This Georgia County Spent $1 Million to Avoid Paying for One Employee’s Gender-Affirming Care – By Aliyya Swaby and Lucas Waldron (ProPublica) / Mar 19 2023
Officials in Houston County, Georgia, said gender-affirming surgery for sheriff’s deputy Anna Lange was too costly. They spent more than $1 million on private lawyers in a fight to keep transition-related care from being covered by their health plan.
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When a sheriff’s deputy in Georgia’s Houston County sought surgery as part of her gender transition, local officials refused to change the department’s health insurance plan to cover it, citing cost as the primary reason.
In the years that followed, the central Georgia county paid a private law firm nearly $1.2 million to fight Sgt. Anna Lange in federal court — far more than it would have cost the county to offer such coverage to all of its 1,500 health plan members, according to expert analyses. One expert estimated that including transition-related care in the health plan would add about 0.1% to the cost of all claims, which would come to roughly $10,000 per year, on average.
Since at least 1998, the county’s plan has excluded coverage for “services and supplies for a sex change,” an outdated term to refer to surgeries or medications related to gender transition. In 2016, the county’s insurance administrator recommended changing the policy to align with a new federal nondiscrimination rule. But Houston County leaders said no.
