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Transgender Louisianians on Medicaid being denied coverage for gender-affirming care

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lailluminator.com – Drew Costley, Verite – 2025-08-22 05:00:00


In Louisiana, the state’s Department of Health has effectively stopped Medicaid coverage for gender-affirming care, including hormone replacement therapy and surgeries, through administrative changes in billing codes since August 2024. Trans activist Corinne Green and others discovered they must pay out-of-pocket for treatments previously covered. This shift occurred despite no legislative ban and after Congress rejected efforts to remove such care from federal Medicaid. The community nonprofit Trans Income Project partnered with CrescentCare in New Orleans to help cover hormone therapy costs for Medicaid-eligible trans adults. However, many still face financial barriers, especially for surgeries, prompting protests and calls for broader support and awareness.

by Drew Costley, Verite, Louisiana Illuminator
August 22, 2025

NEW ORLEANS – Corinne Green, a local trans activist and public policy analyst, went to a local Walgreens in June to pick up a refill of progesterone, a hormone she has been taking daily for several years. She was used to getting it for free since she enrolled in Medicaid in January 2024.

But when she got to the pharmacy, she learned that her medication was going to cost approximately $70.

But it wasn’t a surprise. Green had been expecting Medicaid — which is mostly federally funded but administered by the state — to stop covering her hormone replacement therapy, a common form of gender-affirming health care. For nearly a year, she and other trans advocates in Louisiana had heard about sudden, unexpected Medicaid denials from dozens of transgender people around the state.

Whatever happened, it wasn’t a change to Medicaid law. Earlier this year, Congress contemplated stripping gender-affirming care coverage as part of President Trump’s sweeping tax and spending bill, known as the “One Big Beautiful Bill Act.” But the provision didn’t make the final version passed by the Senate in early July.

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State lawmakers over the past several years have passed a wave of anti-trans and anti-LGBTQIA+ legislation, including banning doctors from providing gender-affirming care to minors. So Green and other trans advocates had been watching the state legislature closely, anticipating movement to prohibit Medicaid from covering gender-affirming care for adults. That didn’t happen, either.

That likely meant that there had been an administrative change from the Louisiana Department of Health, which oversees Medicaid. But there had been no notice of any such change from the state department.

“The only way a lot of people are learning about this is that they’re going into the pharmacy to pick up their monthly or once every three months…regular prescriptions that they’ve been on for a long time, and just getting hit with a completely unexpected bill,” Green said. “Because there’s been no communication from the state about this.”

The Louisiana Department of Health did not respond to Verite News’ requests for comment on the denials of Medicaid coverage for gender-affirming care for adults and why the denials are happening. But LDH records reviewed by Verite show that the department has made changes to its Medicaid billing and diagnosis codes so that gender-affirming surgeries and hormone therapy are excluded from coverage. The changes appear to have started in August 2024.

As a result, people have been cancelling surgeries they’d been waiting years to get and trying to find other ways to afford their medications, Green told Verite News. Without coverage, these surgeries and medications can cost hundreds or thousands of dollars.

Nationally, between 20% and 25% of transgender adults are enrolled in Medicaid, according to recent estimates.

While there are no readily available data on how many transgender people in Louisiana are enrolled in the public insurance program, the state as a whole has the second highest share of Medicaid-enrolled residents, according to data from the Kaiser Family Foundation.

“Many trans people only have access to Medicaid coverage, I’m one of them. [It] definitely is very scary,” said Blu DiMarco, who works with the Queer and Trans Community Action Project. “It’s frightening to know that I could just, like, go to routinely pick up my medication, and they could be like, ‘Oh yeah, this is $200.’ I don’t have $200.”

Marchers walk through the French Quarter in New Orleans for Transgender Day of Visibility on Friday, March 31, 2023. (Greg LaRose/Louisiana Illuminator)

Community care, collective rage

In response to the LDH policy change, the Trans Income Project, a New Orleans-based social services nonprofit, this month announced a partnership with CrescentCare, a clinic that primarily serves low-income residents. The Trans Income Project, on which Green serves as a board member, will cover the cost of medication used in hormone replacement therapy for Medicaid-eligible transgender adults. (Participants in the partnership have to get their medication from the Avita Pharmacy locations inside of CrescentCare’s Elysian Fields and Mid-City facilities.)

Natalie Rupp, executive director of the Trans Income Project, told Verite News that the organization “saw a serious need in the community” when they began hearing about people losing Medicaid coverage for gender-affirming care.

“We’re trying to make sure that those most vulnerable in our community aren’t going to be stuck with additional extra costs that they previously weren’t having to cover,” she said.

The program has been praised by other trans advocacy organizations in Louisiana as an example of people coming together to support those most in need and fight back against anti-transgender policies.

“It’s a really great show of community force and how community will take care of community, even when politicians aren’t taking care of community,” Peyton Rose Michelle, executive director of Louisiana Trans Advocates said.

Rupp said she hopes that healthcare providers and pharmacies in other parts of the state and country replicate the partnership at a time when governments are moving to limit access to gender-affirming care for trans and gender nonconforming people. Eleven other states already explicitly prohibit Medicaid from funding gender-affirming care for both adults and minors.

Although it’s located in New Orleans, Crescent Care serves transgender Louisianians throughout the state, so the hope is that people outside of the metropolitan area will be able to make use of the partnership as well. Michelle said that she knows people in Lafayette, where she lives, who use CrescentCare.

Still, it’s unlikely that the partnership will be able to cover everyone  who loses access to hormones as a result of the LDH coding changes, and there’s still the question of how people who need gender-affirming surgeries, which are not covered under the partnership, will afford that care.

“I think even the organizers of their beautiful plan to provide care via Avita,” Michelle said. “I think even those people understand this isn’t going to save everyone. It is just a band aid kind of solution that will only help a subset of people.”

In order to further raise awareness about the state’s decision to stop covering gender-affirming care through Medicaid and express anger about it, the Queer and Trans Community Action Project is holding a protest Saturday at New Orleans City Hall. The Louisiana Department of Health has an office about a block away on Poydras Street that protestors will march by. The march and rally starts at 5 p.m.

“I think that the issue is not very well-known, and I think that is a very important issue to note, even for people who aren’t queer or trans, because it’s kind of a larger indicator of Medicaid cuts,” DiMarco said. “If they can come for us, then how do you know that you’re not next?”

Madhri Yehiya contributed to this report.

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This article first appeared on Verite News New Orleans and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License. PARSELY = { autotrack: false, onload: function() { PARSELY.beacon.trackPageView({ url: “https://veritenews.org/2025/08/21/louisiana-transgender-care-medicaid-denial/”, urlref: window.location.href }); } }

Louisiana Illuminator is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Louisiana Illuminator maintains editorial independence. Contact Editor Greg LaRose for questions: info@lailluminator.com.

The post Transgender Louisianians on Medicaid being denied coverage for gender-affirming care appeared first on lailluminator.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Left-Leaning

This content focuses on the challenges faced by transgender individuals in Louisiana regarding access to gender-affirming healthcare, highlighting Medicaid coverage cuts and state-level anti-trans legislation. It emphasizes the negative impact of these policies on marginalized communities and features voices from trans activists and advocacy groups. The framing is sympathetic to transgender rights and critical of conservative state policies, which aligns with a left-leaning perspective on social and healthcare issues.

News from the South - Louisiana News Feed

Hurricane Erin floods coastal North Carolina plus 3 other potential tropical formation spots

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wgno.com – Natalie Parsons – 2025-08-21 12:30:00

SUMMARY: Hurricane Erin, a large Category 2 storm with 100-mph winds, is located 260 miles east of Cape Hatteras, NC, moving north-northeast at 18 mph. Hurricane-force winds extend 105 miles from its center, with tropical-storm-force winds reaching 320 miles. The National Hurricane Center forecasts Erin to weaken and become post-tropical by Saturday as it moves between the U.S. East Coast and Bermuda, then south of Atlantic Canada. Storm surge warnings remain for parts of North Carolina, with tropical storm warnings and watches for Virginia and Bermuda. Erin brings dangerous surf, rip currents, and flooding risks. Multiple other tropical disturbances in the Atlantic show potential for development.

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News from the South - Louisiana News Feed

Families with citizen children deported by ICE sue Trump administration

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lailluminator.com – Robert Stewart, Bobbi-Jean Misick, Verite – 2025-08-21 05:00:00


Two Louisiana mothers, Julia and Rosario, deported to Honduras in April 2025 with their U.S. citizen children—including a 4-year-old with stage-four kidney cancer—have sued the Trump administration for violating due process. The lawsuit alleges ICE illegally detained the families during routine check-ins, denied access to legal counsel and family, and deported them without allowing childcare arrangements, violating ICE policies. The complaint names DHS, ICE, DOJ, and regional officials. DHS denies deporting U.S. citizen children against parental wishes. Plaintiffs seek a court ruling declaring the removals unconstitutional and ordering their return to the U.S., emphasizing the children’s deteriorating mental and medical conditions.

by Robert Stewart and Bobbi-Jean Misick, Verite, Louisiana Illuminator
August 21, 2025

Two Louisiana mothers who were deported to Honduras along with their citizen children in April have now sued the Trump administration, arguing that their removals lacked due process in violation of federal law.

In a lawsuit filed at the end of July in federal court in Baton Rouge, attorneys for the families allege that U.S. Immigration and Customs Enforcement illegally deported the two mothers – who are identified only as Julia and Rosario, without last names, in court documents – and their children, three of whom are U.S. citizens. The deported children range in age from 2 to 11 years old, and one — a 4-year-old — has stage-four kidney cancer, according to the lawsuit.

The complaint alleges that ICE officers, contrary to their own policies, denied the families due process when agents took the two mothers and their U.S. citizen children into custody during routine check-ins, keeping them at undisclosed locations and repeatedly denying them access to legal counsel and other U.S.-based family members. Those actions effectively kept the mothers from securing childcare for their children, plaintiffs argue.

“ICE has a policy for what they’re supposed to do in these instances, and they most certainly did not follow that policy,” said Stephanie Alvarez-Jones, one of the plaintiffs’ lawyers, in an interview.

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The complaint names as defendants the Department of Homeland Security, its sub-agency ICE, the Department of Justice, and several individuals in their official capacities – including leadership in the regional ICE office in New Orleans, which carried out the deportations.

“ICE is like any other law enforcement agency, state or federal,” said Matt Vogel, supervising attorney at the National Immigration Project and lead counsel in the case.  “It has to abide by the law, and here, it just threw the law out the window, and it totally ran roughshod over the due process rights of all of these individuals.”

DHS spokesperson Tricia McLaughlin called claims that the federal government is deporting U.S. citizen children “false.”In an emailed statement, McLaughlin said that “DHS takes its responsibility to protect children seriously.”

The deportations, which made headlines in the spring and drew criticism from a Trump-appointed federal judge in Louisiana, came as the Trump administration was facing intense criticism from civil rights groups over its aggressive approach to immigration enforcement. In March, DHS removed more than 200 people to a notorious high-security prison in El Salvador, including a Salvadoran man who had a court order protecting him against deportation for safety reasons.

In Kenner, a routine traffic stop can be a gateway to deportation

The plaintiffs in the Louisiana case include Rosario, a 25-year old Honduran citizen who lived near New Orleans with two American-born children, Ruby, 7, and Romeo, 4, the latter of whom has stage-four kidney cancer. The other family in the lawsuit includes Julia, a 30-year-old Honduran citizen who lived near Baton Rouge with two daughters, Janelle, 11, a citizen of Honduras and Jade, 2, a U.S. citizen, and her partner Jacob, the children’s father.

ICE agents took the mothers and children of both families into custody in late April, deporting them within days of their arrests, according to the suit.

“I thought I was just going to an appointment, but I was lied to,” Julia said in a statement. “I never imagined they would send me and my children to Honduras.”

Both sets of mothers and children were taken into custody during routine check-ins in April as part of a supervision program run by ICE and contracted out to surveillance technology company BI Incorporated, a subsidiary of publicly traded private prison operator GEO Group.

The check-ins took place at the offices of an ICE contractor in St. Rose, a suburb of New Orleans. According to the complaint, when the families arrived at their individual check-ins, they were taken to a room where plainclothes ICE agents were waiting. Rosario’s attorney, who accompanied her and her kids to the appointment, was not allowed to join the family.

The complaint alleges that agents confiscated their belongings, including jewelry, cell phones, and passports and presented them with documents. The families were then taken to undisclosed locations and denied access to speak with their attorneys and family members, according to the lawsuit.

The complaint states that Rosario refused to sign documents that agents presented to her without an opportunity to consult her attorney. Julia agreed to write a note stating that she would take Jade with her to Honduras only after agents allegedly said the 2-year-old would be placed into foster care if she remained in the United States. Neither mother was granted the opportunity to find childcare for their U.S. citizen children, the complaint alleges.

Vogel called this a “pure exercise of force,” arguing that ICE was trying to “deliberately and consciously and intentionally” thwart people’s due process rights.

According to a 2022 ICE directive, agents should allow arrestees to arrange care for their children and document the parent’s choice to place their kids in another guardian’s care.

After being taken into custody, Julia, Rosario and their respective children were driven three hours away from the check-in site to Alexandria, according to the suit, where they were detained in an undisclosed hotel.

Julia tried several times to communicate with both her attorney and partner, Jacob, plaintiffs claim, adding that Jacob was attempting to get physical custody of his youngest daughter. But, the suit alleges, ICE officers made communication difficult by refusing calls, cutting calls short, and saying they would also detain and deport Jacob, who is a Louisiana resident and also a plaintiff in the case.

Julia, Rosario and the children were apprehended and deported during a moment when arrests and deportations were on the rise under Trump’s effort to control borders and ramp up deportations.

‘The Light Switch,’ Episode 17: Inside ICE’s Louisiana detention centers

The details of the case — the alleged ruse followed by an arrest and quick deportation — are similar to others around the country since Trump took office. That includes a January arrest in the New Orleans area, in which an immigrant family of three said they were taken into custody at a routine ICE check-in, flown to Texas and deported the following day.

McLaughlin denied that ICE deports U.S. citizen children unless complying with the wishes of their parents.

“ICE asked the mothers if they wanted to be removed with their children or if they wanted ICE to place the children with someone safe the parent designates. The parents in this instance made the determination to take their children with them back to Honduras,” McLaughlin said.

Julia and Rosario’s attorneys deny that the mothers decided to take the children back with them. They said that Rosario refused to sign any document consenting to have her children sent to Honduras, and Julia only signed under threat of her daughter being sent to foster care.

“Counsel repeatedly requested the opportunity to talk to them in order to make other arrangements for the children, and ICE specifically and explicitly refused every time,” said Vogel in response to the DHS statement.

The families’ lawyers also say that the federal government failed to arrange cancer treatment in Honduras for 4-year-old Romeo. The complaint states that his mother, Rosario, has had to arrange for Romeo and his sister Ruby to travel with guardians back to the United States to receive cancer treatment.

“These recent appointments marked the first time Romeo ever had to undergo any part of his cancer treatment without his mother,” the complaint said.

McLaughlin said that ICE makes sure treatment is available “in the country to which the illegal alien is being removed.”

“The implication that ICE would deny a child the medical care they need is flatly false, and it is an insult to the men and women of federal law enforcement,” she said.

The complaint said the mental health of all four children is suffering as a result of the arrest and deportation.

The plaintiffs are asking Judge Brian Jackson to declare the removals of the two families unconstitutional and to order mothers and their children returned to the United States. The plaintiffs also want the judge to compel ICE to then follow the agency’s rules to allow the mothers to make childcare arrangements.

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This article first appeared on Verite News New Orleans and is republished here under a Creative Commons Attribution-NoDerivatives 4.0 International License. PARSELY = { autotrack: false, onload: function() { PARSELY.beacon.trackPageView({ url: “https://veritenews.org/2025/08/20/lawsuit-deported-us-citizen-children-louisiana/”, urlref: window.location.href }); } }

Louisiana Illuminator is part of States Newsroom, a nonprofit news network supported by grants and a coalition of donors as a 501c(3) public charity. Louisiana Illuminator maintains editorial independence. Contact Editor Greg LaRose for questions: info@lailluminator.com.

The post Families with citizen children deported by ICE sue Trump administration appeared first on lailluminator.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Left-Leaning

This article focuses on a lawsuit challenging the Trump administration’s immigration enforcement tactics, highlighting allegations of rights violations and due process concerns linked to ICE’s deportations of mothers and their U.S. citizen children. The narrative emphasizes the plight of immigrant families and criticizes aggressive immigration policies, particularly under the Trump administration. The coverage leans toward advocating immigrant rights and scrutinizing law enforcement actions, reflecting values and concerns typically associated with a left-leaning perspective without endorsing extreme positions.

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News from the South - Louisiana News Feed

How Boulet’s City Hall renovation proposal fell short

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thecurrentla.com – Geoff Daily – 2025-08-20 13:25:00

SUMMARY: Mayor-President Monique Blanco Boulet proposed a $17 million renovation for the nearly 70-year-old City-Parish Hall to address its many deficiencies. The plan surprised council members, leading Councilman Kenneth Boudreaux to remove funding from the initial budget meeting, emphasizing council oversight on public spending. The project, lacking prior public input or stakeholder engagement, echoes previous controversial proposals by former Mayor Guillory. Critics question the need for such a costly renovation amid other pressing community needs, like pothole repairs and drainage. Further scrutiny arises as the city would fund the entire project despite shared parish use, with the parish owing $17 million to the city. The plan remains unsettled but highlights tensions over government spending and priorities.

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