First on CNN: Biden administration moves to make gender confirmation surgery available through Veteran Affairs health care system


McDonough introduced the transfer, plans of which have been first reported by CNN, at a Pride occasion on the Orlando Vet Center in Florida on Saturday.

“We are taking the first necessary steps to expand VA’s care to include gender confirmation surgery — thereby allowing transgender vets to go through the full gender confirmation process with VA at their side,” McDonough mentioned on the occasion.

The change marks a considerable shift in care for eligible transgender veterans. The National Center for Transgender Equality estimates there are roughly 134,000 transgender veterans.

While the VA Health Benefits package deal consists of protection of psychological health providers and hormone remedy, it has excluded protection or funding for gender confirmation surgery, which is taken into account by to be a “medically necessary intervention” for individuals who have gender dysphoria, the situation medical professionals use to describe “distress at the incongruence between one’s gender and anatomy,” in accordance to an opinion piece within the AMA Journal of Ethics.

McDonough mentioned the choice to make this modification was primarily based on the “recommendation of our clinicians, so this is a health care decision that has very real physical health care impacts as well as significant mental health impacts.”

Gender confirmation or gender-affirming surgery is a process or sequence of procedures, usually to reconstruct sexual organs, in order that an individual’s anatomy matches the gender with which they determine. Gender-affirming surgery was, at first, seen as a beauty or elective surgery, however analysis exhibits that the surgery is an efficient therapy for individuals who have gender dysphoria.

Gender confirmation surgery has “been proven effective at mitigating serious health conditions, including suicidality, substance abuse, and dysphoria,” a VA spokesperson mentioned.

“Due in part to minority stress, LGBTQ+ veterans experience mental illness and suicidal thoughts at far higher rates than those outside their community, but they are significantly less likely to seek routine care, largely because they fear discrimination,” McDonough mentioned.

Because of this, it “perpetuates a cycle in which LGBTQ vets and individuals have lower rates of access to preventive care service, utilize health care services less frequently and have more negative experiences with health care,” McDonough mentioned. He known as this “unacceptable.”

McDonough acknowledged that “for far too long, and for far too many,” respect and care “were not the norm for our LGBTQ+ community and our veterans,” however he mentioned that’s the reason the VA is “determined to continue down that path. The path of progress.”

The transfer follows an effort within the Biden-Harris administration to make range and inclusion, together with the rights of LGBTQ+ people, a precedence. President Joe Biden, alongside Secretary of Defense Lloyd Austin, repealed a Trump-era ban on most transgender people serving within the army shortly after Biden took workplace.

McDonough mentioned the transfer to embody gender confirmation surgery in VA health care was in the end Biden’s resolution.

“It’s the President’s decision, and we’ve just announced today that we’re executing that decision. That decision will carry out now over many, many months, but at the end of the day this is in the President’s authority to do,” McDonough mentioned. “He’s made clear it’s time to do it and that’s precisely what we’ll do.”

Leading medical associations such because the American Medical Association, the American Psychological Association and the American Psychiatric Association have issued statements supporting gender-affirming protection, which incorporates medical and surgical remedies for gender dysphoria. Major insurance coverage firms, together with Blue Cross Blue Shield in lots of states and Kaiser Permanente have additionally acknowledged gender affirming surgery as a medically needed health profit, not only a beauty surgery, in accordance to an opinion piece within the AMA Journal of Ethics.

McDonough’s announcement is only the start of the method. For gender confirmation surgery to be coated by VA health care and included in protection supplied at VA hospitals, coverage modifications will want to be made. The course of of making a brand new federal regulation can take years. The VA plans to start the federal rulemaking course of to make this modification this summer season, a VA spokesperson mentioned.

“There are several steps to take, and that will take time,” McDonough mentioned. “But we are moving ahead, methodically, because we want this important change in policy to be implemented in a manner that has been thoroughly considered to ensure that the services made available to veterans meet VA’s rigorous standards of quality health care.”

McDonough mentioned he has already been involved with members of Congress to make certain they’re conscious of the transfer. He mentioned the method could be carried out “transparently” and “in full coordination with Congress.”

McDonough additionally ordered a overview on the finish of February, which is ongoing, of all division insurance policies to “ensure that transgender Veterans and employees do not face discrimination on the basis of their gender identity and expression.”

Changing the VA health care coverage is a optimistic motion in the direction of creating actual progress, Jennifer Dane, government director of the Modern Military Association of America, an advocacy group that helps LGBTQ+ veterans and army service members, instructed CNN.

“It takes more than words to make true progress and we are thrilled to hear Secretary McDonough’s announcement that the VA is expanding care to include gender confirmation surgery and updating health services to be more inclusive,” Dane instructed CNN in a press release. “These are clear examples of turning words into actions, the only way we can keep marching forward.”

National LGBTQ+ media advocacy group GLAAD President and CEO Sarah Kate Ellis additionally praised the transfer.

“Transgender veterans deserve equal access to medically necessary and life-saving healthcare, including gender confirmation surgery,” Ellis mentioned in a press release to CNN. “This news is not only an overdue victory for transgender veterans, but the latest move from Sec. McDonough and the VA in affirming LGBTQ veterans.”

This story has been up to date with McDonough’s remarks.



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