In August 2026, the Trump administration directed insurance carriers to exclude gender transition care from federal employee insurance plans. This decision sparked legal action from transgender federal employees.
On Monday, five transgender employees, backed by the Human Rights Campaign Foundation, filed a lawsuit against the Trump administration. They argue that the directive violates civil rights protections outlined in Title VII, which prohibits sex discrimination.
The plaintiffs assert that the Office of Personnel Management’s decision to instruct insurance providers to remove gender transition care coverage in January is discriminatory. They liken the denial of this care to refusing insulin treatments for individuals with diabetes, highlighting the vital nature of the medical treatment in question.