Minnesota has tried to end Medicaid payments for sex-change operations for 10 years. But activists have challenged the restrictions in court. As a result, two to three people a year have had their sex-change operations paid for by state programs, at a total cost of about $15,000 in state funds, officials say. The new law, which took effect Aug. 1, "completely closes the loophole," Geroux said.
State lawyers say they expect court challenges to continue. Phil Duran, a lawyer for OutFront Minnesota, an advocacy group, says he's appealing the department's denials to five patients awaiting sex-change surgery. "It's certainly our position that this is not about saving money," he said. "This is about imposing a [penalty] on politically unpopular people."
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