Lawyer defends North Carolina’s transgender care exclusions

By HANNAH SCHOENBAUM
Associated Press/Report for America

RALEIGH, N.C. (AP) — A lawyer representing the leaders of North Carolina’s state employee health plan has defended its exclusion of gender affirming treatments before a federal appeals court. State Treasurer Dale Folwell and the State Health Plan’s executive administrator are seeking to overturn a trial court order demanding that the plan pay for “medically necessary services,” including hormone therapy and some surgeries, for transgender employees and their children. Attorney John Knepper told a three-judge panel of the 4th U.S. Circuit Court of Appeals on Wednesday that the plan routinely excludes some medically necessary procedures based on cost, but does not make any of those determinations based on sex or gender.