Employers must include gender-affirming medical care in their health insurance coverage or face federal charges.

That’s the decision handed down June 2 by Chief Judge Marc Treadwell of the U.S. District Court for the Middle District of Georgia in the case of Anna Lange – a transgender woman and sheriff’s deputy in Houston County, Georgia, who was denied coverage for gender confirmation surgery under her employee health insurance plan. As the Washington, D.C.-based LGBTQ MetroWeekly.com reports, an exclusion in the sheriff’s department’s policy prohibited coverage for transition-related medical care, including counseling, hormones, and surgical procedures. 

According to MetroWeekly.com:

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