Violating affordable care act over anti-trans state employee health care plan. Carolinas reports that the US Court of Appeals for the Fourth Circuit upheld a district court ruling September 1st determining that the North Carolina state health plan for teachers and employees, a state entity, could be sued under the non-discrimination provision of the Affordable Care Act for denying comprehensive gender-affirming health care coverage. Lambda Legal and Transgender Legal Defense and Education Fund filed the case Cadle versus Foul in the night in 2019 against North Carolina officials for discrimination in the state employee health care plan which covers around 720,000 employees and retirees and has a categorical exclusion of treatment for gender dysphoria.
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