Kevin James Simon (USA)

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Kevin James Simon is a Man who identified as a Woman named Anna Hart. Simon sexually assaulted four juveniles that he was fostering and repeatedly subjected them to anal intercourse, oral sex and pornographic materials. In 2001, Simon pled guilty to indecent deviate sexual intercourse, aggravated indecent assault, indecent assault, endangering the welfare of children, corruption of minors, and obscene and other sexual materials and performances, and is currently incarcerated at the Graterford (Pennsylvania) correctional institution. He was involved in several insurance lawsuits in which the foster care placement service sought to avoid liability for placing the children with a pedophile.

Insurer wants out of ‘Anna Hart’ transsexual assault case – Gate House

Fourth boy accuses foster ‘mom’ of sex – Gate House

 

Davidson v. Aetna Life & Casualty Insurance Co. (USA)

The first United States case involving a private health carrier and reimbursement for sex reassignment surgery was decided by the New York Supreme Court in 1979.  Victoria Davidson’s insurance carrier, Aetna Life Insurance Company, refused to bear the cost of medical expenses for SRS, alleging: 1.) Gender dysphoria is not an injury; 2.) Transsexual surgery is cosmetic in nature; 3.) Surgical intervention is not necessary and unreasonable. The court ruled in favor of Davidson, finding the surgery “cannot be considered to be of a strictly cosmetic nature”, and that the “sex change operation of the plaintiff is of a medical nature and is feasible and required for the health and well-being of the plaintiff”.

DAVIDSON v. AETNA LIFE INS _ Leagle.

Cruz v. Zucker (USA)

A lawsuit filed against New York state seeks Medicaid coverage for transgender people seeking what they consider to be life-saving health treatments, including gender change procedures.
The lawsuit, filed in federal court in Manhattan against the state health commissioner, seeks class-action status on behalf of people seeking hormone therapy and sex reassignment surgery.
A similar federal lawsuit was thrown out in 2008 by a Manhattan judge who said the state had sufficiently explained its rejection of such reimbursement in 1998.
The judge noted that the state cited serious complications from the surgeries and danger from life-long administration of estrogen and testosterone.
The new lawsuit challenges the state on fresh legal grounds, including under the Affordable Care Act, and says scientific evidence now conclusively proves the treatments are safe and effective.
BREAKING_ SRLP Sues NY State DOH for Medicaid’s Exclusion of Transgender Healthcare _ SRLP (Sylvia Rivera Law Project).
New York sued over transgender Medicaid coverage – FOX 32 News Chicago.
 

Massachusetts (USA)

Massachusetts is the third state in the nation to cover transgender medical services, including gender reassignment surgery, as a standard benefit in its government health plan for lower-income and disabled people. The administration of Governor Deval Patrick also moved to prohibit private insurers from denying coverage for gender reassignment surgery or other treatments medically necessary for patients who are transgender, saying that would constitute sex discrimination.
The Patrick administration will strongly recommend similar reforms to the Group Insurance Commission, which provides coverage for thousands of state and municipal employees and their dependents. Only two other states — California and Vermont — have Medicaid programs guaranteeing treatment for gender dysphoria, a mental illness in which there is a pronounced difference between patients’ feelings about their gender and their physical sex characteristics.  People with gender dysphoria identify with stereotypes about the opposite sex.
Boston councilors to press for insurance coverage for city workers seeking gender reassignment surgery – Metro – The Boston Globe.
State to cover gender reassignment surgery and hormone treatment for transgender patients – Metro – The Boston Globe.

Pension Benefits Case (USA)

A major American car manufacturer reversed an initial decision to deny the woman her husband’s pension benefits based on its determination that their nearly-30-year marriage was void because he was transgender. 

TLDEF_ Victory! Transgender Man’s Surviving Spouse Wins Pension Benefits.

Trans Man’s Widow Wins Battle With Pension Provider _ Advocate.

3-25-14-Redacted.

11-22-13-Redacted.

Connecticut (USA)

The Connecticut Department of Insurance issued a Bulletin directing insurance companies to ensure that there is no discrimination against insured individuals with gender dysphoria and ensure that individuals are not denied access to “medically necessary care because of the individual’s gender identity or gender expression.”

Bulletin_IC-37_Gender_Identity_Nondiscrimination_Requirements.

Boston-based Gay & Lesbian Advocates & Defenders praises Conn. for requiring insurers to cover gender transition _ masslive.

 

van Kück v. Germany (European Court of Human Rights)

The applicant complained about the alleged unfairness of German court proceedings concerning his claims for reimbursement of sex reassignment measures against a private health insurance company. He further considered that the impugned court
decisions had infringed his right to respect for his private life.

The Court held that there had been a violation of Article 6 § 1 (right to a fair hearing) of the Convention. The German courts should have requested further clarification from a medical expert. With regard to the Court of Appeal’s reference to the causes of the
applicant’s condition, it could not be said that there was anything arbitrary or capricious in a decision to undergo sex reassignment surgery and the applicant had in fact already undergone such surgery by the time the Court of Appeal gave its judgment.

The proceedings, taken as a whole, had not satisfied the requirements of a fair hearing. The Court also held that there had been a violation of Article 8 (right to respect for private and family life) of the Convention. Since gender identity was one of the most intimate aspects of a person’s private life, it appeared disproportionate to require the applicant to prove the medical necessity of the treatment. No fair balance had been struck between the interests of the insurance company on the one hand and the interests of the individual on the other.

CASE OF VAN KUCK v. GERMANY.

Affordable Care Act (USA)

Transgender activists are ramping up for litigation under the Affordable Care Act (“ACA”), the sweeping reform law that changes the way health care and insurance are delivered in the United States. Advocates indicate battles ahead to obtain trans-specific health care as “medically necessary” because insurance companies do not cover cosmetic procedures such as facial feminization surgery and electrolysis for transgender women. Advocates also state that if insurance companies cover hormone replacement therapy for menopausal women, they must also provide it for healthy men who will never have a menopause if those men wish to transition to appear “like a woman.” The ACA does, however, cover mental health services.

What Transgender Californians Need To Know About Health Care Reform… | Transgender Law Center.

How Obamacare Will Affect Trans Folks and Families | Advocate.com.

Centers for Disease Control (USA)

Two national GLBT organizations want the Centers for Disease Control and Prevention (CDC) to re-evaluate a policy that limits cancer screenings to Women.  In a letter to the CDC sent by the Human Rights Campaign and the National Center for Transgender Equality, the groups believe that a CDC policy that denies subsidized cancer screening to low-income transgender women under the Breast and Cervical Cancer Mortality Prevention Act of 1990 because they are not Women is “clearly discriminatory, dangerous to the health of an at-risk population, inconsistent with prevailing recommendations for transgender health care and at odds with current federal policy ensuring access to care for transgender individuals.” The letter comes amid reports that a transgender woman in Colorado is suing after a state-run health care program turned her away for free breast-cancer screenings because she is “not genetically female.”

CDC urged to stop denying cancer screenings to transgender women – Poliglot.

HRC & NCTE Letter to the CDC.

Jenny Bowman (UK)

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Jenny Bowman is a man formerly called Paul who sold his house to pay for “facial feminization surgery” (“FFS”). In a published article, he lamented that FFS is not currently paid for through the National Health Service (“NHS”) in the United Kingdom. He also indicated that he has no desire to have Sex Reassignment Surgery, which is paid for through the NHS.  In the past, the NHS has also denied coverage for breast implants.

Transgender woman, 56, reveals why she sold her house to fund a £15,000 female face _ Mail Online.