting a more searching evidentiary inquiry. In the principal dissent‘s view, there is an exception to that rule. Even if something is facially neutral, we can find discriminatory intent without an evidentiary inquiry if there is incredibly clear proxy discrimination. But, the principal dissent says, the proxy inquiry is never part of the facial classification inquiry. Id. at n.4. That is where we disagree.
That we must ask whether a law uses a classification that is merely a substitute for a protected trait means that the law does not explicitly—i.e., facially—classify based on that protected trait. Cf. Hunt v. Cromartie, 526 U.S. 541, 546 (1999) (When . . . classifications are explicit, no inquiry into legislative purpose is necessary.). Indeed, the Supreme Court has expressly rejected this argument, noting that courts only inquire into covert classifications—i.e., ostensibly neutral classifications that could not be plausibly explained on a neutral ground—after concluding that a statute is gender-neutral on its face. Feeney, 442 U.S. at 274-75. Instead, the proxy inquiry is better understood as a species of intentional discrimination: Is the government targeting something because of its close connection to another thing?
We agree that the covert-classifications inquiry only happens after concluding that a statute is facially neutral. But it doesn‘t follow that the proxy inquiry only happens after concluding that a statute is facially neutral. That‘s because not every proxy is covert. Indeed, some are glaringly—facially—obvious. And when that‘s the case, when there is incredibly clear proxy discrimination, the law is not facially neutral. In Califano v. Westcott, for example, the Court held that a welfare law that differentiated between unemployed fathers and unemployed mothers facially discriminated on the basis of sex. 443 U.S. 76, 83-89 (1979); see also Sessions v. Morales-Santana, 582 U.S. 47, 58 (2017) (holding that law that gave children born abroad to unwed U.S. citizen mother and non-citizen father an easier path to U.S. citizenship than children born abroad to unwed non-citizen mother and U.S. citizen father facially discriminated on the basis of gender); Reed v. Reed, 404 U.S. 71, 74-76 (1971) (holding facially discriminatory a state law that gave preference to fathers to act as administrators of their deceased child‘s estate). The Court has similarly treated laws differentiating between wives and husbands as facial discrimination on the basis of sex. See,
That is exactly our point. A law is not facially neutral simply because, in place of explicit references to protected identities, the law uses different words that mean the same thing. This case is a good example. Had the West Virginia and North Carolina policies barred “surgical procedures or treatments related to a patient‘s transgender status,” the policies would no doubt discriminate on the basis of gender identity. Rewording the policies to use a proxy, by barring “[t]reatment or studies leading to or in connection with sex changes or modifications and related care” and “transsexual surgery,” does not make the classification covert. The policies remain just as obviously discriminatory as before. Our definition of facial discrimination is thus broader than the principal dissent‘s.
This brings us to the second difference between our approaches: what makes a proxy obvious. The principal dissent says a proxy is obvious when plaintiffs can show ”both discriminatory effects and that no rational, nondiscriminatory explanation exists for the law‘s classification.” Dissent Op. at 77.
There are two problems with these criteria. First, they assume that the presence of a nondiscriminatory reason means the absence of a discriminatory reason. But “[r]arely can it be said that a legislature or administrative body operating under a broad mandate
Especially where government budgets are involved, there will frequently be a “rational” basis for discrimination. A law that pays state employees with XX chromosomes 75 percent of what state employees with XY chromosomes are paid has a rational, nondiscriminatory reason: it saves the state large sums of money. But under the principal dissent‘s framework, not only would that law be facially neutral; it would also be supported by a “rational, nondiscriminatory reason.” A court therefore could not find that the law discriminated on the basis of gender until it conducted a full-blown Arlington Heights evidentiary inquiry. This would require us to ignore the obvious.
Second, the principal dissent‘s “no rational, nondiscriminatory explanation” criteria would muddle the traditional equal-protection analysis. The second step of that analysis asks whether a discriminatory law can be justified by the state‘s nondiscriminatory interest in the law. The principal dissent‘s analysis would require asking the state-interest question twice: first to determine whether a facially neutral law is nevertheless discriminatory25 and second to determine whether a discriminatory law can nevertheless be justified.
d.
This is textbook sex discrimination, for two reasons. For one, we can determine whether some patients will be eliminated from candidacy for these surgeries solely from knowing their sex assigned at birth. And two, conditioning access to these surgeries based on a patient‘s sex
First, as the North Carolina district court noted, the policy cannot be applied “without referencing sex.” Kadel, J.A. 3704 (quoting Grimm, 972 F.3d at 608). Try figuring out whether the State Health Plan or Medicaid Program will cover a certain patient‘s vaginoplasty. By virtue of the fact that they are seeking a vaginoplasty, we know that they were born without a vagina. But we do not know what sex they were assigned at birth. Without that information, we cannot say whether the Plan or Program will cover the surgery.
The Supreme Court used this type of thought experiment in Bostock v. Clayton County. There, it imagined a job applicant asked to disclose the applicant‘s sexual orientation. 140 S. Ct. at 1746. “There is no way for an applicant to decide whether to check the homosexual or transgender box without considering sex,” it wrote. Id. “To see why, imagine an applicant doesn‘t know what the words homosexual or transgender mean. Then try writing out instructions for who should check the box without using the words man, woman, or sex (or some synonym). It can‘t be done.” Id. The same is true here. A third-party administrator cannot make the coverage decision without knowing whether the vaginoplasty is to treat gender dysphoria—in other words, whether the patient was assigned male at birth.
Second, a policy that conditions access to gender-affirming surgery on whether the surgery will better align the patient‘s gender presentation with their sex assigned at birth is a policy based on gender stereotypes. For instance, while mastectomies are available for both people assigned male at birth and those assigned female at birth, when they are conducted for gender-affirming purposes, they are only available to those assigned male at birth. This
e.
Having addressed Appellants’ two primary arguments—that the exclusions discriminate on the basis of diagnosis and not gender identity or sex, and that Geduldig mandates this finding—we move on to Appellants’ other equal-protection arguments.
Appellants misunderstand the similarly situated directive. Far from a threshold step, the similarly situated inquiry is “one and the same as the equal protection merits inquiry.” Shay, supra, at 598. As the Court in City of Cleburne v. Cleburne Living Center said, “The Equal Protection Clause,” not the first step of an Equal Protection Clause analysis, “is essentially a direction that all persons similarly situated should be treated alike.” 473 U.S. at 439. The “similarly situated” language preceded the modern tiers of scrutiny, and the Court has continued to use the phrase. Shay, supra, at 598. But it has never used it as a threshold hurdle. Id.; see, e.g., Brown v. Bd. of Educ., 347 U.S. 483, n.10 (1954) (mentioning the phrase in a footnote near the end of the opinion); Loving v. Virginia, 388 U.S. 1 (1967) (never mentioned); United States v. Virginia, 518 U.S. 515 (1996) (never mentioned); Grutter v. Bollinger, 539 U.S. 306, 375 (2003) (mentioned in concurrence and not as a threshold inquiry). It has instead used the similarly situated inquiry to decide whether the governmental interest for discrimination is justified. See, e.g., Tuan Anh Nguyen v. INS, 533 U.S. 53, 62-68 (2001) (asking whether the fact that biological mother and father are not similarly situated with regard to proof of biological parenthood justifies state‘s different citizenship rules for children born abroad and to unmarried parents, depending on whether the citizen parent is the mother or father).
Next, the North Carolina Appellants argue that there is a genuine dispute about whether the healthcare sought by Appellees is medically necessary. Kadel, Opening Br. at 32-33. They frame this as a similarly situated argument: those seeking gender-dysphoria treatment may not be similarly situated to those not seeking it. Putting aside that there is no similarly situated threshold inquiry, this argument ignores the coverage exclusion‘s language. The North Carolina exclusion prohibits treatment “leading to or in connection with sex changes or modifications and related care,” irrespective of medical necessity. To the extent Appellants are arguing that treatments for gender dysphoria are never medically necessary, that argument is better understood as a back-end justification for the facial discrimination rather than an ex ante
2.
Having determined that the challenged coverage exclusions receive intermediate scrutiny, we now turn to whether the coverage exclusions can withstand that scrutiny. To survive intermediate-scrutiny review, the government must provide an “exceedingly persuasive justification” for the classification. Miss. Univ. for Women, 458 U.S. at 724. At a minimum, the government must show that “the classification serves important governmental objectives and that the discriminatory means employed are substantially related to the achievement of those objectives.” Id. (citation and quotations omitted). A law that discriminates against a quasi-suspect class “must be genuine, not hypothesized or invented post hoc in response to litigation.” Virginia, 518 U.S. at 533. “And it must not rely on overbroad generalizations about the different talents, capacities, or preferences of males and females.” Id.
“Under intermediate scrutiny, the government bears the burden of establishing a reasonable fit between the challenged statute and a substantial governmental objective.” United States v. Chapman, 666 F.3d 220, 226 (4th Cir. 2012). The party defending the statute must “present[] sufficient probative evidence in support of its stated rationale for enacting a
The North Carolina Appellants say that they excluded gender-dysphoria treatments because the treatments cost too much and were not effective. The first justification is a non-starter. “[A] state may not protect the public fisc by drawing an invidious distinction between classes of its citizens.” Mem‘l Hosp., 415 U.S. at 263.
Protecting public health from ineffective medicine is an important government interest, as the North Carolina district court noted. Kadel, J.A. 3710-11. But the district court properly rejected the contention that the coverage exclusion is substantially related to that end. Some of the expert testimony that Appellants rely on to argue that gender-dysphoria treatments are ineffective does not actually support their argument. Kadel, J.A. 3712. And the anecdotal evidence that does call into question medical efficacy challenges only some of Appellees’ evidence. In any event, those criticisms do not support the notion that gender-dysphoria treatments are ineffective so much as still developing. That alone does not create a genuine dispute that is material to the heightened-scrutiny analysis. Without evidence to show that gender-dysphoria treatments are ineffective, the North Carolina Appellants cannot show that the coverage exclusion is narrowly tailored to serve the state‘s substantial interest in not covering medically ineffective treatment.
B. Evidentiary and Injunctive Challenges
We now address the Kadel Appellants’ remaining complaints about the district court‘s order. First, they argue that the district court impermissibly relied on facts in an amicus brief filed by medical organizations. Second, they challenge the district court‘s exclusion of certain expert testimony. And third, they say the district court‘s injunction order was too vague for them to comply with absent risking a contempt sanction.
1.
Appellants challenge the district court‘s reliance on an amicus brief filed by eight medical organizations.28 J.A. 3539-59. Appellants’ central contention is that the district
This argument is unpersuasive. The district court relied on the amicus brief to anchor its discussion in well-accepted facts about what it means to be transgender, how transgender people may be affected by gender dysphoria, and what treatments exist to mitigate the symptoms of gender dysphoria. See J.A. 3669-71 (e.g., “[w]hile being transgender is not itself a psychiatric condition, many transgender individuals experience severe anxiety and distress as a result of having physiology or an assigned sex that does not match their deeply felt, inherent sense of their gender” and “[t]he current Standards of Care (WPATH-7) recommended treatments include[] assessment, counseling, and, as appropriate, social transition, hormone therapy, and surgical interventions” (citations and quotations omitted)). None of this information contradicts any party‘s proffered testimony. To the contrary, the district court clearly laid out the dispute between the parties in the final paragraphs of the section. Compare J.A. 3671 (“Plaintiffs’ experts testify that . . . these are ‘safe and effective treatment[s] for gender dysphoria’ that are governed by ‘well-established community standards.‘“), with id. (“Defendants’ experts . . . testify that medical and surgical treatments have significant medical risks and consequences, and the research
2.
The North Carolina Appellants also claim that the district court misapplied
“A witness who is qualified as an expert by knowledge, skill, experience, training, or education may testify in the form of an opinion” if (1) the expert‘s specialized knowledge will help the jury understand the evidence or determine a fact in issue; (2) the testimony is based on sufficient facts or data; (3) the testimony comes from reliable principles and methods; and (4) the expert reliably applied those principles and methods to the facts of the case.
First, the district court constrained Appellants’ experts to the specific technical areas in which they had expertise because that is what Fourth Circuit precedent requires. In undertaking its gatekeeping role to ensure that evidence is reliable under
Third, Appellants’ argument that the district court misunderstood the relevance of Dr. Robie‘s opinion that “physicians must know the chromosomal sex of patients” to provide competent medical care, J.A. 3500, fails to address the district court‘s other, independent basis for rejecting it. The district court held that, in addition to the testimony being irrelevant, “Robie‘s failure to submit an expert report or provide any basis for his opinion other than a vague reference to his years of practice precludes this Court from finding that his expert opinion is based on a reliable methodology under
Finding no abuse of discretion in the district court‘s evidentiary rulings, we reject Appellants’ claims on this issue.
3.
Finally, the North Carolina Appellants argue that the injunctive order‘s language enjoining them from “enforcing the Plan‘s exclusion,” J.A. 3734, was too vague for them to comply with, without risking a contempt sanction. Opening Br. at 39.
The injunction order contains two components. First, it permanently enjoins Appellants “from enforcing the Plan‘s exclusion.” J.A. 3734. Appellants’ position that
Second, the injunction order requires Appellants “to reinstate coverage for ‘medically necessary services for the treatment of gender dysphoria.‘” J.A. 3734. Appellants again inject vagueness into this command by stripping it of its context. In its decision, the district court specified that it was “reimposing the 2017 rule” that covered “medically necessary services for the treatment of gender dysphoria.” J.A. 3729. We find nothing vague about this. Appellants understood the meaning of “medically necessary services for the treatment of gender dysphoria” well enough in 2017 to implement it without incident that year. They can do it again now.
We reject Appellants’ claims that the district court‘s injunction falls below the standards required by the
C. Class Certification
We now move on to the Anderson Appellants’ other arguments, beginning with their challenge to the district court‘s class certification. The district court certified a class of “all transgender people who are or will be enrolled in West Virginia Medicaid and who are seeking or will seek gender-confirming care barred by the Exclusion.” J.A. 2552.
This Circuit, and many others, have recognized an implicit requirement in
D. Medicaid Act
The Anderson Appellants next challenge the district court‘s finding that the exclusion violates the availability and comparability requirements of the Medicaid Act.
1.
The Act‘s availability provision requires states to cover both mandatory and optional services in sufficient “amount, duration, and scope to reasonably achieve its purpose.”
At least one court has noted that medical necessity alone cannot compel coverage because the regulations say that the state Medicaid agency “may place appropriate limits on a service based on such criteria as medical necessity or on utilization control procedures.”
Under any of those readings, though, West Virginia‘s categorical exclusion violates the availability requirement. It does so in two ways. First, it is inconsistent with the objectives of the Act: to provide medical assistance to people too poor to afford it. See Md. Dep‘t of Health & Mental Hygiene v. Ctrs. for Medicare & Medicaid Servs., 542 F.3d 424, 429 (4th Cir. 2008). Though state plans have discretion to determine what to cover and the scope of that coverage, all state plans must include reasonable standards. . . for determining eligibility for and the extent of medical assistance under the plan which . . . are consistent with the objectives of the Act.
Second, the exclusion violates the availability requirement by arbitrarily den[ying] or reduc[ing] the amount, duration, or scope of a required service . . . to an otherwise eligible beneficiary solely because of the diagnosis, type of illness, or condition.
The exclusion violates the availability requirement of the Medicaid Act.
2.
Under Medicaid‘s comparability requirement, states must ensure that services available to any categorically needy individual are equal in amount, duration, and scope for all beneficiaries within the group.
West Virginia Appellants argue that the Medicaid policy does not offer services different in amount, duration, or scope to individuals within each group because surgical treatment for gender dysphoria is not covered for any Medicaid participant. Opening Br. at 45–46. This is the same argument they made in the Equal Protection context.
In support, they cite to a Second Circuit case in which the court held that New York City did not violate the Medicaid Act when it covered certain in-home personal care services but did not cover safety monitoring for individuals who suffered from mental disabilities. Rodriguez v. City of New York, 197 F.3d 611, 613–14 (2d Cir. 1999). The court rejected plaintiff‘s argument, noting that Section 1396(a)(10)(B) does not require a state to fund a benefit that it currently provides to no one. Its only proper application is in situations where the same benefit is funded for some recipients but not others. Id. at 616. This is no doubt true. But as the Second Circuit itself pointed out in 2016, that does not mean that the court
The Court continued:
If, for example, New York defined the purpose of an arm cast as supporting regrowth of broken bones in the right arm only, or defined the purpose of a prosthetic leg as enhancing mobility in disabled individuals born without limbs, surely it would violate the comparability requirement to deny equivalent services to categorically needy individuals who break their left arms, or who lose limbs through amputation, but who have the same indisputable medical needs for a cast or prosthetic. Such a scenario would seem an archetypal instance of denying some categorically needy individuals the same scope of medical assistance available to others under a state plan.
The same is true here. West Virginia cannot get around the comparability requirement by defining the relevant services as services aimed at treating only some medical conditions (i.e., non-gender dysphoria conditions) any more than it can get around the Equal Protection Clause by doing so. See also White v. Beal, 555 F.2d 1146, 1151 (3d Cir. 1977) (We find nothing in the federal statute that permits discrimination based upon etiology rather than need.). The policy violates Medicaid‘s comparability requirement.
3.
Appellants argue that the district court erred by not afford[ing] any deference to the fact that CMS has approved Medicaid‘s State plan and thereby has made an implicit
E. Affordable Care Act
The Affordable Care Act‘s anti-discrimination mandate provides that, [e]xcept as otherwise provided . . . an individual shall not, on the ground prohibited under Title VI of the Civil Rights Act . . . [and] Title IX . . . be excluded from participation in, be denied the benefits of, or be subjected to discrimination under, any health program or activity, any part of which is receiving Federal financial assistance.
Appellants argue that Bostock is the wrong standard because it was limited to Title VII claims involving employers who fired employees because they were gay or transgender. Opening Br. at 36. But there is nothing in Bostock to suggest the holding was that narrow. Appellants also argue that [h]istorically in terms of Title IX jurisprudence, the term sex referred to the binary sex of male and female, and gender identity was understood as a distinct concept. Opening Br. at 36. But Bostock was based on that assumption. 140 S. Ct. at 1739 ([B]ecause nothing in our approach to these cases turns on the outcome of the parties’ [historical] debate . . . we proceed on the assumption that sex . . . referr[ed] only to biological distinctions between male and female.). So even if the definition of sex under Title IX encompasses only binary sex, West Virginia‘s policy still violates the ACA.
III.
The North Carolina State Health Plan and the West Virginia Medicaid Program discriminate on the basis of gender identity and sex in violation of the Equal Protection Clause. The West Virginia Medicaid Program violates the Medicaid Act‘s availability and comparability provisions and violates the Affordable Care Act‘s anti-discrimination provision. The North Carolina district court did not abuse its discretion by using an amicus brief to provide context about transgender healthcare, striking certain portions of expert testimony, and enjoining the state from enforcing the Plan‘s exclusion. Nor did the West
AFFIRMED.
In Grimm v. Gloucester County School Board, 972 F.3d 586, 620 (4th Cir. 2020), we heralded the victory of the burgeoning values of our bright youth over the prejudices of the past. Our en banc Court treats these cases as new fronts upon which this conflict must be waged. But not every battle is part of a larger war. In the majority‘s haste to champion plaintiffs’ cause, today‘s result oversteps the bounds of the law. The majority asserts that the challenged exclusions use medical diagnosis as a proxy for transgender persons, despite the complete lack of evidence for this claim. It then blatantly sidesteps controlling Supreme Court precedent by conjuring up an imagined conflict with another, unrelated line of cases. Finally, it misrepresents how the challenged exclusions actually work in order to malign them as sex-based and grounded in stereotypes. The result is a holding that speaks the language of Equal Protection yet departs wholly from its established principles.
I respectfully dissent. The Equal Protection Clause does not license judges to strike down any policy we disagree with. It instead grants the states leeway to tailor policies to local circumstances, while providing a carefully calibrated remedy for truly illicit discrimination. No such discrimination appears in these cases. North Carolina and West Virginia do not target members of either sex or transgender individuals by excluding coverage for certain services from their policies. They instead condition coverage on whether a patient has a qualifying diagnosis. Anyone—regardless of their sex, gender identity, or combination thereof—can obtain coverage for these services if they have a
I. Background
North Carolina and West Virginia (together, the states) operate respective health-insurance and Medicaid plans that reimburse individuals for a variety of healthcare needs. Yet neither plan covers every attainable medical service. Today‘s cases concern the choice of both states to exclude coverage for certain sex-change services. The North Carolina State Health Plan for Teachers and State Employees excludes coverage for [t]reatment or studies leading to or in connection with sex changes or modifications and related care. Kadel, J.A. 3836. The West Virginia State Medicaid Program similarly excludes coverage for transsexual or [s]ex change surgeries. Anderson, J.A. 935, 941–43. Both exclusions operate to deny coverage for certain treatments of gender dysphoria, a mental disorder defined as the distress that may accompany the incongruence between one‘s experienced or expressed gender and one‘s assigned gender. Am. Psychiatric Ass‘n, Diagnostic and Statistical Manual of Mental Disorders 451 (5th ed. 2013). And both exclusions were challenged in court on various statutory and constitutional grounds.
Plaintiffs in Kadel are members of the North Carolina plan who identify as transgender and have been diagnosed with gender dysphoria. Each of them sought certain treatments for gender dysphoria but was denied coverage because of the exclusion. This prompted them to sue North Carolina, alleging, among other things, an Equal Protection
Plaintiffs in Anderson are transgender participants in West Virginia‘s Medicaid program who also have been diagnosed with gender dysphoria. They too desire certain treatments for gender dysphoria but would be denied coverage for them. So they sued West Virginia, alleging that the program violates the Equal Protection Clause, § 1557 of the Affordable Care Act, and certain provisions of the Medicaid Act. The district court granted summary judgment to plaintiffs on all three grounds, denied summary judgment to West Virginia, entered a declaratory judgment, and enjoined West Virginia from enforcing its exclusion.
II. Discussion
These appeals involve two issues. First, plaintiffs argue that the challenged exclusions violate the Equal Protection Clause and, in Anderson, § 1557 of the Affordable Care Act. Second, plaintiffs in Anderson argue that the exclusions violate the Medicaid Act. I consider each issue in turn.
A. Discrimination Claims
1. Equal Protection Doctrine
The Equal Protection Clause of the Fourteenth Amendment commands that no State shall . . . deny to any person within its jurisdiction the equal protection of the laws.
Yet this presumption gives way when a law treats people differently because of their membership in a protected class. Sex is one such protected class. When a law discriminates based on sex, we fear that it is rooted in outmoded notions of the relative capabilities of men and women, id. at 441, or traditional, often inaccurate, assumptions about the proper roles of men and women, Miss. Univ. for Women v. Hogan, 458 U.S. 718, 726 (1982). At the same time, however, we know that [p]hysical differences between men and women . . . are enduring. United States v. Virginia, 518 U.S. 515, 533 (1996). Recognizing biological reality is not a stereotype. Nguyen v. INS, 533 U.S. 53, 68 (2001). To split the difference, we subject sex discrimination to intermediate scrutiny, which requires a law to be substantially related to a sufficiently important government interest. Virginia, 518 U.S. at 533.
The easiest way for a plaintiff to prove sex discrimination is to show that a law facially classifies based on sex. A facial classification triggering heightened scrutiny is
But not every law that references or relates to sex necessarily classifies on that basis. For instance, imagine a Medicaid policy that said: Neither men nor women may receive reimbursement for heart transplants. This policy might be unartfully worded, but it would not be a sex-based classification. Both sexes would be treated the same, as neither could receive reimbursement for heart transplants. See Vacco v. Quill, 521 U.S. 793, 800 (1997) (Generally speaking, laws that apply evenhandedly to all unquestionably comply’ with the Equal Protection Clause. (quoting N.Y.C. Transit Auth. v. Beazer, 440 U.S. 568, 587 (1979))). So the fact that a policy uses terms like sex, men, or women does not automatically mean that it facially classifies on these grounds. See, e.g., Atkins v. Rumsfeld, 464 F.3d 456, 468 (4th Cir. 2006) (holding that a law providing retirement benefits to divorced military spouses and defining spouse as the husband or wife . . . of a member was not a facial classification). Determining whether a law facially classifies based on sex
I break no new ground by saying this. Over and over, the Supreme Court has said that sex-based facial classifications explicitly identify sex as the basis for favorable or unfavorable treatment. See Reed v. Reed, 404 U.S. 71, 73 (1971) (providing that males must be preferred to females when appointing the administrator of a decedent‘s estate); Frontiero v. Richardson, 411 U.S. 677, 691 (1973) (requiring female, but not male, service members to prove that their spouses are financially dependent in order to receive benefits); Stanton v. Stanton, 421 U.S. 7, 13–14 (1975) (setting a lower age of majority for women); Weinberger v. Weisenfeld, 420 U.S. 636, 637–38 (1975) (denying widowers certain Social Security benefits); Craig v. Boren, 429 U.S. 190, 192 (1976) (allowing women under the age of twenty-one, but not men under that age, to buy beer); Orr v. Orr, 440 U.S. 268, 271 (1979) (requiring only men to pay alimony); Michael M. v. Superior Ct., 450 U.S. 464, 466 (1981) (plurality opinion) (holding only men liable for statutory rape); Hogan, 458 U.S. at 720 (denying admission to men); J.E.B. v. Alabama ex rel. T.B., 511 U.S. 127, 129 (1994) (excluding potential jurors based on sex); Virginia, 518 U.S. at 519–20 (denying admission to women); Sessions v. Morales-Santana, 582 U.S. 47, 51 (2017) (establishing different immigration rules for fathers versus mothers).1 These cases demonstrate that our task is
One way for a plaintiff to prove an Equal Protection violation is to show that a law facially classifies based on sex. But there are other ways. Even a facially neutral classification may warrant heightened scrutiny if it uses a proxy to camouflage intentional discrimination based on a protected trait. Of course, to trigger the Equal Protection Clause in the first place, the challenged law must first make some classification of persons. See Palmer v. Thompson, 403 U.S. 217, 219–20 (1971) (finding that a city policy closing public pools, even if motivated by a desire to avoid integration, did not deny anyone the equal protection of the laws where the city closed the pools to all its citizens). But once a classification has been made, the law offends Equal Protection principles if a gender-based discriminatory purpose has, at least in some measure, shaped the [challenged] legislation. Feeney, 442 U.S. at 276, 279 (explaining that a legislature acts with a discriminatory purpose when it select[s] or reaffirm[s] a particular course of action at least
Discriminatory purpose or intent is usually proved through a fact-intensive inquiry, requiring investigation into things like the law‘s impact, its historical background, and its legislative history. See Arlington Heights, 429 U.S. at 264–68. Thus, in Rice v. Cayetano, the Supreme Court struck down a provision of the Hawaii Constitution that limited the right to vote for certain public officials to persons descended from the aboriginal peoples inhabiting the Hawaiian Islands in 1778. 528 U.S. 495, 499 (2000). Hawaii argued that the provision was race-neutral because it turned on a person‘s ancestry, not their race. Id. at 514. But the Court disagreed and found that the state was really using ancestry as a proxy for race. Id. The inhabitants of Hawaii in 1778, the Court explained, shared common physical and cultural characteristics. Id. at 514–15. And an examination of the legislative history, including prior versions of the provision and statements from its enactors, revealed that the provision was intended to preserve that commonality of people to the present day. Id. at 515–16 (The very object of the statutory definition in question . . . is to treat the early Hawaiians as a distinct people, commanding their own recognition and respect.).
Yet a full-blown evidentiary inquiry is not always necessary to prove discriminatory intent. Sometimes a law uses a classification that is so obviously a proxy for a suspect class that an intent to disfavor that class can be readily presumed. Bray v. Alexandria Women‘s Health Clinic, 506 U.S. 263, 270 (1993).4 But that presumption doesn‘t come
Consider the cases in which the Supreme Court has deployed this presumption. In Yick Wo v. Hopkins, the Court found that a city‘s facially neutral permitting requirement, which was applied almost exclusively to the detriment of Chinese workers, violated the Equal Protection Clause. 118 U.S. 356, 374 (1886). No reason for [the unequal treatment] is shown, the Court found, and the conclusion cannot be resisted that no reason for it exists except hostility to the race and nationality to which the petitioners belong, and which, in the eye of the law, is not justified. Id.5 Similarly, in Guinn v. United States, the Court
These cases reveal that what is critical to obtaining a presumption of discriminatory intent is showing both discriminatory effects and that no rational, nondiscriminatory explanation exists for the law‘s classification. Indeed, the Supreme Court has been clear
This is illustrated by failed attempts to establish the presumption. In Myers v. Anderson (decided on the same day as Guinn), the Supreme Court held that a Maryland provision conferring the right to vote on all taxpayers assessed for at least $500 did not itself violate the Fifteenth Amendment. 238 U.S. 368, 379 (1915).8 [A]s there is a reason other than discrimination on account of race or color discernible upon which the standard may rest, the Court explained, there is no room for the conclusion that it must be assumed, because of the impossibility of finding any other reason for its enactment, to rest alone upon a purpose to violate the 15th Amendment. Id. Likewise, in Personnel Administrator of Massachusetts v. Feeney, the Court refused to hold that a hiring preference for veterans was mere pretext for sex discrimination, even though it overwhelmingly favored men. 442 U.S. at 274–75. The Court found that the preference could not plausibly be explained only as a gender-based classification, since it was
This brings us to Geduldig v. Aiello, 417 U.S. 484 (1974). Geduldig involved an Equal Protection challenge to California‘s disability-insurance system, which excluded coverage for any injury or illness caused by or arising in connection with pregnancy. Id. at 489. The dissenting Justices argued that the exclusion discriminated on the basis of sex by singling out for less favorable treatment a gender-linked disability peculiar to women. Id. at 501 (Brennan, J., dissenting). But the Court disagreed. California had not, the Court found, denied insurance eligibility to any group of persons; it had simply chosen to underinsure a particular risk (i.e., pregnancy). Id. at 494 (majority opinion). Its reasons for doing so—maintaining a self-supporting, cost-effective, and affordable insurance program—were legitimate, given the substantial cost of insuring pregnancy, and provided
As the Court explained:
The California insurance program does not exclude anyone from benefit eligibility because of gender but merely removes one physical condition—pregnancy—from the list of compensable disabilities. While it is true that only women can become pregnant it does not follow that every legislative classification concerning pregnancy is a sex-based classification . . . . Normal pregnancy is an objectively identifiable physical condition with unique characteristics. Absent a showing that distinctions involving pregnancy are mere pretexts designed to effect an invidious discrimination against the members of one sex or the other, lawmakers are constitutionally free to include or exclude pregnancy from the coverage of legislation such as this on any reasonable basis, just as with respect to any other physical condition.
The lack of identity between the excluded disability and gender as such under this insurance program becomes clear upon the most cursory analysis. The program divides potential recipients into two groups—pregnant women and nonpregnant persons. While the first group is exclusively female, the second includes members of both sexes. The fiscal and actuarial benefits of the program thus accrue to members of both sexes.
Id. at 496 n.20. The Court therefore held that the plan did not violate the Equal Protection Clause. Id. at 497.
Geduldig was no outlier. For one, the Court has repeatedly reaffirmed its holding. See Bray, 506 U.S. at 271; Gen. Elec. Co. v. Gilbert, 429 U.S. 125, 136 (1976);10 Nashville Gas Co. v. Satty, 434 U.S. 136, 142 (1977); Dobbs v. Jackson Women‘s Health Org., 597 U.S. 215, 236 (2023). Moreover, Geduldig‘s principles accord with the broader Equal
2. The challenged exclusions do not violate the Equal Protection Clause.
I now turn to the cases before us. To prevail on their Equal Protection claims, plaintiffs must show that the challenged exclusions discriminate against them because of their sex or transgender status.11 But they fail to make this showing. The challenged exclusions do not facially classify based on either. Instead, they turn on medical diagnosis and apply evenhandedly to everyone. And their use of medical diagnosis as the
I begin with the facial-classification inquiry. At first blush, one might think that the exclusions at issue here are sex- or transgender-based classifications. After all, they collectively deny coverage for certain “sex change” or “transsexual” treatments.13 And in the past, transgender people were sometimes called “transsexuals.” See, e.g., Transsexual, Merriam-Webster’s Collegiate Dictionary (10th ed. 1993) (“[A] person with a psychological urge to belong to the opposite sex that may be carried to the point of undergoing surgery to modify the sex organs to mimic the opposite sex.”). So surely, as plaintiffs argue, policies that use the words “sex change” and “transsexual” facially discriminate based on sex or transgender status, right?
An example shows the difference. Suppose an individual sought a hysterectomy because they had uterine cancer. Both programs would cover the surgery. And they would do so whether the person was male or female, transgender or not. Indeed, Christopher Fain—one of the plaintiffs below—received coverage for a hysterectomy based on a diagnosis unrelated to Fain’s transgender status.14 But if that same person did not have uterine cancer and instead sought the hysterectomy on the basis of a non-covered diagnosis, like gender dysphoria, then they would not get coverage.
Thus, a person is not covered for certain medical services if they are seeking that service as treatment for gender dysphoria. But if they are seeking the same service for a different, qualifying diagnosis, then North Carolina and West Virginia would cover it—regardless of that person’s sex or transgender status. In other words, there is a list of acceptable diagnoses that would entitle a person to coverage for each service. Every
Plaintiffs insist otherwise. They argue that gender dysphoria is a diagnosis exclusively tied to transgender identity. Accordingly, by excluding gender dysphoria, the plans really classify based on transgender identity itself.
But this argument is foreclosed by Geduldig. As in Geduldig, the challenged exclusions do not deny coverage to anyone because of their sex or transgender status. See 417 U.S. at 494–95. Instead, they merely decline coverage for a particular risk: gender dysphoria. See id. And Geduldig held that a health plan that declines to cover a risk that only members of a protected class face does not facially classify people based on their membership in that class. Id. at 496 n.20; see also Dobbs, 597 U.S. at 236. So the fact that only transgender individuals experience gender dysphoria does not mean the exclusions discriminate based on transgender status, any more than the fact that “only women can become pregnant” made the exclusion in Geduldig facially discriminatory. 417 U.S. at 496 n.20. Rather, the dispositive question is whether the plans provide equal risk coverage for all persons. Id. at 496–97. And that is the case here—there is “no risk from which [non-transgender persons] are protected and [transgender persons] are not. Likewise, there is no risk from which [transgender persons] are protected and [non-transgender persons] are not.” Id.
Yet these examples actually demonstrate that the plans do not provide unequal risk coverage based on sex or transgender status. They instead show that, for every medical service, the states have established a list of diagnoses that qualify someone for that service. Which diagnoses qualify is determined by the kinds of risks the state is willing to cover. Here, the states have chosen to cover alterations of a person’s breasts or genitalia only if the person experiences physical injury, disease, or (in West Virginia) congenital absence of genitalia.15 Anyone who has a diagnosis of this kind can receive coverage for such
Next, plaintiffs contend that the policies unlawfully discriminate because they are based on sex stereotypes. As the Kadel district court explained, the plans supposedly “limit[] members to coverage for treatments that align their physiology with their biological sex and prohibit[] coverage for treatments that ‘change or modify’ physiology to conflict with their assigned sex.” Kadel, J.A. 3704. The challenged exclusions therefore punish transgender persons for gender nonconformity, according to plaintiffs.
Before addressing this argument, it’s important to explain what a stereotype is. A sex stereotype is a generalization about the relative capabilities of, or socially acceptable behavior for, members of each sex. See Glenn v. Brumby, 663 F.3d 1312, 1316 (11th Cir. 2011) (defining a stereotype as “failing to act and appear according to expectations defined
But that’s not what’s happening here. The plans do not condition coverage based on whether a treatment aligns with or departs from a patient’s sex. Nor do they bar certain persons from treatment if they don’t identify with their sex. Instead, the plans grant or withhold coverage based on a patient’s diagnosis, i.e., a certain physical condition with unique causes, risks, and susceptibility to treatment. See Geduldig, 417 U.S. at 496 n.20 (“Normal pregnancy is an objectively identifiable physical condition with unique characteristics.”). The different coverage accorded to treatments for different diagnoses is therefore based on medical judgment of biological reality, which is “not a stereotype.” Nguyen, 533 U.S. at 68; see also Virginia, 518 U.S. at 533 (“Physical differences between men and women . . . are enduring . . . .”). So plaintiffs fail on this basis, too.16
Yet plaintiffs conveniently fail to mention the other half of the inquiry. That a law targets something closely or exclusively associated with a protected class cannot alone support a presumption of discriminatory intent. See Feeney, 442 U.S. at 274–75; Geduldig, 417 U.S. at 496 n.20; Bray, 506 U.S. at 270; Dobbs, 597 U.S. at 236. The classification a law uses must also be inexplicable on grounds other than an intent to discriminate against a suspect class. See Yick Wo, 118 U.S. at 374; Guinn, 238 U.S. at 364–65; Gomillion, 364 U.S. at 342. So to establish a presumption that the exclusions discriminate by proxy, plaintiffs must show that the choice to exclude gender dysphoria from coverage is so irrational that nothing could explain it other than an intent to discriminate against transgender persons. Bray, 506 U.S. at 270; Arlington Heights, 429 U.S. at 266.
No matter one’s view of the challenged exclusions, one cannot deny that the states have put forth legitimate, nondiscriminatory reasons for denying coverage for certain gender-dysphoria treatments. The main reason is cost. The states have finite and diminishing resources to spend on healthcare. If they must spend money to cover medical services for gender dysphoria, then they either must cut spending (e.g., take away coverage
I therefore conclude that the challenged exclusions do not discriminate because of sex or transgender status. Plaintiffs advance a host of arguments for reaching the opposite result. Yet none of their arguments are persuasive. At bottom, the exclusions turn on the basis of medical diagnosis, not on sex or transgender status. The Constitution doesn’t subject such coverage decisions to heightened scrutiny. Hence, Kadel should be remanded to the district court. The
3. Bostock v. Clayton County
Before responding to the majority, I pause to consider a question that is lurking in the background: Does the Supreme Court’s decision in Bostock v. Clayton County have any implications for Equal Protection doctrine? 140 S. Ct. 1731 (2020). I conclude that it does, though not in the way that plaintiffs expect.
Bostock involved a suit brought under
Bostock’s holding was based on the plain meaning of
With respect for their thoughtful opinions, I believe they are wrong. I recognize that Bostock left many questions unanswered. Yet Bostock’s principles reverberate in other areas of the law. One such area is Equal Protection.
Though a
These principles formed the backbone of Bostock’s holding that discrimination based on homosexual or transgender status is necessarily sex discrimination. When two employees of opposite sexes are both attracted to men, for instance, they are “materially identical in all respects,” except for their sex. Id. at 1741. If their employer subsequently fires one of them, but not the other, for their attraction, then the employer has chosen to tolerate traits in members of one sex that it penalizes in members of the other. Id. In other words, “the employer intentionally singles out an employee to fire based in part on the employee’s sex, and the affected employee’s sex is a but-for cause of his discharge.” Id. Bostock held that this type of discrimination is necessarily sex discrimination since it is “impossible” to discriminate on the basis of homosexual or transgender status without discriminating on the basis of sex. Id.
The employers in Bostock tried to evade this result by arguing that they were discriminating based on distinct criteria—sexual orientation and gender identity—rather than sex itself. Id. at 1746–48. But the Court was not moved. It explained that when an employer adopts a “sex-based rule[]” that “makes hiring turn on [sex], the employer
Whether and how this translates into the Equal Protection context is not immediately obvious. Unlike
Despite these salient differences, there is nonetheless a crucial similarity between the two laws. At their cores,
Asking whether a protected trait was a reason for discriminatory treatment is precisely what Bostock described as a but-for causation inquiry. 140 S. Ct. at 1739. If two people are otherwise similarly situated except for their sex, and they are treated differently
Now to the punchline. The Equal Protection Clause requires a showing of but-for causation. Bostock gave us a test for identifying “traditional” and “simple” but-for causation. Id. It therefore follows that Bostock’s test can identify but-for causation under the Equal Protection Clause. A plaintiff can establish the first step of an Equal Protection claim by showing that they suffered intentional discrimination because of their protected trait. Washington, 426 U.S. at 239. And they can prove any such discrimination was because of that trait (i.e., but-for causation) by “chang[ing] one thing at a time and see[ing] if the outcome changes.” Bostock, 140 S. Ct. at 1739. If the outcome changes based on their protected trait, then that trait was a but-for cause of their mistreatment, and the burden ought to shift to the government to justify the law under heightened scrutiny.22
Plaintiffs think that Bostock provides them another avenue for relief in these cases. Yet by now, it should be clear why plaintiffs cannot show that their sex or transgender status was a but-for cause of any injury they suffered. Under Bostock, “if changing the [patient’s] sex would have yielded a different choice by the [states],” then the patient’s sex would be a but-for cause of their discrimination. Id. at 1741. But here, changing plaintiffs’ sex (or even their transgender status) would not change either state’s choice to decline coverage for the requested services. Even if we changed the biological sex of Maxwell Kadel—one of the plaintiffs below—from female to male, North Carolina would still deny
Nor do the plans discriminate via “sex-based rules” that necessarily make coverage “turn on” sex or transgender status. See id. at 1745–46. To see why, let’s return to the example Bostock used where an employer asks applicants to check a box if they are homosexual or transgender and then refuses to hire anyone who checks the box. Id. at 1746. Bostock held that this is sex discrimination, even if the employer never learns an individual’s sex, because the rule the employer uses holds men and women in the same factual circumstances to different standards (thus making sex a but-for cause of the discriminatory treatment). Id.
But now let’s modify the hypothetical. Imagine an employer announces that it will only hire a candidate with certain qualifications—a college degree, one year of experience, and two references—and that it will not consider other things in an application—such as race, religion, sex, sexual orientation, or gender identity—when making its hiring decision. To be clear, the employer will not deny employment based on these latter traits, either;
The policy I’ve described does not discriminate on the basis of sex. It does not use a sex-based rule that holds men and women to different standards. Rather, it holds everyone to the same standard: Anyone who has the relevant qualifications will be hired, but no one will be hired simply because of their race, religion, sex, sexual orientation, or gender identity. Someone who has these latter traits can still be hired. But they will not be hired because they have these traits—they will be hired because they have the relevant qualifications, just like everyone else. The qualifications, and not the protected traits, are therefore the but-for cause of the hiring decision.
The challenged plans work a lot like this hiring policy. The states have decided that they will only pay for procedures that alter a patient’s breasts or genitalia if the patient suffers from physical injury, disease, or congenital absence of genitalia. Based on these criteria, the states identify a set of diagnoses that qualify someone for every treatment. They then grant coverage for those treatments only to people with qualifying diagnoses. As it turns out, gender dysphoria does not meet these criteria, so the states do not treat it as a qualifying diagnosis. Anyone who seeks to qualify for coverage on the basis of gender dysphoria alone thus will not receive treatment. Yet neither will anyone else who lacks a qualifying diagnosis, whether or not they have gender dysphoria. The only way anyone
The plans, therefore, have not adopted a sex-based rule that makes coverage turn on a person’s sex or their transgender status. Indeed, they both can be described without reference to sex: No patient who seeks to alter their breasts or genitalia will receive coverage unless they experience physical injury, disease, or congenital absence of genitalia. Rather, the plans merely condition coverage for certain treatment on medical diagnosis. Anyone of either sex or who is transgender can obtain those treatments if they have a qualifying diagnosis. The exclusions therefore do not discriminate because of sex or transgender status.
4. The majority’s arguments are unpersuasive.
As I’ve explained, the challenged exclusions do not discriminate on the basis of sex or transgender status. So why does the majority conclude differently? Frankly, it’s hard to tell. Rather than beginning with an affirmative case for why these plans are discriminatory, the majority instead begins by refuting the states’ counterarguments. It then strings together a line of unrelated Supreme Court precedents to distinguish away Geduldig. Along the way, it announces various holdings with very little substantive analysis. I find none of these arguments remotely persuasive.
The main thrust of the majority opinion is that the plans use gender dysphoria as a proxy for transgender persons. The majority gives us several formulations of this conclusion, but each is essentially the same: Gender dysphoria is “virtually
Conspicuously absent from the majority’s analysis, however, is any discussion of the actual legal standard for presuming intentional discrimination by proxy. As cases like Bray make clear, we cannot presume that a law intentionally discriminates just because the targeted activity is “engaged in exclusively or predominantly by a particular class of people”; it also must be “such an irrational object of disfavor that,” if targeted, “an intent to disfavor that class can be readily presumed.” Bray, 506 U.S. at 270; see also Arlington Heights, 429 U.S. at 266 (explaining that discrimination may be presumed if a classification is “unexplainable on grounds other than” a protected trait). This means we can presume intentional discrimination by proxy only if the distinction drawn is so obviously discriminatory that we can find an illicit purpose without requiring further evidence. See, e.g., Yick Wo, 118 U.S. at 374 (“[T]he conclusion cannot be resisted that no reason for [the unequal treatment] exists except hostility to the race and nationality to which the petitioners belong . . . .”); Guinn, 238 U.S. at 365 (finding no “basis of reason for the standard thus fixed other than” an intent to discriminate); Gomillion, 364 U.S. at 341 (explaining that “the conclusion would be irresistible, tantamount for all practical purposes to a mathematical demonstration,” that the electoral district was drawn to discriminate against black voters).
But it is not, and has never been, “enough to know” that something targeted is “unique” to a protected class to presume that it is being used as a proxy for that class. It was not enough to know that only women can get pregnant for the Court to find that the refusal to cover pregnancy-related disabilities targeted women. Geduldig, 417 U.S. at 496
Equally shocking is the majority’s treatment of Geduldig. The majority acknowledges Geduldig’s holding that the choice to underinsure a particular medical condition is not sex discrimination, absent further evidence of pretext. But rather than wrestling with that holding, the majority states that Geduldig is inconsistent with another line of Supreme Court precedents, which hold that “a state cannot immunize itself from violating the Equal Protection Clause by discriminating against only a subset of a protected group.” Majority Op. at 31. So the majority simply limits Geduldig to its facts (i.e., pregnancy discrimination) and finds it inapplicable here.
Yet what these other cases have to do with Geduldig is an utter mystery. Each of them concerned whether policies already found to discriminate against members of a protected class were immune from heightened scrutiny because they targeted only a subset
Finally, the majority claims that the exclusions directly discriminate based on sex. According to the majority, the plans cover certain “gender-affirming” surgeries “when the
Before responding to these arguments, I must again clarify how these plans actually work. Neither state covers surgery to alter breasts or genitalia for “gender-affirming purposes,” i.e., solely because a person wishes to align their outward appearance with their biological sex. Majority Op. at 44. The majority’s statement to the contrary simply is not supported by the record. To obtain coverage, a person must be afflicted with physical injury, disease, or congenital absence of genitalia. In other words, they must have a particular kind of qualifying diagnosis. Anyone can seek coverage for a vaginoplasty to correct the congenital absence of a vagina. Anyone can seek coverage for a breast reconstruction to restore what was destroyed by cancer treatment. And anyone can seek coverage for breast reduction to alleviate symptomatic gynecomastia.31 But no one—man
With that out of the way, it is easy to see why the majority’s first argument holds no water. The policies can be applied without reference to sex. Indeed, they are applied without reference to sex. The states do not use a person’s sex or transgender status to make coverage decisions. Instead, for each kind of surgery, the states keep a list of diagnoses that qualify someone for that surgery. When someone submits a coverage request, the states grant or deny coverage based on whether that person has a qualifying diagnosis. So for instance, if a person requests coverage from West Virginia for a vaginoplasty, whether they receive coverage or not depends on whether their diagnosis does or does not qualify. Nothing about this turns on a patient’s sex; the plans need only know whether the patient has a qualifying diagnosis.33
The majority can only label these policies as sex-based by reading medical diagnosis completely out of the picture. On the majority’s telling, the only difference between two people who request a vaginoplasty is sex—they are otherwise identical because both “were born without a vagina.” Majority Op. at 45. But phrasing it in these terms omits the medical reason they have this condition. One of them was “born without a vagina” in the sense that they have a congenital defect. The other was “born without a vagina” not because they have any such congenital defect, but because they have a diagnosed psychological disorder. These are not the same! Only by treating them as such can the majority sidestep the determinative role diagnosis plays and characterize these coverage decisions as necessarily sex-based.
The majority then contends that the exclusions discriminate based on gender stereotypes because they “condition[] access to gender-affirming surgery on whether the surgery will better align the patient’s gender presentation with their sex assigned at birth.” Majority Op. at 45. Yet this is the same error as before, just repackaged under a different label. Neither plan makes coverage available to anyone simply to “better align [their] gender presentation with their sex assigned at birth.” Id. Instead, they condition coverage based on whether a patient has a certain identifiable medical condition. And there is simply no evidence in these appeals that the states chose which conditions to cover with a view towards punishing gender-nonconformity.
B. Medicaid Act Claims
On top of their antidiscrimination challenges, the Anderson plaintiffs assert two claims under the Medicaid Act.34 First, they allege that West Virginia’s program violates the Act’s “availability requirement,” which—in broad terms—requires states to cover certain categories of care under their Medicaid programs. See
The Medicaid Act’s “availability requirement” is found in
Read alone, these provisions look sweeping. For instance, what does it mean that a state’s Medicaid program must “provide for making ‘inpatient’ and ‘outpatient hospital services’ available”? Does it mean that any time a categorically needy participant goes to the hospital asking for a procedure, the state must provide coverage, no matter what the procedure was or why the person wanted it?
No. The Supreme Court has made clear that these provisions of the Medicaid Act must be read alongside another provision—
Notice what the Court did and did not say. Dicta notwithstanding, the Court did not hold that the purpose of the Act is to provide all medically necessary services to everyone who requests them. But see id. at 445 (suggesting that “serious statutory questions might be presented if a state Medicaid plan excluded necessary medical treatment from its coverage”). Rather, the Court held that the Act’s objective is for states, “as far as practicable,” to provide “medical assistance” to a certain category of people, i.e., those who cannot afford medically necessary services. See Preterm, Inc. v. Dukakis, 591 F.2d 121, 124 (1st Cir. 1979). The objective is thus to serve a certain population, not to provide a certain level of services for each and every person. See
Thus, read in light of
Similarly,
Subsection 440.230(c), which provides that a state “may not arbitrarily deny or reduce the amount, duration, or scope of a required service . . . to an otherwise eligible
West Virginia easily fulfills its obligations under the Medicaid Act. Although specific, empirical data is not required, the state presented undisputed evidence that its Medicaid program had limited funds and that covering plaintiffs’ surgeries would require
The majority, in concluding otherwise, does not even try to parse the text of the statute or its implementing regulations. Instead, the majority just declares, relying on Supreme Court dicta and out-of-circuit precedent, that a state may only exclude services based on comparability of medical need and not based on the underlying diagnosis. See Majority Op. at 60. But this is an absurd reading of the statute. The purpose of the Medicaid Act is not to provide all attainable medically necessary services but to provide medical services for the Medicaid population as a whole, so far as feasible. And neither the statute nor its regulations prohibit states from limiting coverage, so long as those limits are reasonable and consistent with the objectives of the Act. There is therefore no requirement that states provide equal services to everyone with the same level of medical need. Coverage distinctions need only be reasonable. And they certainly are here.
Today’s result is a victory for plaintiffs but a defeat for the rule of law. To reach its holding, the majority misconstrues the challenged policies and steamrolls over the careful distinctions embedded in Equal Protection doctrine. It finds unlawful discrimination where there is none, stripping the states of their prerogative to create health-insurance and Medicaid systems that serve the best interests of their overall populations.
More troubling, however, are the implications of today’s result for future cases involving state classifications in the healthcare context. Running a healthcare system is no easy task. Because the states have limited resources, they must make hard judgment calls about which services they will and will not cover. Ordinarily, such line-drawing is of no concern to the Equal Protection Clause. It is only in a narrow set of cases—when lines are drawn based on membership in a protected class—that heightened scrutiny is triggered. It is therefore incumbent on those in robes to exercise caution before jumping to conclusions about the reasons for particular judgements and distinctions drawn in the medical field. In failing to heed this warning, the majority sets a dangerous precedent and threatens the feasibility of state regulation in this area.
I thus respectfully dissent.
Why the rush to constitutionalize? Why the dash to create a substantive Fourteenth Amendment right to transgender surgery and treatment underwritten by the State?
Of course the controversies surrounding transgender status will reach the courts. But how they reach us is the all-important thing. There is a big difference between, say, reading a statute and discovering a novel unenumerated constitutional right.
I see no need to revisit the debates swirling over Roe v. Wade, 410 U.S. 113 (1973). I should note only that the infirmity of that decision lay not in the shortcomings of a perspective protecting the rights of the unborn or of one safeguarding reproductive freedoms. No, the infirmity lay in the courts reserving the weighing and balancing of those heartfelt perspectives for themselves.
There will, of course, always be those who applaud and those who decry the decision of the day. But that is transient, much as a fleeting goldfinch wings before our eyes. And in the long tomorrow, the recurrent creation of rights so unmoored from constitutional text or history will deplete the store of public respect on which a branch devoid of sword or purse must ultimately rely. See The Federalist No. 78 (Alexander Hamilton). Courts have been thrust into an unprecedented and transparently political thicket from which extrication has proven uncommonly hard.
And yet here we go again. We now confront a lengthy majority opinion without limits on what other statutory dominos will fall. In the era of Roe, it was substantive due process. Now it is substantive equal protection. Make no mistake. The fundamental rights prong of equal protection is what is at play here, and while constitutionally mandating
Had the majority’s result been reached through the democratic process, it would have been perceived as the product of a process in which many good people of many varied views had had their voices heard. But even those who most passionately approve of the outcome here must recognize that those who do not approve have been ever so wrongly denied their rightful say. Even more so than in Roe, because that decision was never thought to require public funding of reproductive freedoms, Maher v. Roe, 432 U.S. 464, 480 (1977), whereas this decision presumes to dictate how public officials should prioritize the competing requests of deserving claimants for insurance coverage and financial support.
This is all transparently a creative, not an interpretive, judicial exercise, one which is most aptly termed constitutional common law. But even the great common law judges could always be overturned by a legislature, whereas we, their descendants, hold ourselves above amendment by the States, the Congress, or indeed any agency which dares murmur a dissent.
This is imperial judging at its least defensible. It is the law, we say. Why? Because we proclaim it so. I suppose that one day we shall exchange our robes of black for a purple more befitting our new regal state. But until that time, a basic respect for the legitimate and diverse views of our fellow Americans should prevail. Because I believe that ours should not be the first, last, and only word on this volatile set of issues, I respectfully dissent.
I.
These arguments, whether alone or in combination, fail to show that the coverage exclusion constitutes an equal protection violation. What plaintiffs propose is nothing less than to use the Constitution to establish a nationwide mandate that States pay for emerging gender dysphoria treatments. Plaintiffs envision an
It is true, of course, that the
Few, if any, of those steps involved this litigation‘s mix of medicine and morality at such an incipient and experimental stage. To say the
II.
The Supreme Court has repeatedly acknowledged the broad discretion given to the States in the allocation of public benefits. As the Court has emphasized, “the
Thus “[i]n the area of economics and social welfare, a State does not violate the
As my colleague Judge Richardson cogently demonstrates, Geduldig v. Aiello provides the proper framework for this case. 417 U.S. 484 (1974). The Court held that the
The majority, however, sees things differently. It arrogates to itself the authority to tell States how to draft insurance policies covering state employees on state healthcare plans. This is a breach of our federal system. It is an intrusion upon the residual powers that the Constitution guarantees to the States. It is a usurpation of the prerogatives of fifty sovereigns, supplanting difficult judgments on issues in their very infancy with an ill-advised, self-assured ukase of our own.
III.
While the amicus briefs before us are thoughtful and edifying, they also underscore the impropriety of constitutionalizing this complex issue. The brief by the American Medical Association is particularly revealing. See Br. for Am. Med. Ass‘n et al. as Amici Curiae Supporting Plaintiffs-Appellees, Kadel v. Folwell (No. 22-1721). It elucidates the healthcare profession‘s understanding of advances in treating gender dysphoria. Id. at 10. And it stresses the detrimental consequences that a lack of treatment could have on the
I do not disparage the importance of this information. Amici make clear that gender dysphoria is a serious condition which, left untreated, can result in real harm to affected individuals. But the briefs fail to answer the question of why this court ought to find the Plan‘s exclusion contrary to the Constitution. Rather, the information methodically presented by our good amici is a classic legislative argument. It presents but one view of a highly disputed matter, and that view must compete for funding with other poignant and deserving claims for state insurance coverage.
Other States present other views. See Br. for Missouri et al. as Amici Curiae Supporting Defendants-Appellants, Kadel v. Folwell (No. 22-1721). There we are reminded that states have significant discretion in areas affecting the health and welfare of their citizens, especially those areas where the science is unsettled. Id. at 3. Healthcare costs stress state budgets mightily. See Appellants’ Opening Br. 2. Whether States should pay for emerging hormonal and surgical interventions to treat gender dysphoria is unclear when so many diseases visit such tragic consequences upon their victims.
As the Missouri brief also makes clear, the science behind gender dysphoria care is far from settled. See Br. for Missouri et al. at 6–11. A recent systematic review of cross-sex hormone treatments for minors revealed that “long-term studies are lacking” and “long-
These different sets of briefs offering their different perspectives illustrate perfectly why the whole issue should be left to percolate in what Justice Brandeis famously called the laboratories of democracy. New State Ice Co. v. Liebmann, 285 U.S. 262, 311 (1932) (Brandeis, J., dissenting). Providing the best possible care to adults and youth struggling with gender dysphoria is a challenging task for our States. But it is one that they are entitled to perform without premature judicial interference. It will require them to engage in rigorous cost-benefit analyses, community outreach, and expert consultation. It is almost
States have “wide discretion to pass legislation in areas where there is medical and scientific uncertainty.” Gonzales v. Carhart, 550 U.S. 124, 163 (2007) (citing Kansas v. Hendricks, 521 U.S. 346, 360 n.3 (1997)). Yet the majority wrests this discretion out of the hands of North Carolina, West Virginia, and untold other states besides. Self-governance is notably absent when the many voices seeking to provide answers are silenced by federal judges shrouded in an authority of their own design.
IV.
The parties and amici lay bare a dilemma with implications that could not be more profound. On the one hand, we have the powerful arguments of transgender men and women for dignity and open access to desired medical care. This side of the argument is not merely about diagnostic codes and treatment plans. At base, we encounter individuals on a quest for wholeness, for a sense of self which is not fractured, for a quelling of deep tumult and conflict within. Courts must respect those who wish only to become more fully themselves.
Where to draw the line? How to refashion our beings tomorrow? When is the Rubicon between healing and remaking ourselves irrevocably crossed? What improvements to the handiwork of nature shall we next seek? What ever-receding horizons of happiness shall greet the elusive search for the more perfect self?
The majority and the dissents have no answer to these questions, at least none if we are honest with ourselves. Science is a discipline of many wonders, but also of many limits. We have seen medical breakthroughs and medical overreach, and human history is rife with the triumphs and failures of judgment and morality. The Framers gave us no sure answers to transgender treatments or indeed to many questions confronting succeeding generations. Their gift to us is one of process, and a priceless gift it is. Our Constitution directs that controversies such as these must be hashed out over time by the people and
We do not—or, at least, we should not—bend the Federal Rules of Evidence just because a case involves important constitutional issues. But that is what the majority seems to be doing here. In order to conclude that no legitimate, non-discriminatory reasons support denying coverage for certain treatments of gender dysphoria, the majority abandons settled evidentiary principles. Properly accounting for the record, questions about the medical necessity and efficacy of such treatments linger. And those lingering questions support the states’ coverage decisions.
In its first improper evidentiary move, the majority misapplies
In its second evidentiary misstep, the majority improperly declares as fact the plaintiffs’ position on this debate. It first states as a fact that “[i]f untreated, gender dysphoria can cause debilitating distress, depression, impairment of function, self-mutilation to alter one‘s genitals or secondary sex characteristics, other self-injurious behaviors, and suicide.” Maj. Op. at 12–13. In making this declaration, the majority cites to the fifth edition of the American Psychiatric Association‘s Diagnostic and Statistical Manual of Mental Disorders (DSM-5). The majority then states as a fact that “the medical community uses generally accepted protocols from the World Professional Association for Transgender Health‘s Standards of Care for the Health of Transgender and Gender Diverse People (WPATH Standards), which it explains recommend “assessment,
Why the evidentiary shortcuts? When the dust settles from our court‘s equal protection debate, lawyers and district courts will see that we have applied the Federal Rules of Evidence in ways at odds with their textual requirements and our precedent interpreting them. So, questions naturally follow. Do we cut evidentiary corners when the constitutional stakes are high? Or have we altered evidentiary norms? The answer is not clear to me. But what is clear is that these evidentiary decisions improperly stack the deck against West Virginia and North Carolina. So, in addition to the reasons articulated in Judge Richardson‘s dissenting opinion, I respectfully dissent.1
I.
Before the district court, North Carolina sought to introduce Dr. Hruz as an expert to testify about the treatment of gender dysphoria. As a pediatric endocrinologist, Dr. Hruz has “participated in the care of hundreds of infants and children, including adolescents,
Despite this the district court determined that Dr. Hruz was not qualified to testify about “the diagnosis of gender dysphoria, the DSM, gender dysphoria‘s potential causes, the likelihood that a patient will ‘desist,’ or the efficacy of mental health treatments.” Kadel, J.A. 3587. The district court reasoned that Dr. “Hruz is not a psychiatrist, psychologist, or mental healthcare professional.” Kadel, J.A. 3587. The district court also reasoned that Dr. Hruz “has never diagnosed a patient with gender dysphoria, treated gender dysphoria, treated a transgender patient, conducted any original
On appeal, the majority concludes that the district court did not abuse its discretion in limiting Dr. Hruz‘s expert testimony. I disagree. Appropriately, we give district courts discretion in exercising their gatekeeping function under
A witness who is qualified as an expert by knowledge, skill, experience, training, or education may testify in the form of an opinion or otherwise if:
- the expert‘s scientific, technical, or other specialized knowledge will help the trier of fact to understand the evidence or to determine a fact in issue;
- the testimony is based on sufficient facts or data;
- the testimony is the product of reliable principles and methods; and
- the expert has reliably applied the principles and methods to the facts of the case.
Although he does not treat patients for “the purpose of alleviating gender dysphoria,” Dr. Hruz is an endocrinologist who has treated hundreds of juveniles diagnosed with sexual development disorders and many transgender “patients that have experienced side effects related to . . . hormone treatment.” Kadel, J.A. 737, 1256. He has also “extensively studied” scientific literature on gender dysphoria treatments while his hospital developed a transgender clinic, consulted with professionals specializing in this area, presented on gender dysphoria at medical universities and met with “dozens of parents of children with gender dysphoria to understand the unique difficulties experienced by this patient population.” Kadel, J.A. at 737. Dr. Hruz, therefore, has the necessary knowledge to qualify him to testify on the subject of gender dysphoria.
Knowledge is supposed to be an independent basis that qualifies an expert to testify. See Kopf, 993 F.2d at 377. And given Dr. Hruz‘s knowledge qualified him to testify about gender dysphoria, concerns of his lack of experience in diagnosing, treating or researching gender dysphoria went to the weight of his proffered testimony, not its admissibility. See
In addition, the district court‘s exclusion of Dr. Hruz‘s testimony on the basis of his qualifications conflicts with the way our circuit has traditionally reviewed decisions about the admissibility of expert witness testimony. For decades, we have recognized that “qualifications to render an expert opinion are . . . liberally judged by
Our precedent demonstrates a more relaxed construction of
More recently, in Fuertes, we determined that the district court did not abuse its discretion in permitting a physician who served as the director of a child abuse center to testify as an expert in a trial concerning the alleged sex trafficking of adults. 805 F.3d at 496–97. Though the criminal defendants argued on appeal that the physician was not qualified to testify as an expert because her experience was limited to working with juveniles and her “training and experience were not in the formation and treatment of adult scars,” we rejected this argument. Id. at 496. In addition to noting that the physician testified that few distinctions exist between the scarring of juvenile and adult skin, we stated that the defendants’ “objection to [the physician‘s] training and experience [went] to the weight, not the admissibility, of her testimony, and counsel had the opportunity to cross-examine her on these issues.” Id. (emphasis added). Admitting the physician‘s expert
Other circuits have also applied this traditional, relaxed approach specifically in the context of medical expert testimony. In Holbrook v. Lykes Brothers Steamship Co., 80 F.3d 777, 782–83 (3d Cir. 1996), the Third Circuit found that the trial court erred in prohibiting the decedent‘s treating physician from testifying about the decedent‘s diagnosis of mesothelioma. The trial court had reasoned that the physician was not a “pathologist, oncologist or expert in ‘definitive cancer diagnosis.‘” Id. at 782. But the Third Circuit explained, “Because of our liberal approach to admitting expert testimony, most arguments about an expert‘s qualifications relate more to the weight to be given the expert‘s testimony than to its admissibility.” Id. The Third Circuit concluded that “the court‘s mistaken approach restricted [the physician]‘s testimony based on a requirement that the witness practice a particular specialty concerning certain matters.” Id.
Similarly, the First Circuit has recognized that “[t]he proffered expert physician need not be a specialist in a particular medical discipline to render expert testimony relating to that discipline.” Gaydar v. Sociedad Instituto Gineco-Quirurgico y Planificacion Familiar, 345 F.3d 15, 24 (1st Cir. 2003); see also Pages-Ramirez v. Ramirez-Gonzalez, 605 F.3d 109, 114 (1st Cir. 2010). As the First Circuit explained, “it would be an abuse of discretion to exclude testimony that would otherwise ‘assist the trier better to understand a fact in issue,’ simply because the expert does not have the specialization that the court considers most appropriate.” Pages-Ramirez, 605 F.3d at 114 (quoting Gaydar, 345 F.3d at 24–25).
To sum up the
II.
On top of the exclusion of Dr. Hruz‘s testimony, the majority improperly declares statements from the WPATH Standards and the DSM-5 about the treatment of gender dysphoria to be facts. The majority describes gender dysphoria as “a condition
I disagree with these statements of fact by the majority for two reasons. First, the majority improperly determines the statements qualify as indisputable adjudicative facts under
A.
I begin with
Second, even if, rather than the entire publication, the majority is referring to the excerpts from the DSM-5 it cites,
Third, judicial notice under
But North Carolina challenged the DSM-5‘s reliability as a scientific authority, arguing, among other things, that “the NIMH stopped funding projects that use the DSM-5 and that the DSM-5 is generally controversial.” Maj. Op. at 12–13 n.5 (citing J.A. 742,
I disagree with the majority‘s analysis on this point. Under
The majority again noted North Carolina‘s objections. North Carolina argues that the district court relied on facts from the WPATH Standards, which contain facts outside the record. North Carolina also contests the reliability of the WPATH Standards. In support of its objections, it cited its experts’ opinions. Id. Dismissing those arguments as concerning “methodology” and whether the WPATH Standards represent a consensus view, the majority rejects North Carolina‘s arguments. In so doing, it cites the plaintiffs’ experts’ opinions that the WPATH Standards do, in fact, represent a consensus of the medical community on the treatment for gender dysphoria.
Once again, even if the majority is right about the ultimate resolution of the North Carolina‘s position, which I do not concede, that is not the point. The point is whether it has a reasonable argument on reliability. And it does. The majority ignores that requirement of
For these reasons, the majority‘s declarations of fact are improper under
B.
While I do not believe the excerpts from the DSM-5 and the WPATH standards described above are adjudicative facts, that does not necessarily mean the majority cannot rely on them in its analysis. True, the typical way this type of information would come in as evidence is through witnesses, most likely expert witnesses. That tried-and-true method would allow the adversary process to identify their relevance and reliability and expose any weaknesses in those areas. I see no reason the plaintiffs could not have followed that traditional course here. But apparently, they did not.
Even so, the majority could cite to the excerpts from the DSM-5 and WPATH Standards as legislative facts. “Legislative facts . . . are those which have relevance to legal reasoning and the lawmaking process, whether in the formulation of a legal principle or ruling by a judge or court or in the enactment of a legislative body.”
Courts can, and increasingly do, take judicial notice, ungoverned by
But even if the majority could rely on legislative facts, in my view, it oversteps here. Take the majority‘s declaration that “the medical community uses generally accepted protocols from the [WPATH Standards],” which it explains recommend “assessment,
III.
To conclude, the majority makes two evidentiary missteps. It improperly affirms the exclusion of Dr. Hruz‘s expert testimony about gender dysphoria. And it improperly declares statements from the DSM-5 and the WPATH Standards to be facts. Individually and combined, these missteps improperly stack the deck, effectively ignoring the fair-minded debate about the medical necessity and efficacy of the treatments the plaintiffs seek. For these additional reasons, I respectfully dissent.