San Francisco Chronicle

Transgende­r protection revoked

- By Ricardo AlonsoZald­ivar Ricardo AlonsoZald­ivar is an Associated Press writer.

WASHINGTON — The Trump administra­tion Friday finalized a regulation that overturns Obamaera protection­s for transgende­r people against sex discrimina­tion in health care.

The policy shift, longsought by the president’s religious and socially conservati­ve supporters, defines gender as a person’s biological sex. The

Obama regulation defined gender as a person’s internal sense of being male, female, neither or a combinatio­n.

LGBTQ groups say explicit protection­s are needed for people seeking sexreassig­nment treatment, and even for transgende­r people who need medical care for common conditions such as diabetes or heart problems.

Behind the dispute over legal rights is a medically recognized condition called “gender dysphoria” — discomfort or distress caused by a discrepanc­y between the gender that a person identifies as and the gender at birth. Consequenc­es can include severe depression. Treatment can range from sexreassig­nment surgery and hormones to people changing their outward appearance by adopting a different hairstyle or clothing.

Many social conservati­ves disagree with the concept.

Women’s groups say the new regulation­s also undermine access to abortion, which is a legal medical procedure.

“No one should fear being turned away by a medical provider because of who they are or the personal health decisions they have made,” said Fatima Goss Graves, president of the National Women’s Law Center, raising the threat of a court challenge.

The ACLU has also said it would sue to over turn the Trump rule.

Under the Obamaera federal rule, a hospital could be required to per form gendertran­sition procedures such as hysterecto­mies if the facility provided that kind of treatment for other medical conditions. The rule was meant to carry out the antidiscri­mination section of the Affordable Care Act, which bars sex discrimina­tion in health care but does not use the term “gender identity.”

For the administra­tion it’s the latest in a series of steps to revoke newly won protection­s for LGBTQ people in areas ranging from the military to housing and education.

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