The United States Court of Appeals for the Fourth Circuit has issued a
ruling in Kadel, et al. v. Folwell, et al. Case No. 22-1721 that gender-affirming care to treat gender dysphoria cannot be denied, that the failure to provide such coverage is discriminatory and violates the 14th Amendment’s Equal Protection Clause, and provisions of federal law, including the Medicaid Act and the Affordable Care Act.