Federal workers sue Trump administration over gender-affirming care insurance ban

A class-action case has been filed on behalf of federal workers and their families, alleging that the Trump administration’s decision to stop covering gender-affirming health services violates Title VII’s ban on sex discrimination. The complaint was submitted by the Human Rights Campaign Foundation together with Correia & Puth, naming the Office of Personnel Management as the defendant. Since January, federal insurance plans have excluded such care except for limited mental-health counseling and a narrow “mid-treatment” exception that will end in 2027.

The UCLA Williams Institute estimates the rule could affect about 39,400 people, many of whom now face costly out-of-pocket expenses or have abandoned treatment altogether. Plaintiffs describe bills for routine exams, hormone therapy and surgeries running into thousands of dollars, with some employees even quitting their jobs. Advocates compare the ban to denying insulin to diabetics, calling it an unjustified, politically driven restriction on essential health services.