Dekker v. Marstiller, Northern District of Florida

Executive Summary

Four transgender Medicaid beneficiaries filed a lawsuit challenging a Florida regulation that prohibits coverage of medically necessary gender-affirming care. 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.