North Carolina was wrong to exclude gender affirming care from State Employee Health Plan coverage, said the Fourth Circuit Court of Appeals. (Getty Image) The North Carolina State Employee Health Plan’s exclusion of gender-affirming care for transgender employees and their families is discriminatory, the US Fourth Circuit Court of Appeals ruled. The 8-6 ruling Monday affirmed a lower court decision that the state violated the rights of state employees who use the state health plan by denying gender-affirming care for people with gender dysphoria. “In addition to discriminating on the basis of gender identity, the exclusions discriminate on the basis of sex,” Judge Roger Gregory wrote for
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