D.H. v. Snyder, District of Arizona

Executive Summary

Two transgender young people enrolled in Medicaid filed a class action lawsuit challenging an Arizona regulation that prohibits coverage of medically necessary gender-confirming surgery. The plaintiffs allege that the discriminatory coverage exclusion violates: (1) the EPSDT requirements in the Medicaid Act; (2) the comparability requirement in the Medicaid Act; (3) Section 1557 of the Affordable Care Act; and (4) the Equal Protection Clause of the 14th Amendment.